Remote Physiologic Monitoring

2021 ◽  
pp. 234-246
Author(s):  
Ksenya K. Badashova ◽  
Tenagne Haile-Mariam ◽  
Robert Jarrin
Keyword(s):  
Health Care ◽  
Emergency Department ◽  
Clinical Care ◽  
Clinical Information ◽  
Physiologic Monitoring ◽  
Medical Systems ◽  
Health Care Settings ◽  
Patients At Risk ◽  
Improve Patient

Remote physiologic monitoring (RPM) allows for the collection and transmission of clinical information from a patient to a clinician for evaluation (and potentially intervention) in a synchronous or asynchronous manner. The initiation and judicious utilization of RPM is fundamental to distance-based medical care and provides opportunities to improve clinical outcomes and decrease utilization of resources. COVID-19’s stress on medical systems has encouraged innovations, including those that incorporate RPM. Emergency Department (ED) RPM programs have shown that COVID-19 patients at risk for clinical decompensation can successfully be monitored and treated at home. RPM can capitalize on emergency medicine’s (EM’s) role as the interface between in-patient and out-patient care to implement increasingly complex medical services to patients in nontraditional health care settings. Despite their promise, the development and implementation of RPM programs is a challenging task that requires investment in human and other resources. The role of RPM in expanding EM and ED-based clinical care to improve patient outcomes and decrease costs will require continued investigations and innovations.

scholarly journals Health Care Robotics: Qualitative Exploration of Key Challenges and Future Directions (Preprint)

2018 ◽  
Author(s):  
Kathrin Cresswell ◽  
Sarah Cunningham-Burley ◽  
Aziz Sheikh
Keyword(s):  
Health Care ◽  
International Health ◽  
Diverse Range ◽  
Health Care Settings ◽  
Ethical Frameworks ◽  
Legal Challenges ◽  
Future Challenges ◽  
Qualitative Exploration ◽  
Robotic Applications

BACKGROUND The emergence of robotics is transforming industries around the world. Robot technologies are evolving exponentially, particularly as they converge with other functionalities such as artificial intelligence to learn from their environment, from each other, and from humans. OBJECTIVE The goal of the research was to understand the emerging role of robotics in health care and identify existing and likely future challenges to maximize the benefits associated with robotics and related convergent technologies. METHODS We conducted qualitative semistructured one-to-one interviews exploring the role of robotic applications in health care contexts. Using purposive sampling, we identified a diverse range of stakeholders involved in conceiving, procuring, developing, and using robotics in a range of national and international health care settings. Interviews were digitally recorded, transcribed verbatim, and analyzed thematically, supported by NVivo 10 (QSR International) software. Theoretically, this work was informed by the sociotechnical perspective, where social and technical systems are understood as being interdependent. RESULTS We conducted 21 interviews and these accounts suggested that there are significant opportunities for improving the safety, quality, and efficiency of health care through robotics, but our analysis identified 4 major barriers that need to be effectively negotiated to realize these: (1) no clear pull from professionals and patients, (2) appearance of robots and associated expectations and concerns, (3) disruption of the way work is organized and distributed, and (4) new ethical and legal challenges requiring flexible liability and ethical frameworks. CONCLUSIONS Sociotechnical challenges associated with the effective integration of robotic applications in health care settings are likely to be significant, particularly for patient-facing functions. These need to be identified and addressed for effective innovation and adoption.

scholarly journals Patient and family–centred care for pediatric patients in the emergency department

CJEM ◽  
2008 ◽  
Vol 10 (01) ◽  
pp. 38-43 ◽  
Author(s):  
Kathleen Brown ◽  
Sharon E. Mace ◽  
Ann M. Dietrich ◽  
Stephen Knazik ◽  
Neil E. Schamban
Keyword(s):  
Health Care ◽  
Emergency Department ◽  
Health Care Professionals ◽  
Pediatric Population ◽  
Quality Care ◽  
Medical Decision ◽  
Care Integration ◽  
The Family ◽  
Integral Role

ABSTRACT Patient and family–centred care (PFCC) is an approach to health care that recognizes the integral role of the family and encourages mutually beneficial collaboration between the patient, family and health care professionals. Specific to the pediatric population, the literature indicates that the majority of families wish to be present for all aspects of their child's care and be involved in medical decision-making. Families who are provided with PFCC are more satisfied with their care. Integration of these processes is an essential component of quality care. This article reviews the principles of PFCC and their applicability to the pediatric patient in the emergency department; and it discusses a model for integrating PFCC that is modifiable based on existing resources.

