A randomized controlled trial of telemedicine in an emergency department
Abstract
A prospective study of emergency department telemedicine was carried out at two hospitals in northern New Jersey. One hundred and twenty-two patients met the inclusion criteria. One hundred and four (85%) consented to participate, with 54 being randomized to the telemedicine group and 50 to the control group. Four patients did not complete the protocol. No significant differences were seen between the groups for: occurrence of 72 h emergency department return visits (0% vs 0%); need for additional care (2.3% vs 2.4%); positive patient-physician interaction (98% vs 100%); positive patient-nurse interaction (98% vs 98%); positive overall patient satisfaction (98% vs 95%). The average patient throughput time (time from admission to discharge) for the telemedicine group was 106 min; the average for the control group was 117 min. Telemedicine was found to be a satisfactory technique for pre-selected emergency department patients and was viewed by the physicians as an acceptable method of complementary care.
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Similar findings on patient satisfaction in telemedicine have been reported in other RCTs.
“Similar findings have also been reported in other RCTs of patient satisfaction in telemedicine.”
From Telemedicine in dermatology: a randomised controlled trial (2006) · cites this paper as [39]
Cites
On the Definition and Evaluation of Telemedicine
Bashshur, R. L. (1995) · Telemedicine Journal · doi:10.1089/tmj.1.1995.1.19 · Cited by 317 · see citing works
Telemedicine: A Guide to Assessing Telecommunications in Health Care
Masys, D. R. (1997) · Journal of the American Medical Informatics Association · doi:10.1136/jamia.1997.0040136 · Cited by 138 · see citing works
Ferguson, E. W., Doarn, C. R., & Scott, J. C. (1995) · Journal of Medical Systems · doi:10.1007/bf02257189 · Cited by 44 · see citing works
Phillips, D. F. (1996) · JAMA · doi:10.1001/jama.1996.03540040011006 · Cited by 8 · see citing works
(1996) · JAMA · doi:10.1001/jama.1996.03540190013005 · Cited by 1 · see citing works
Flagged first, then by citations
Cited by
Sorted by citations
Interactive telemedicine: effects on professional practice and health care outcomes
Flodgren, G., Rachas, A., Farmer, A. J., Inzitari, M., & Shepperd, S. (2015) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd002098.pub2 · Cited by 806 · see citing works
Systematic review of studies of patient satisfaction with telemedicine
Mair, F. (2000) · BMJ · doi:10.1136/bmj.320.7248.1517 · Cited by 734 · see citing works
Currell, R., Urquhart, C., Wainwright, P., & Lewis, R. (2000) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd002098 · Cited by 463 · see citing works
Clinical outcomes resulting from telemedicine interventions: a systematic review
Hersh, W. R., Helfand, M., Wallace, J., Kraemer, D., Patterson, P., Shapiro, S., & Greenlick, M. (2001) · BMC Medical Informatics and Decision Making · doi:10.1186/1472-6947-1-5 · Cited by 234 · see citing works
Patient Satisfaction with Telemedicine
Gustke, S., Balch, D., West, V. L., & Rogers, L. O. (2000) · Telemedicine Journal · doi:10.1089/107830200311806 · Cited by 143 · see citing works
Telemedicine in dermatology: a randomised controlled trial
Bowns, I., Collins, K., Walters, S., & McDonagh, A. (2006) · Health Technology Assessment · doi:10.3310/hta10430 · Cited by 109 · see citing works
Telemedicine in Pediatric Cardiology: A Scientific Statement From the American Heart Association
Satou, G. M., Rheuban, K. S., Alverson, D. C., Lewin, M., Mahnke, C. B., Marcin, J. P., Martin, G. R., Mazur, L. S., Sahn, D. J., Shah, S. S., et al. (2017) · Circulation · doi:10.1161/cir.0000000000000478 · Cited by 101 · see citing works
Chapter 2: Clinical Applications in Telemedicine/Telehealth
Krupinski, E. A., Nypaver, M., Poropatich, R. K., Ellis, D. G., Safwat, R., & Sapci, H. A. (2002) · Telemedicine Journal and e-Health · doi:10.1089/15305620252933374 · Cited by 82 · see citing works
Outcomes and Methods in Telemedicine Evaluation
Aoki, N., Dunn, K., Johnson-Throop, K. A., & Turley, J. P. (2003) · Telemedicine Journal and e-Health · doi:10.1089/153056203772744734 · Cited by 80 · see citing works
Veteran, Primary Care Provider, and Specialist Satisfaction With Electronic Consultation
Rodriguez, K. L., Burkitt, K. H., Bayliss, N. K., Skoko, J. E., Switzer, G. E., Zickmund, S. L., Fine, M. J., & Macpherson, D. S. (2015) · JMIR Medical Informatics · doi:10.2196/medinform.3725 · Cited by 63 · see citing works
Patient satisfaction in telemedicine
Collins, K., Nicolson, P., & Bowns, I. (2000) · Health Informatics Journal · doi:10.1177/146045820000600205 · Cited by 30 · see citing works
The safety and effectiveness of minor injuries telemedicine.
