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Developing a Newborn Resuscitation Telemedicine Program: A Comparison of Two Technologies.
Jenna A Beck1, Julie A Jensen1, Rochelle F Putzier2
11 Department of Management Engineering and Internal Consulting, Mayo Clinic , Rochester, Minnesota.
Summary
Wired telemedicine carts significantly improved newborn resuscitation telemedicine program (NRTP) consults by enhancing connection reliability and user satisfaction compared to wireless tablets. This technology upgrade is crucial for critical neonatal care delivery.
Area of Science:
- Medical Informatics
- Neonatal Medicine
- Telemedicine Technology
Background:
- Newborn resuscitation telemedicine programs (NRTPs) have shown feasibility and acceptance.
- Specific technology requirements for emergency telemedicine in neonatology remain unclear.
Purpose of the Study:
- To compare the reliability and user experience of wired telemedicine carts versus consumer-grade wireless tablets for NRTP consults.
- To evaluate connection reliability, user satisfaction, and audio-video quality between the two technologies.
Main Methods:
- Retrospective observational study comparing preintervention (wireless tablets) and postintervention (wired carts) at six sites.
- Providers completed surveys on connection reliability, satisfaction, and audio-video quality (1-5 Likert scale).
- Analysis of consults and survey data for both technology groups.
Main Results:
- Wired carts significantly improved first-attempt connection success (82.7% vs. 69.5%) and reduced unplanned disconnections (6.4% vs. 14.7%).
- User satisfaction and audio-video quality ratings were significantly higher with wired carts.
- Consumer-grade tablets did not meet program technical requirements.
Conclusions:
- Wired telemedicine carts enhance NRTP reliability, user satisfaction, and audio-video quality for critical neonatal care.
- Wireless tablets are insufficient for the technical demands of NRTPs.
- Wired carts, despite potential limitations in size and mobility, represent an improvement for NRTPs.
