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开展新生儿复苏远程医疗项目:两种技术的随访比较研究。

Developing a Newborn Resuscitation Telemedicine Program: A Follow-Up Study Comparing Two Technologies.

机构信息

Division of Neonatal Medicine, Mayo Clinic, Rochester, Minnesota, USA.

Department of Pediatric and Adolescent Medicine, Mayo Clinic, Rochester, Minnesota, USA.

出版信息

Telemed J E Health. 2020 May;26(5):589-596. doi: 10.1089/tmj.2018.0319. Epub 2019 Aug 14.

Abstract

Early work has demonstrated that newborn resuscitation telemedicine programs (NRTPs) are feasible and improve the quality of high-risk newborn resuscitations in community settings. Research evaluating the telemedicine technology requirements for NRTPs is limited. To compare the quality and reliability of two telemedicine technologies for providing NRTP consults. We hypothesized that the InTouch Lite Version 2 (ITH Lite) would provide a higher-quality user experience and superior reliability when compared with a wired telemedicine cart. From December 1, 2015 to August 31, 2017, providers completed electronic surveys assessing technology performance after each NRTP consult and incident reporting/resolution was monitored. Survey questions assessed the overall, audio, and video quality using a 1-5 Likert scale. Reliability was assessed based on the ability to connect on first-attempt, unplanned disconnections, and the frequency and impact of reported incidents. During the study period, 118 NRTP consults were performed (n nn n p p p The ITH Lite demonstrated improved audio quality and reliability when compared with a wired cart. Organizations should consider connection reliability and audio/video quality when selecting a NRTP technology.

摘要

早期工作表明,新生儿复苏远程医疗项目(NRTP)是可行的,并能提高社区高危新生儿复苏的质量。对 NRTP 远程医疗技术要求的研究有限。为了比较两种远程医疗技术提供 NRTP 咨询的质量和可靠性。我们假设与有线远程医疗推车相比,InTouch Lite Version 2(ITH Lite)将提供更高质量的用户体验和更高的可靠性。从 2015 年 12 月 1 日至 2017 年 8 月 31 日,提供者在每次 NRTP 咨询后完成了电子调查,以评估技术性能,并监测事件报告/解决情况。调查问题使用 1-5 级李克特量表评估整体、音频和视频质量。可靠性评估基于首次尝试连接的能力、计划外中断以及报告事件的频率和影响。在研究期间,进行了 118 次 NRTP 咨询(n=118)。与有线推车相比,ITH Lite 显示出音频质量和可靠性的提高。组织在选择 NRTP 技术时应考虑连接可靠性和音视频质量。

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本文引用的文献

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Telehealth: No Longer an Idea for the Future.远程医疗:不再是未来的设想。
Adv Pediatr. 2017 Aug;64(1):347-370. doi: 10.1016/j.yapd.2017.03.009.
7
Telemedicine for neonatal resuscitation.新生儿复苏的远程医疗
Neonatal Netw. 2014 Sep-Oct;33(5):283-7. doi: 10.1891/0730-0832.33.5.283.

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