远程医疗方向,以优化农村紧急医疗服务系统的资源利用
Ramesh Karra1, Amber D Rice1,2, Aileen Hardcastle1
1The University of Arizona, College of Medicine, Department of Emergency Medicine, Tucson, Arizona.
The western journal of emergency medicine
|September 25, 2024
概括
农村紧急医疗服务 (EMS) 中的远程医疗并没有增加高级生命支持 (ALS) 运输或胸痛患者的现场时间. 护理人员和医生发现远程医疗连接质量很好.
科学领域:
- 紧急医疗 紧急医疗
- 医疗保健服务研究 医疗服务研究
- 远程医疗服务是远程医疗服务.
背景情况:
- 远程医疗在农村紧急医疗服务 (EMS) 系统中未得到充分利用.
- 障碍包括对先进生命支持 (ALS) 运输增加,延长现场时间和连接问题的担忧.
- 该项目旨在为胸痛患者在农村EMS中实施和评估远程医疗,解决感知到的障碍.
研究的目的:
- 在农村EMS环境中实施远程医疗系统.
- 评估远程医疗对胸痛患者EMS管理的影响.
- 评估对远程医疗实施的感知障碍.
主要方法:
- 混合方法,对质量保证数据的回顾性审查.
- 实施前12个月和实施后15个月数据的比较.
- 纳入标准:主要抱怨的是胸部疼痛或12心电图.
- 主要结果:ALS运输速度. 二次结果:响应时间,质量改进基准.
- 收集关于护理人员/急救人员和医生对通话质量认知的定性数据.
主要成果:
- 远程医疗试点项目实施2020年9月;58次成功接触.
- 包括38名患者 (实施前和实施后).
- 阿尔斯运输率:在实施前的42%,在实施后的45% (或1.11).
- 平均停机时间从47分钟减少到33分钟 (P=0.07).
- 64%的护理人员/急救人员和89%的急救医生将远程医疗呼叫质量评为"好".
结论:
- 远程医疗平台在农村EMS中成功实施,将护理人员/EMT与EMS医生连接起来.
- 远程医疗没有改变ALS运输率或增加现场时间.
- 大多数医疗保健提供者将远程医疗连接质量评为"好".
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