Benger, J. R., Noble, S., Coast, J., & Kendall, J. (2004) · PubMed Central · doi:10.1136/emj.2002.004028 · Cited by 51 · see citing works
Telepsychology and videoconferencing: Issues, opportunities and guidelines for psychologists
Rees, C. S., & Haythornthwaite, S. (2004) · Australian Psychologist · doi:10.1080/00050060412331295108 · Cited by 46 · see citing works
Telemedicine: A Solution To The Followup of Rural Trauma Patients?
Boulanger, B. R., Kearney, P. A., Ochoa, J. B., Tsuei, B. J., & Sands, F. (2001) · Journal of the American College of Surgeons · doi:10.1016/s1072-7515(01)00796-7 · Cited by 43 · see citing works
Telemedicine in the Pediatric Intensive Care Unit
Marcin, J. P. (2013) · Pediatric Clinics of North America · doi:10.1016/j.pcl.2013.02.002 · Cited by 40 · see citing works
The Role of Telemedicine in Pediatric Critical Care
Ellenby, M. S., & Marcin, J. P. (2015) · Critical Care Clinics · doi:10.1016/j.ccc.2014.12.006 · Cited by 38 · see citing works
Low-bandwidth, low-cost telemedicine consultations in rural family practice.
Norris, T. E., Hart, G. L., Larson, E. H., Tarczy-Hornoch, P. Z., Masuda, D., Fuller, S. S., House, P. J., & Dyck, S. M. (2002) · PubMed · Cited by 38 · see citing works
Westbrook, J. I., Coiera, E. W., Brear, M., Stapleton, S., Rob, M. I., Murphy, M., & Cregan, P. (2008) · Medical Journal of Australia · doi:10.5694/j.1326-5377.2008.tb01850.x · Cited by 36 · see citing works
Kirkpatrick, A. W., Brenneman, F. D., McCallum, A. L., Breeck, K., & Boulanger, B. R. (1999) · doi:10.1097/00005373-199906000-00006 · Cited by 33 · see citing works
Tele-emergency utilization: In what clinical situations is tele-emergency activated?
Ward, M. M., Ullrich, F. A., MacKinney, A. C., Bell, A. L., Shipp, S., & Mueller, K. J. (2015) · Journal of Telemedicine and Telecare · doi:10.1177/1357633x15586319 · Cited by 32 · see citing works
Rising to the challenges of the pandemic: Telehealth innovations in U.S. emergency departments
Uscher‐Pines, L., Sousa, J., Mehrotra, A., Schwamm, L. H., & Zachrison, K. S. (2021) · Journal of the American Medical Informatics Association · doi:10.1093/jamia/ocab092 · Cited by 30 · see citing works
Development of a Broadband Telehealth System for Critical Care: Process and Lessons Learned
Li, J., Wilson, L. S., Qiao, R.-Y., Percival, T. M. P., Krumm-Heller, A., Stapleton, S. G., & Cregan, P. C. (2006) · Telemedicine Journal and e-Health · doi:10.1089/tmj.2006.12.552 · Cited by 27 · see citing works
Telemedicine Interest for Routine Follow-Up Care Among Neurology Patients in Arkansas
Bashiri, M., Greenfield, L. J., & Oliveto, A. H. (2015) · Telemedicine Journal and e-Health · doi:10.1089/tmj.2015.0112 · Cited by 26 · see citing works
Desai, S., Williams, M., & Smith, A. C. (2013) · Journal of Telemedicine and Telecare · doi:10.1177/1357633x13506528 · Cited by 25 · see citing works
E-consulting in a medical specialist setting: Medicine of the future?
