Department of Pediatrics, Seattle Children's Hospital, Seattle, Washington.
Department of Pediatrics, University of Washington, Seattle, Washington.
Am J Perinatol. 2020 Jun;37(8):857-860. doi: 10.1055/s-0040-1709687. Epub 2020 Apr 8.
The aim of this study is to determine the feasibility of "in-hospital" inpatient telemedicine within a children's referral hospital to facilitate inpatient care activities such as interprofessional rounding and the provision of supportive services such as lactation consultations to pediatric patients in strict isolation. To test the feasibility of in-hospital video telemedicine, a dedicated telemedicine device was set up in the patient's room. This device and the accompanying Bluetooth stethoscope were used by the health care team located just outside the room for inpatient rounding and consultations from supportive services. Video telemedicine facilitated inpatient care and interactions with support services, reducing the number of health care providers with potential exposure to infection and decreasing personal protective equipment use. In the setting of strict isolation for highly infectious viral illness, telemedicine can be used for inpatient care activities such as interprofessional rounding and provision of supportive services. KEY POINTS: · Telehealth supports patient care in isolation.. · Telehealth reduced health care provider exposures.. · Telehealth conserves personal protective equipment..
本研究旨在确定在儿童医院内实施“住院内”住院远程医疗的可行性，以促进住院患者的医护活动，如跨专业查房，以及为严格隔离的儿科患者提供哺乳咨询等支持性服务。为了测试住院内视频远程医疗的可行性，在患者房间内设置了专用的远程医疗设备。医疗团队在房间外使用该设备和配套的蓝牙听诊器进行查房和接受来自支持性服务的咨询。视频远程医疗促进了住院患者的护理和与支持性服务的互动，减少了有潜在感染风险的医护人员数量，并降低了个人防护设备的使用。在高度传染性病毒病的严格隔离环境下，远程医疗可用于住院患者的医护活动，如跨专业查房和提供支持性服务。
· 远程医疗支持隔离患者的医护。
· 远程医疗减少了医护人员的暴露。
· 远程医疗节省了个人防护设备。
