Evaluation of Burn Rounds Using Telemedicine: Perspectives from Patients, Families, and Burn Center Staff

Haig A. Yenikomshian, Tara L. Lerew, Melvin Tam, Sam P. Mandell, Shari E. Honari, Tam N. Pham

Research output: Contribution to journalArticlepeer-review

11 Scopus citations

Abstract

Introduction: Burn care requires multiple disciplines to collaborate to achieve best patient care. Because of this, rounds involve a very large burn team to assess patients' wounds and formulate plans. To decrease the amount of team members on rounds, our burn center implemented a new budding technology: telemedicine. We created "Zoom Rounds," a Health Insurance Portability and Accountability Act (HIPAA)-compliant, secure videoconferencing system to relay patient wound evaluations to a remote conference room where team members can participate digitally. We sought to evaluate this new rounding process by querying the burn team, patients, and families regarding their experience. Methods: Surveys were developed for each group and were distributed over a 2-month period. Respondents were asked to rate the videoconferencing rounding experience and comment on the educational experience (staff/providers) and one's personal experience (patient/family). We analyzed both the quantitative data with the qualitative responses. Qualitative data analysis for content was used to independently code and analyze responses to the open-ended survey questions by two authors and verified by adjudication review. Results: Thirty-three patients/families and 69 burn staff members completed the confidential survey (response rate of 90% and 83%, respectively). Coded responses identified several themes: inconsistent technology, improved visualization and communication regarding the wounds, better learning experience, and improved patient experience by decreased crowds in the room. Conclusions: There was strong support for the use of videoconferencing for patient wound rounds among providers, burn center staff, and patients/families. Telemedicine is a promising technology to improve inpatient burn rounds.

Original languageEnglish (US)
Pages (from-to)25-30
Number of pages6
JournalTelemedicine and e-Health
Volume25
Issue number1
DOIs
StatePublished - Jan 2019
Externally publishedYes

Keywords

  • burn medicine
  • education
  • telehealth
  • telemedicine
  • telenursing

ASJC Scopus subject areas

  • Health Informatics
  • Health Information Management

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