Zandbelt, L. C., de Kanter, F. E. C., & Ubbink, D. (2016) · Patient Education and Counseling · doi:10.1016/j.pec.2015.11.005 · Cited by 21 · see citing works
Electronic Health Services An Introduction to Theory and Application
Khalil, M., & Jones, R. B. (2007) · Libyan Journal of Medicine · doi:10.3402/ljm.v2i4.4732 · Cited by 24 · see citing works
Practice guidelines for videoconference-based telepsychiatry in South Africa
Chipps, J. A., Ramlall, S., & Mars, M. (2012) · African Journal of Psychiatry · doi:10.4314/ajpsy.v15i4.35 · Cited by 21 · see citing works
Klutke, P. J., Gostomzyk, J. G., Mattioli, P., Baruffaldi, F., Plasència, A., Borrell, C., Pasarín, M. I., Crescenzo, E. D., Pipitone, E., Mancini, C., et al. (1999) · Medical Informatics and the Internet in Medicine · doi:10.1080/146392399298474 · Cited by 20 · see citing works
Telemedicine in Rural Pediatric Care: The Fundamentals
Marcin, J. P., Trujano, J., Sadorra, C. K., & Dharmar, M. (2009) · Pediatric Annals · doi:10.3928/00904481-20090401-10 · Cited by 19 · see citing works
Evaluating telemedicine in an accident and emergency setting
Beach, M., Miller, P., & Goodall, I. (2001) · Computer Methods and Programs in Biomedicine · doi:10.1016/s0169-2607(00)00141-3 · Cited by 19 · see citing works
Research Note: Effect of Camera Resolution and Bandwidth on Facial Affect Recognition
Cruz, M., Cruz, R. F., Krupinski, E. A., López, A. M., McNeeley, R. M., & Weinstein, R. S. (2004) · Telemedicine Journal and e-Health · doi:10.1089/tmj.2004.10.392 · Cited by 19 · see citing works
Gunasekeran, D. V., Liu, Z., Tan, W. J., Koh, J., Cheong, C. P., Tan, L. H., Lau, C. S., Phuah, G. K., Manuel, N. D. A., Chia, C. C., et al. (2020) · Journal of Medical Internet Research · doi:10.2196/17417 · Cited by 18 · see citing works
Richardson, L. (2011) · Murdoch University Research Portal · Cited by 17 · see citing works
Emergency Department Physician Telemedical Triage
Traub, S. J., Butler, R., Chang, Y.-H. H., & Lipinski, C. A. (2013) · Telemedicine Journal and e-Health · doi:10.1089/tmj.2013.0026 · Cited by 14 · see citing works
An e-Health Approach to Managing Vascular Surgical Patients
Hands, L. J., Clarke, M., Mahaffey, W., Francis, H., & Jones, R. (2006) · Telemedicine Journal and e-Health · doi:10.1089/tmj.2006.12.672 · Cited by 14 · see citing works
Schmidt, S., & Koch, U. (2003) · Zeitschrift für Medizinische Psychologie · doi:10.3233/zmp-2003-12-3-04 · Cited by 11 · see citing works
The reconfiguration of clinical services
Imison, C., Sonola, L., Honeyman, M., & Ross, S. (2014) · Cited by 11 · see citing works
Shin, C., Allen, A. Z., Zhu, D., Tellechea, L. M., Watts, K. L., & Abraham, N. (2021) · Neurourology and Urodynamics · doi:10.1002/nau.24759 · Cited by 8 · see citing works
Alter, N. E., Arif, H., Wright, D.-D., Martinez, B., & Elkbuli, A. (2023) · The American Surgeon · doi:10.1177/00031348231173944 · Cited by 8 · see citing works
Laigaard, J., Fredskild, T. U., & Fojecki, G. L. (2022) · International Journal of Telemedicine and Applications · doi:10.1155/2022/8787882 · Cited by 8 · see citing works
Heaton, H. A., Russi, C. S., Monroe, R. J., Thompson, K. M., & Koch, K. A. (2019) · BMJ Health & Care Informatics · doi:10.1136/bmjhci-2019-100093 · Cited by 8 · see citing works
Telemedicine in the Pediatric Intensive Care Unit
