Department of Neurology, Massachusetts General Hospital, Boston, MA Department of Neurology, Harvard Medical School, Boston, MA Department of Epidemiology, Harvard T.H. Chan School of Public Health, Boston, MA Health Policy Research Center, Mongan Institute, Massachusetts General Hospital, Boston, MA Department of Critical Care Medicine, Hospital Israelita Albert Einstein, São Paulo, Brazil.
Am J Med Qual. 2021;36(1):5-16. doi: 10.1097/01.JMQ.0000733444.71245.6c.
Routine outpatient epilepsy care has shifted from in-person to telemedicine visits in response to safety concerns posed by the coronavirus disease 2019 (COVID-19) pandemic. But whether telemedicine can support and maintain standardized documentation of high-quality epilepsy care remains unknown. In response, the authors conducted a quality improvement study at a level 4 epilepsy center between January 20, 2019, and May 31, 2020. Weekly average completion proportion of standardized documentation used by a team of neurologists for adult patients for the diagnosis of epilepsy, seizure classification, and frequency were analyzed. By December 15, 2019, a 94% average weekly completion proportion of standardized epilepsy care documentation was achieved that was maintained through May 31, 2020. Moreover, during the period of predominately telemedicine encounters in response to the pandemic, the completion proportion was 90%. This study indicates that high completion of standardized documentation of seizure-related information can be sustained during telemedicine appointments for routine outpatient epilepsy care at a level 4 epilepsy center.
为了应对 2019 年冠状病毒病（COVID-19）大流行带来的安全问题，常规的门诊癫痫护理已从面对面就诊转为远程医疗就诊。但远程医疗是否能够支持和维持癫痫护理的标准化文档记录的高质量仍然未知。有鉴于此，作者在一家四级癫痫中心进行了一项质量改进研究，时间为 2019 年 1 月 20 日至 2020 年 5 月 31 日。分析了一组神经科医生为成人患者诊断癫痫、癫痫发作分类和频率而使用的标准化文档的每周平均完成比例。到 2019 年 12 月 15 日，实现了每周平均 94%的标准化癫痫护理文档完成率，并一直维持到 2020 年 5 月 31 日。此外，在主要针对大流行而进行远程医疗就诊期间，完成率为 90%。这项研究表明，在四级癫痫中心进行常规门诊癫痫护理的远程医疗就诊期间，癫痫相关信息的标准化文档记录可以保持高度的完成率。
