权益分类	功能权益	普通用户	{{item.name}}会员
{{category.name}}	{{benefitItem.name}}

Telemedicine for Children in Rural Emergency Departments

农村急诊科儿童远程医疗

基本信息

批准号：
7086340
负责人：
James P Marcin
金额：
$ 12.18万
依托单位：
UNIVERSITY OF CALIFORNIA AT DAVIS
依托单位国家：
美国
项目类别：
财政年份：
2002
资助国家：
美国
起止时间：
2002-07-19 至 2007-06-30
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/7086340
关键词：
clinical research critical care data collection methodology /evaluation emergency health services health care quality health care service evaluation health care service utilization health services research tag human subject medical records medically underserved population patient safety /medical error pediatrics questionnaires rural area satisfaction telemedicine

项目摘要

DESCRIPTION (provided by applicant): Rural hospitals are often under served with respect to pediatric specialty and emergency services. As a consequence, acutely ill and injured children presenting to rural hospitals may receive delayed or inappropriate care. The use of telemedicine to provide under served hospitals with pediatric emergency and critical care telemedicine consultations has not been described, and the effect that these consultations would have on the processes, frequency of errors, outcomes and costs of health care provided to children is unknown. The objective of this application is to determine the impact of telemedicine consultations on the quality and satisfaction of care that critically ill and injured children receive in rural emergency departments. Preliminary data suggests that telemedicine consultations to a rural hospital can aid in the management of critically ill children. The candidate hypothesizes that emergency pediatric telemedicine consultations to rural, under served emergency departments will reduce the frequency of medication errors; enhance the quality of care as measured by implicit review; and decrease unnecessary patient transports. Furthermore, it is hypothesized that these departments will be regarded as high in quality compared to control emergency departments without telemedicine consultations. Two rural, under served emergency departments will be studied that will utilize telemedicine consultations for acutely ill and injured children (Telemedicine ED). The acutely ill and injured children presenting to the two matched control emergency departments (Control ED) will act as control subjects. Historical control data will be collected from all four emergency departments so that a pretest-posttest design with concurrent matched controls can be used. UC Davis Children?s Hospital critical care physicians will provide consultations to the rural emergency departments. Review of the blinded medical records will be used to determine medication error rates, implicit quality assessments, and patient transfer rates in the telemedicine and control emergency departments. Satisfaction surveys completed by the parents/guardians will also be compared between patients cared for in telemedicine and control emergency departments to evaluate the effects of telemedicine on overall patient satisfaction.

描述（由申请人提供）：乡村医院的服务经常不足关于儿科专业和紧急服务。结果，到乡村医院就诊的重病和受伤儿童可能会接受延迟或不适当的护理。使用远程医疗来提供服务不足的服务提供儿科急诊和重症监护远程医疗的医院尚未描述磋商，以及这些磋商的效果将对流程、错误频率、结果和健康成本产生影响儿童的护理情况尚不清楚。该应用程序的目的是确定远程医疗咨询对质量和质量的影响农村危重伤病儿童接受护理的满意度急诊科。初步数据表明，远程医疗到乡村医院咨询有助于危重病人的管理孩子们。候选人假设紧急儿科远程医疗向农村、服务不足的急诊部门进行咨询将减少用药错误的频率；提高护理质量，衡量标准为隐性审查；并减少不必要的患者转运。此外，它假设这些部门将被视为高质量与没有远程医疗咨询的控制急诊室相比。将研究两个农村、服务不足的急诊部门对重病和受伤的儿童进行远程医疗咨询（远程医疗ED）。向两人介绍的重病和受伤儿童匹配的控制紧急部门 (Control ED) 将充当控制人员科目。将从所有四个紧急情况收集历史控制数据部门，以便进行具有并发匹配控制的前测后测设计可以使用。加州大学戴维斯分校儿童医院重症监护医生将向农村应急部门提供咨询。审查盲法医疗记录将用于确定用药错误率，远程医疗中的隐性质量评估和患者转移率并控制紧急部门。满意度调查由还将对接受治疗的患者的父母/监护人进行比较远程医疗和控制急诊部门评估效果远程医疗对患者总体满意度的影响。