Marcin, J. P., Dharmar, M., & Sadorra, C. K. (2014) · Springer eBooks · doi:10.1007/978-1-4471-6362-6_8 · Cited by 6 · see citing works
Dorman, T. (2000) · Anesthesiology Clinics of North America · doi:10.1016/s0889-8537(05)70185-1 · Cited by 6 · see citing works
Scott, R. E., McCarthy, D. F., Jennett, P., Perverseff, T., Palacios, D. M. F., & Rush, B. (2003) · doi:10.11575/prism/10618 · Cited by 4 · see citing works
Primary Salvage Survey of the Interference of Radiowaves Emitted by Smartphones on Medical Equipment
Takao, H., Yeh, Y., Arita, H., Obatake, T., Sakano, T., Kurihara, M., Matsuki, A., Ishibashi, T., & Murayama, Y. (2016) · Health Physics · doi:10.1097/hp.0000000000000535 · Cited by 3 · see citing works
Ratanarojanakul, S., & Pangkanon, W. (2022) · Journal of Emergency Medicine · doi:10.1016/j.jemermed.2022.02.002 · Cited by 3 · see citing works
Rosenthal, J. L., Mouzoon, J. L., & Marcin, J. P. (2020) · Springer eBooks · doi:10.1007/978-3-030-56917-4_21 · Cited by 1 · see citing works
Telecritical Care: What Is the Evidence?
Marcin, J. P., & Wetzel, R. C. (2005) · Journal of Intensive Care Medicine · doi:10.1177/0885066605277973
EVALUATION EINES MULTIMEDIALEN
Für, E. (2006)
Telemedicine - a miracle cure for everything?
Krzystanek, M., Wojtuszek, M., Wutke, J., Borkowski, M., & Krysta, K. (2016) · Journal of Health Policy & Outcomes Research · doi:10.7365/jhpor.2016.1.2
(2007) · Journal of Telemedicine and Telecare · doi:10.1258/135763307782213598
Telemedicine: A Comprehensive Review of the Impact and Evolution in the Healthcare Service
Melnicov, V. (2024) · Intellectus · doi:10.56329/1810-7087.24.1.15
Telekommunikation im chirurgischen Alltag
Balanou, P., Rau, B., Engel-Murke, F., Graschew, G., & Schlag, P. M. (1998) · Springer eBooks · doi:10.1007/978-3-642-45774-6_193
- Authors
- Brennan, J. A., Kealy, J. A., Gerardi, L. H., Shih, R., Allegra, J., Sannipoli, L., & Lutz, D.
- Affiliations
- Northwest Covenant Medical Center, Denville, New Jersey
- Med America, Livingston, New Jersey
- Morristown Medical Center (US)
- ORCID
- Shih, Richard
- Venue
- Journal of Telemedicine and Telecare
- Publisher
- SAGE Publications
- Published
- 1998-03
- Volume
- 4
- Issue
- 1_suppl
- Pages
- 18-20
- ISSN
- 1357-633X (ISSN-L)
- 1758-1109
- OpenAlex
- W2055011562
- Cited by
- 54
- References
- 5
- Citations by year
- 2024: 1 · 2023: 1 · 2022: 2 · 2021: 2 · 2020: 2 · 2019: 1 · 2017: 1 · 2016: 2 · 2015: 6 · 2014: 2 · 2013: 3 · 2012: 1
- FWCI
- 5.19
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Telemedicine and Telecare (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Telemedicine and Telehealth Implementation
- Health Sciences › Medicine › Emergency Medicine › Emergency and Acute Care Studies
- Social Sciences › Business, Management and Accounting › Organizational Behavior and Human Resource Management › Healthcare Systems and Technology
- Keywords
- telemedicine, emergency department, patient satisfaction, patient-physician interaction, patient-nurse interaction, emergency department return visits, complementary care
- MeSH terms
- Emergency Medical Services, Female, Humans, Male, New Jersey, Nurse-Patient Relations, Physician-Patient Relations, Prospective Studies, Treatment Outcome, Patient Satisfaction, Telemedicine
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