Griggs Andrew C, Fausett Crystal M, Simonson Richard J, Williams Kimberly N, Bisbey Tiffany M, Lazzara Elizabeth H, Keebler Joseph R, DiazGranados Deborah, Mishra Vimal K, Thomas Eric J, Salas Eduardo
Department of Human Factors and Behavioral Neurobiology, Embry-Riddle Aeronautical University, Daytona Beach, FL, USA.
Department of Psychological Sciences, Rice University, Houston, TX, USA.
Hum Factors Health. 2021 Dec;1. doi: 10.1016/j.hfh.2022.100008. Epub 2022 Apr 8.
Telerounding is slated to become an important avenue for future healthcare practice. As utilization of telerounding is increasing, a review of the literature is necessary to distill themes and identify critical considerations for the implementation of telerounding. We provide evidence of the utility of telerounding and considerations to support its implementation in future healthcare practice based on a scoping review.
We collected articles from nine scientific databases from the earliest dated available articles to August 2020. We identified whether each article centered on telerounding policies, regulations, or practice. We also organized information from each article and sorted themes into four categories: sample characteristics, technology utilized, study constructs, and research outcomes.
We identified 21 articles related to telerounding that fit our criteria. All articles emphasized telerounding practice. Most articles reported data collected from surgical wards, had adult samples, and utilized robotic telerounding systems. Most articles reported null effects or positive effects on their measured variables.
Providers and patients can benefit from the effective implementation of telerounding. Telerounding can support patient care by reducing travel expenses and opportunities for infection. Evidence suggests that telerounding can reduce patient length of stay. Patients and providers are willing to utilize telerounding, but patient willingness is influenced by age and education. Telerounding does not appear to negatively impact satisfaction or patient care. Organizations seeking to implement telerounding systems must consider education for their providers, logistics associated with hardware and software, scheduling, and characteristics of the organizational context that can support telerounding. Considerations provided in this article can mitigate difficulties associated with the implementation of telerounding.
远程查房有望成为未来医疗实践的重要途径。随着远程查房的使用日益增加，有必要对文献进行综述，以提炼主题并确定实施远程查房的关键考虑因素。我们基于范围综述提供了远程查房的效用证据以及支持其在未来医疗实践中实施的考虑因素。
我们从九个科学数据库中收集了从最早可获取的文章到2020年8月的文章。我们确定每篇文章是否围绕远程查房政策、法规或实践。我们还整理了每篇文章的信息，并将主题分为四类：样本特征、使用的技术、研究结构和研究结果。
我们确定了21篇符合我们标准的与远程查房相关的文章。所有文章都强调远程查房实践。大多数文章报告的数据来自外科病房，样本为成年人，并使用了机器人远程查房系统。大多数文章报告其测量变量的结果为无效应或积极效应。
有效的远程查房实施能使医护人员和患者受益。远程查房可通过减少差旅费和感染机会来支持患者护理。有证据表明远程查房可缩短患者住院时间。患者和医护人员愿意使用远程查房，但患者的意愿受年龄和教育程度影响。远程查房似乎不会对满意度或患者护理产生负面影响。寻求实施远程查房系统的组织必须考虑对其医护人员的培训、与硬件和软件相关的后勤、排班以及能够支持远程查房的组织环境特征。本文提供的考虑因素可减轻与远程查房实施相关的困难。
