Implementation of Telemedicine in Pediatric and Neonatal Transport

•Telemedicine in pediatric transport can support advanced care before hospital arrival.•Our study demonstrates an implementation model of telemedicine in pediatric and neonatal transport.•This study examines the usefulness of video connection before pediatric and neonatal transport and barriers to i...

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Bibliographic Details
Published in:Air medical journal 2020-07, Vol.39 (4), p.271-275
Main Authors: Curfman, Alison, Groenendyk, Jacob, Markham, Chris, Quayle, Kimberly, Turmelle, Michael, Tieken, Brandie, Brancato, Celeste, Saunders, Scott
Format: Article
Language:English
Subjects:
Health administration
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Summary:•Telemedicine in pediatric transport can support advanced care before hospital arrival.•Our study demonstrates an implementation model of telemedicine in pediatric and neonatal transport.•This study examines the usefulness of video connection before pediatric and neonatal transport and barriers to implementation. Telemedicine uses video technology to communicate visual clinical information. This study aimed to implement telemedicine in pediatric and neonatal transport, assess its value, and identify barriers. This prospective study implemented telemedicine before transport to a tertiary care children's hospital. A preimplementation survey assessed attitudes toward telemedicine and perceived barriers. During the 12-week pilot, a video connection was initiated between transport and medical control. We collected survey results measuring telemedicine usefulness and hindrance after each use. A postimplementation survey assessed opinions about when telemedicine was useful. Initially, 82% of users had no direct experience with telemedicine. Perceived utility and burden of telemedicine varied significantly by department. During the study, telemedicine was offered 65% of the time, initiated in 47% of cases, and successful in 30% of cases. The greatest barrier was connectivity. Over time, transport members and physicians found telemedicine to be significantly more useful. In 14 cases, telemedicine changed patient outcome or management. Providers who reported a change in management rated telemedicine as significantly more useful. This prospective pilot successfully implemented telemedicine before pediatric transport. Telemedicine was more useful in patients with visual findings on examination and, in some cases, changed the clinical outcome.
ISSN:1067-991X
1532-6497
DOI:10.1016/j.amj.2020.04.008