J Telemed Telecare - Safety for home care: the use of internet video calls to double-check interventions.

Tópicos

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Resumo

We investigated the feasibility of using Internet video calls for a double check on medication or other complex interventions being administered in the home. Seven nurses were recruited to the study and received training on using laptop and tablet computers with mobile Internet connections. The devices were taken on scheduled home visits to patient homes and video calls with a second clinician were conducted to double-check various items associated with the clinical care of the patient. Over a 14-month period, 88 video calls were conducted during which a total of 600 checks were completed. The items checked included medication names, doses, segmentations on syringes and details of ventilator settings. The quality of the video call was acceptable on 97% of occasions. On three occasions (3%) it was not possible to establish a connection and the double check was not achieved. On every occasion that the video call was successful (n = 85), nurses were 100% confident that they were able to carry out the full requirements of a double check. The use of Internet video calls is feasible for double-checking and has the potential to improve patient safety and reduce costs.

Resumo Limpo

investig feasibl use internet video call doubl check medic complex intervent administ home seven nurs recruit studi receiv train use laptop tablet comput mobil internet connect devic taken schedul home visit patient home video call second clinician conduct doublecheck various item associ clinic care patient month period video call conduct total check complet item check includ medic name dose segment syring detail ventil set qualiti video call accept occas three occas possibl establish connect doubl check achiev everi occas video call success n nurs confid abl carri full requir doubl check use internet video call feasibl doublecheck potenti improv patient safeti reduc cost

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