电子个人防护设备：COVID-19 时代保护急诊科医护人员的策略。
Electronic personal protective equipment: A strategy to protect emergency department providers in the age of COVID-19.
机构信息
Department of Biomedical Informatics, Vanderbilt University Medical Center, Nashville, Tennessee, USA.
Department of Emergency Medicine, Vanderbilt University Medical Center, Nashville, Tennessee, USA.
出版信息
J Am Med Inform Assoc. 2020 Jun 1;27(6):967-971. doi: 10.1093/jamia/ocaa048.
Abstract
Emergent policy changes related to telemedicine and the Emergency Medical Treatment and Labor Act during the novel coronavirus disease 2019 (COVID-19) pandemic have created opportunities for technology-based clinical evaluation, which serves to conserve personal protective equipment (PPE) and protect emergency providers. We define electronic PPE as an approach using telemedicine tools to perform electronic medical screening exams while satisfying the Emergency Medical Treatment and Labor Act. We discuss the safety, legal, and technical factors necessary for implementing such a pathway. This approach has the potential to conserve PPE and protect providers while maintaining safe standards for medical screening exams in the emergency department for low-risk patients in whom COVID-19 is suspected.
摘要
在 2019 年新型冠状病毒病（COVID-19）大流行期间，与远程医疗和《紧急医疗救治与劳动法》相关的紧急政策变化为基于技术的临床评估创造了机会，这有助于节约个人防护设备（PPE）并保护急救提供者。我们将电子 PPE 定义为一种使用远程医疗工具进行电子医疗筛查检查的方法，同时满足《紧急医疗救治与劳动法》的要求。我们讨论了实施这种方法所需的安全、法律和技术因素。对于疑似 COVID-19 的低风险患者，这种方法有可能在节约 PPE 和保护提供者的同时，保持急诊科医疗筛查检查的安全标准。
相似文献
1
Electronic personal protective equipment: A strategy to protect emergency department providers in the age of COVID-19.电子个人防护设备：COVID-19 时代保护急诊科医护人员的策略。
J Am Med Inform Assoc. 2020 Jun 1;27(6):967-971. doi: 10.1093/jamia/ocaa048.
2
Examining the Emergency Medical Treatment and Active Labor Act: impact on telemedicine for neurotrauma.检查《紧急医疗和主动分娩法》：对神经外伤远程医疗的影响。
Neurosurg Focus. 2020 Nov;49(5):E8. doi: 10.3171/2020.8.FOCUS20587.
3
Reducing the consumption of personal protective equipment by setting up a multifunctional sampling station in the emergency department to screen for COVID-19 infection in Taiwan.在台湾的急诊部门设立多功能采样站，以筛查 COVID-19 感染，从而减少个人防护设备的消耗。
Environ Health Prev Med. 2020 Jul 30;25(1):34. doi: 10.1186/s12199-020-00874-5.
4
Diagnosis of a Case of Suspected COVID-19 Using Telemedicine Technology in the Emergency Department.在急诊科使用远程医疗技术诊断一例疑似新型冠状病毒肺炎病例
Am J Case Rep. 2020 Aug 22;21:e926251. doi: 10.12659/AJCR.926251.
5
Meeting the challenge of the 2019 novel coronavirus disease in patients with cancer.应对癌症患者 2019 新型冠状病毒病的挑战。
Cancer. 2020 Jul 15;126(14):3174-3175. doi: 10.1002/cncr.32919. Epub 2020 Apr 23.
6
Occupational exposures and programmatic response to COVID-19 pandemic: an emergency medical services experience.职业暴露和针对 COVID-19 大流行的计划应对：紧急医疗服务的经验。
Emerg Med J. 2020 Nov;37(11):707-713. doi: 10.1136/emermed-2020-210095. Epub 2020 Sep 21.
7
Onsite telemedicine strategy for coronavirus (COVID-19) screening to limit exposure in ED.现场远程医疗策略用于冠状病毒（COVID-19）筛查，以限制急诊科的暴露风险。
Emerg Med J. 2020 Jun;37(6):335-337. doi: 10.1136/emermed-2020-209645. Epub 2020 May 3.
8
Emergency Medicine Telehealth for COVID-19: Minimize Front-Line Provider Exposure and Conserve Personal Protective Equipment.用于新型冠状病毒肺炎的急诊医学远程医疗：减少一线医护人员接触并节约个人防护装备
Mayo Clin Proc. 2020 Oct;95(10):2065-2068. doi: 10.1016/j.mayocp.2020.07.025. Epub 2020 Aug 13.
9
Impact of the COVID-19 Pandemic on Neurosurgical Practice in India: Results of an Anonymized National Survey.COVID-19 大流行对印度神经外科学实践的影响：一项匿名全国调查的结果。
Neurol India. 2020 May-Jun;68(3):595-602. doi: 10.4103/0028-3886.289004.
10
Spring in London with Covid-19: a personal view.伦敦新冠疫情下的春天：个人视角
Med Leg J. 2020 Jul;88(2):57-64. doi: 10.1177/0025817220923692. Epub 2020 Jun 9.
引用本文的文献
1
Departments of Pediatrics Approach at the Beginning of the COVID-19 Pandemic.新冠疫情初期儿科部门的应对方法。
Port J Public Health. 2021 Oct 29;39(2):88-94. doi: 10.1159/000519499. eCollection 2021 Dec.
2
Ortho-digital dynamics: Exploration of advancing digital health technologies in musculoskeletal disease management.矫形数字动力学：肌肉骨骼疾病管理中数字健康技术进展探索
Digit Health. 2024 Aug 14;10:20552076241269613. doi: 10.1177/20552076241269613. eCollection 2024 Jan-Dec.
