دورية أكاديمية
أعرض في EDS

An Innovative Telemedical Network to Improve Infectious Disease Management in Critically Ill Patients and Outpatients (TELnet@NRW): Stepped-Wedge Cluster Randomized Controlled Trial

التفاصيل البيبلوغرافية
العنوان: An Innovative Telemedical Network to Improve Infectious Disease Management in Critically Ill Patients and Outpatients (TELnet@NRW): Stepped-Wedge Cluster Randomized Controlled Trial
المؤلفون: Gernot Marx, Wolfgang Greiner, Christian Juhra, Svenja Elkenkamp, Daniel Gensorowsky, Sebastian Lemmen, Jan Englbrecht, Sandra Dohmen, Antje Gottschalk, Miriam Haverkamp, Annette Hempen, Christian Flügel-Bleienheuft, Daniela Bause, Henna Schulze-Steinen, Susanne Rademacher, Jennifer Kistermann, Stefan Hoch, Hans-Juergen Beckmann, Christian Lanckohr, Volker Lowitsch, Arne Peine, Fabian Juzek-Kuepper, Carina Benstoem, Kathrin Sperling, Robert Deisz
المصدر: Journal of Medical Internet Research, Vol 24, Iss 3, p e34098 (2022)
بيانات النشر: JMIR Publications, 2022.
سنة النشر: 2022
المجموعة: LCC:Computer applications to medicine. Medical informatics
LCC:Public aspects of medicine
مصطلحات موضوعية: Computer applications to medicine. Medical informatics, R858-859.7, Public aspects of medicine, RA1-1270
الوصف: BackgroundEvidence-based infectious disease and intensive care management is more relevant than ever. Medical expertise in the two disciplines is often geographically limited to university institutions. In addition, the interconnection between inpatient and outpatient care is often insufficient (eg, no shared electronic health record and no digital transfer of patient findings). ObjectiveThis study aims to establish and evaluate a telemedical inpatient-outpatient network based on expert teleconsultations to increase treatment quality in intensive care medicine and infectious diseases. MethodsWe performed a multicenter, stepped-wedge cluster randomized trial (February 2017 to January 2020) to establish a telemedicine inpatient-outpatient network among university hospitals, hospitals, and outpatient physicians in North Rhine-Westphalia, Germany. Patients aged ≥18 years in the intensive care unit or consulting with a physician in the outpatient setting were eligible. We provided expert knowledge from intensivists and infectious disease specialists through advanced training courses and expert teleconsultations with 24/7/365 availability on demand respectively once per week to enhance treatment quality. The primary outcome was adherence to the 10 Choosing Wisely recommendations for infectious disease management. Guideline adherence was analyzed using binary logistic regression models. ResultsOverall, 159,424 patients (10,585 inpatients and 148,839 outpatients) from 17 hospitals and 103 outpatient physicians were included. There was a significant increase in guideline adherence in the management of Staphylococcus aureus infections (odds ratio [OR] 4.00, 95% CI 1.83-9.20; P
نوع الوثيقة: article
وصف الملف: electronic resource
اللغة: English
تدمد: 1438-8871
Relation: https://www.jmir.org/2022/3/e34098; https://doaj.org/toc/1438-8871
DOI: 10.2196/34098
URL الوصول: https://doaj.org/article/5946947e4d2142edb7975982190b43aa
رقم الأكسشن: edsdoj.5946947e4d2142edb7975982190b43aa
قاعدة البيانات: Directory of Open Access Journals
الوصف
تدمد:14388871
DOI:10.2196/34098