Telemedicine for Children in Rural Emergency Departments

Project: Research project

Description

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.
StatusFinished
Effective start/end date7/19/026/30/07

Funding

  • National Institutes of Health
  • National Institutes of Health
  • National Institutes of Health
  • National Institutes of Health
  • National Institutes of Health

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Telemedicine
Hospital Emergency Service
Rural Hospitals
Referral and Consultation
Medication Errors
Quality of Health Care
Critical Care
Pediatrics
Emergencies
Patient Transfer
Emergency Medical Services
Patient Satisfaction
Critical Illness
Health Care Costs
Medical Records
Physicians

ASJC

  • Medicine(all)