3
Online digital health and informatics education for undergraduate nursing students in China: impacts and recommendations.中国本科护理学生在线数字健康与信息学教育：影响与建议。
BMC Med Educ. 2024 Jul 26;24(1):803. doi: 10.1186/s12909-024-05785-5.
4
JAMIA at 30: looking back and forward.《美国医学信息学会杂志》创刊30周年：回顾与展望
J Am Med Inform Assoc. 2023 Dec 22;31(1):1-9. doi: 10.1093/jamia/ocad215.
5
Postpandemic Evaluation of the Eco-Efficiency of Personal Protective Equipment Against COVID-19 in Emergency Departments: Proposal for a Mixed Methods Study.急诊科针对 COVID-19 的个人防护装备生态效率的疫情后评估：一项混合方法研究的建议
JMIR Res Protoc. 2023 Dec 7;12:e50682. doi: 10.2196/50682.
6
Effect of Mixed Reality on Delivery of Emergency Medical Care in a Simulated Environment: A Pilot Randomized Crossover Trial.混合现实对模拟环境中紧急医疗救护的影响：一项试点随机交叉试验。
JAMA Netw Open. 2023 Aug 1;6(8):e2330338. doi: 10.1001/jamanetworkopen.2023.30338.
7
Promoting telemedicine in Latin America in light of COVID-19.鉴于新冠疫情在拉丁美洲推广远程医疗
Rev Panam Salud Publica. 2023 Mar 10;47:e17. doi: 10.26633/RPSP.2023.17. eCollection 2023.
8
Technology-enabled virtual ward for COVID management of the elderly and immunocompromised in Singapore: a descriptive cohort.新加坡利用技术实现的老年人和免疫功能低下者 COVID 管理虚拟病房：描述性队列研究。
BMC Infect Dis. 2023 Feb 21;23(1):102. doi: 10.1186/s12879-023-08040-2.
9
Telemental health in emergency care settings: A qualitative analysis of considerations for sustainability and spread.紧急医疗环境下的远程心理卫生服务：对可持续性和推广考虑因素的定性分析。
Acad Emerg Med. 2023 Apr;30(4):368-378. doi: 10.1111/acem.14682. Epub 2023 Mar 1.
10
Improving safety and communication for healthcare providers caring for SARS-COV-2 patients.改善为感染新型冠状病毒2的患者提供护理的医护人员的安全性和沟通。
Int J Emerg Med. 2022 Nov 12;15(1):62. doi: 10.1186/s12245-022-00464-y.
本文引用的文献
1
Covid-19: a remote assessment in primary care.新冠肺炎：基层医疗中的远程评估
BMJ. 2020 Mar 25;368:m1182. doi: 10.1136/bmj.m1182.
2
Virtually Perfect? Telemedicine for Covid-19.近乎完美？用于新冠疫情的远程医疗
N Engl J Med. 2020 Apr 30;382(18):1679-1681. doi: 10.1056/NEJMp2003539. Epub 2020 Mar 11.
3
Covid-19: hoarding and misuse of protective gear is jeopardising the response, WHO warns.世界卫生组织警告：新冠疫情期间防护装备的囤积和滥用正危及应对工作。
BMJ. 2020 Mar 4;368:m869. doi: 10.1136/bmj.m869.
4
Clinical features for diagnosis of pneumonia among adults in primary care setting: A systematic and meta-review.基层医疗保健环境中成人肺炎诊断的临床特征：系统评价和荟萃分析。
Sci Rep. 2019 May 20;9(1):7600. doi: 10.1038/s41598-019-44145-y.
5
Use of Telemedicine to Screen Patients in the Emergency Department: Matched Cohort Study Evaluating Efficiency and Patient Safety of Telemedicine.使用远程医疗对急诊科患者进行筛查：评估远程医疗效率和患者安全性的匹配队列研究
JMIR Med Inform. 2019 May 8;7(2):e11233. doi: 10.2196/11233.
6
Diagnostic value of signs, symptoms and diagnostic tests for diagnosing pneumonia in ambulant children in developed countries: a systematic review.发达国家门诊儿童肺炎的体征、症状和诊断检测的诊断价值：系统评价。
NPJ Prim Care Respir Med. 2018 Oct 26;28(1):40. doi: 10.1038/s41533-018-0104-8.
7
Emergency Telemedicine: Achieving and Maintaining Compliance with the Emergency Medical Treatment and Labor Act.紧急远程医疗：实现并维持符合《紧急医疗救治和劳动法》的要求。
Telemed J E Health. 2018 Nov;24(11):934-937. doi: 10.1089/tmj.2017.0204. Epub 2018 Mar 12.
8
Telemedicine: A Reliable Tool to Assess the Severity of Respiratory Distress in Children.远程医疗：评估儿童呼吸窘迫严重程度的可靠工具。
Hosp Pediatr. 2016 Aug;6(8):476-82. doi: 10.1542/hpeds.2015-0272.
9
Pediatric Critical Care Telemedicine Program: A Single Institution Review.儿科重症监护远程医疗项目：单机构回顾
Telemed J E Health. 2016 Jan;22(1):51-5. doi: 10.1089/tmj.2015.0043. Epub 2015 Jul 23.
10
Systematic review of telemedicine applications in emergency rooms.急诊室远程医疗应用的系统评价
Int J Med Inform. 2015 Sep;84(9):601-16. doi: 10.1016/j.ijmedinf.2015.05.009. Epub 2015 May 23.
Zotero 插件