The Evolving Role of Geriatric Emergency Department Social Work in the Era of Health Care Reform

2015 ◽  
Vol 54 (9) ◽  
pp. 849-868 ◽  
Author(s):  
Christine Hamilton ◽  
Liza Ronda ◽  
Ula Hwang ◽  
Gallane Abraham ◽  
Kevin Baumlin ◽  
...  
Keyword(s):  
Health Care ◽  
Emergency Department ◽  
Social Work ◽  
Health Care Reform

scholarly journals Circulation of blaKPC-3-Carrying IncX3 Plasmids among Citrobacter freundii Isolates in an Italian Hospital

2017 ◽  
Vol 61 (8) ◽  
Author(s):  
Carolina Venditti ◽  
Daniela Fortini ◽  
Laura Villa ◽  
Antonella Vulcano ◽  
Silvia D'Arezzo ◽  
...  
Keyword(s):  
Health Care ◽  
Antimicrobial Resistance ◽  
Resistance Genes ◽  
Nucleotide Sequences ◽  
Surveillance Program ◽  
Citrobacter Freundii ◽  
Content Type ◽  
Health Care Settings ◽  
Carbapenem Resistant

ABSTRACT Colonizations due to carbapenem-resistant Enterobacteriaceae (CRE) are a source of antimicrobial resistance transmission in health care settings. Eleven Citrobacter freundii strains producing KPC-3 carbapenemase were isolated from rectal swabs during a 3-year surveillance program. bla KPC-3-carrying plasmids were found to belong to the IncX3 group in 9 of the 11 strains, and complete nucleotide sequences were obtained for 2 of them. Our results highlight the possible role of C. freundii as reservoir of resistance genes.

Medicine, Spirituality, Religion, and Psychology

2017 ◽  
Author(s):  
Kelly M. Trevino ◽  
Kenneth I. Pargament
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Clinical Care ◽  
Large Body ◽  
Spiritual Needs ◽  
Care Providers ◽  
Religion And Psychology ◽  
And Coping ◽  
The Relationship

The current chapter examines the relationship between religion/spirituality (R/S) and medicine through the psychological lens of a religious coping framework. This relationship is considered at the theoretical, patient, caregiver, and care team levels. The R/S beliefs, practices, and coping strategies of patients, informal caregivers, and health care providers in the context of illness is then discussed. A large body of research demonstrates the important role of R/S in how patients and caregivers understand and cope with illness. Similarly, many health care providers view illness and their clinical care through a R/S lens and believe that attending to patients’ spiritual needs is part of their professional role. The chapter concludes with a brief review of psycho-spiritual interventions in medical populations.

scholarly journals NURSING INFORMATICS

2013 ◽  
Vol 03 (02) ◽  
pp. 018-024
Author(s):  
R. Ponchitra
Keyword(s):  
Health Care ◽  
Word Processing ◽  
Clinical Information System ◽  
Care Delivery ◽  
Clinical Information ◽  
Improve Patient Care ◽  
Health Care Delivery System ◽  
Nursing Informatics ◽  
Major Player ◽  
Improve Patient

AbstractComputers have opened for us a world of information. New and emerging technologies will continue to have an effect on the health care delivery system. Nurses as a major player in health care, will be part of this ever growing era technology. A nurse must know generalized applications such as word processing, as well as specialized applications such as clinical information system. Virtual reality (simulation) and ubiquitous(every where) computing are emerging and being used in education and other areas in health care nursing knowledge workers must be able to understand the evolving specialty, nursing informatics, in order to begin to harness and use the tools available for managing the vast amount of health care data and information. This article mentions in detail about Nursing Informatics and therefore highlights that nursing informatics capabilities be appreciated, promoted, expanded and advanced to facilitate the work of the Nurse, improve patient care, and enhance the Nursing profession.

Telemedicine and Biotelemetry for E-Health Systems

2011 ◽  
pp. 676-692
Author(s):  
Elif Derya Übeyli
Keyword(s):  
Knowledge Management ◽  
Health Systems ◽  
Information Technologies ◽  
Clinical Care ◽  
Clinical Information ◽  
Medical Systems ◽  
Biomedical Knowledge ◽  
Physiological Variables ◽  
Medical Sector ◽  
Transmission Of Information

This chapter develops an integrated view of telemedicine and biotelemetry applications. The objective of the chapter is coherent with the objective of the book, which includes techniques in the biomedical knowledge management. Telemedicine is the use of modern telecommunications and information technologies for the provision of clinical care to individuals at a distance and the transmission of information to provide that care. The medical systems infrastructure underpinning this form of medicine, consisting of the equipment and processes used to acquire and present clinical information and to store and retrieve data are explained in detail. An investigation of telemedicine applications in various fields is presented and the likely enormous impact of telemedicine systems on the future of medicine is discussed. For example, bioelectric and physiological variables could be measured by biotelemetry systems. Developing a biotelemetry system and the principal operation of such a system are presented, and its components and the telemetry types are explained. The author suggests that the content of the chapter will assist the medical sector and the general reader in gaining a better understanding of the techniques in the telemedicine and biotelemetry applications.

Teletriage

2021 ◽  
pp. 173-185
Author(s):  
Matthew Laghezza ◽  
Peter Greenwald ◽  
Ethan Booker ◽  
David Mishkin ◽  
Rahul Sharma
Keyword(s):  
Health Care ◽  
Emergency Department ◽  
Emergency Medicine ◽  
Physical Examination ◽  
Health Care Delivery ◽  
Care Delivery ◽  
Advanced Practice ◽  
Patient Throughput ◽  
Medical Screening ◽  
Improve Patient

Under the Emergency Medicine Treatment and Labor Act (EMTALA), every patient who presents to an emergency department must receive a Medical Screening Exam (MSE). One approach to meet EMTALA MSE requirements has been the provider in triage (PIT) model. In most PIT models, an advanced practice provider (APP) will obtain an accurate history along with performing a focused physical examination to expedite care for the patient. With telemedicine quickly becoming a mainstream method of health care delivery, many institutions are considering a combination of a PIT model with telemedicine to improve patient throughput.

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