Telemedicine in a rural community hospital for remote wound care consultations.
BACKGROUND: We found that the number of patients requiring wound care consultation was increasing but the distance from our rural campus to the main campus acted as a barrier for timely consultations. Therefore, we implanted a telemedicine program, based on technology manufactured by VISICU (Baltimo...
| Publicado en: | Journal of Wound, Ostomy & Continence Nursing Vol. 38; no. 3; pp. 301 - 305 |
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| Autores principales: | , , , , |
| Formato: | pictorial Journal Article |
| Publicado: |
Lippincott Williams & Wilkins
2011 May-Jun
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=108228800&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 108228800 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 10715754 4CQ jtl: Journal of Wound, Ostomy & Continence Nursing issn: 10715754 maglogo: N pubinfo: dt: 2011 May-Jun vid: 38 iid: 3 pid: 433 pub: Lippincott Williams & Wilkins place: Baltimore, Maryland artinfo: ui: 108228800 108228800 2011171944 10.1097/WON.0b013e3182164214 NLM21566491 108228800 ppf: 301 ppct: 4 formats: tig: atl: Telemedicine in a rural community hospital for remote wound care consultations. aug: au: Clegg, Amy Brown, Theresa Engels, Dawn Griffin, Phyllis Sminods, David affil: Wound and Reconstructive Service, Moses Cone Health System, Greensboro sug: subj: Rural Areas Telemedicine Wound Care Enterostomal Therapy Nursing Health Services Accessibility Referral and Consultation ab: BACKGROUND: We found that the number of patients requiring wound care consultation was increasing but the distance from our rural campus to the main campus acted as a barrier for timely consultations. Therefore, we implanted a telemedicine program, based on technology manufactured by VISICU (Baltimore, MO) used by intensive care and steJrdown unit patients in our health system. PROCESS: A wound consultation was performed with one certified woe nurse in the remote facility and another certified WO(: nurse at the patient's bedside to establish method reliability. Following this assessment of feasibility, we initiated a formal program for remote wound care consultations in March 2009. Fifty remote wound consults have been completed, resulting in an estimated savings of $5000. CONCWSIONS: limited evidence supports telemedicine for re mote wound consultations; most literature is based on use of digital camera images or Web cam/computer programs. Our program uses a unique, real-time technology for remote wound care consultations. The potential cost-savings related to decrease in complications of wounds and the positive effects on patient progression and length of stay have not yet been measured. However, our initial experiences suggest that remote consultations using real-time telemedicine reduce delay between request for consultations and its completion. diminish transportation and nonproductive staff time costs, and are comparable to traditional face-ta-face consultations. pubtype: Academic Journal doctype: pictorial Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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