Telemed J E Health - Telephotography in trauma: a 2-year clinical experience.

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Resumo

TRODUCTION: Smartphones can be used to record and transmit high-quality clinical photographs. The aim of this study was to describe our experience with smartphone telephotography in the care of trauma patients. We hypothesized that smartphone telephotography can be safely and effectively implemented on a trauma service.SUBJECTS AND METHODS: We performed a 2-year (January 2011-December 2012) prospective analysis of all patient photographs recorded by members of our trauma team at our Level I trauma center. All members of the trauma team recorded patient photographs and e-mailed them to a secure e-mail account. An administrative assistant uploaded a copy of each photgrapho into the patient's electronic medical record. We assessed the number of photographs collected and uploaded, as well as the success, failure, and complication rates.RESULTS: Our trauma team sent 7,200 photographs to a secure e-mail account. Of those, 6,120 (85%) were considered, after an initial review, to be of good quality. Of these, 3,320 photographs (54%) were successfully uploaded into a patient's electronic medical record; the remaining 2,800 photographs lacked adequate labeling and could not be uploaded. The average interval to uploading was 3 months. In total, 10 photographs were uploaded into the wrong patient's electronic medical record, for an error rate of 0.003%. We received only three complaints during the study period.CONCLUSIONS: Telephotography can be safely and effectively implemented in trauma clinical practice. Fears of Health Insurance Portability and Accountability Act violations are not valid, as the incidence of patient complaints is minimal when telephotography is implemented under strict guidelines and rules. Dedicated administrative personnel are essential for effective implementation of smartphone photography.

Resumo Limpo

troduct smartphon can use record transmit highqual clinic photograph aim studi describ experi smartphon telephotographi care trauma patient hypothes smartphon telephotographi can safe effect implement trauma servicesubject method perform year januari decemb prospect analysi patient photograph record member trauma team level trauma center member trauma team record patient photograph email secur email account administr assist upload copi photgrapho patient electron medic record assess number photograph collect upload well success failur complic ratesresult trauma team sent photograph secur email account consid initi review good qualiti photograph success upload patient electron medic record remain photograph lack adequ label upload averag interv upload month total photograph upload wrong patient electron medic record error rate receiv three complaint studi periodconclus telephotographi can safe effect implement trauma clinic practic fear health insur portabl account act violat valid incid patient complaint minim telephotographi implement strict guidelin rule dedic administr personnel essenti effect implement smartphon photographi

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