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Hospital-Level Implementation Barriers, Facilitators, and Willingness to Use a New Regional Disaster Teleconsultation System: Cross-Sectional Survey Study

Hospital-Level Implementation Barriers, Facilitators, and Willingness to Use a New Regional Disaster Teleconsultation System: Cross-Sectional Survey Study

The Region 1 RDHRS, which covers 6 New England states, is developing a new peer-to-peer disaster teleconsultation system to support disaster health response across state lines [17]. This system is designed to rapidly expand regional access to disaster-relevant medical experts (eg, burn surgeons), who may be in limited supply immediately following a large-scale, no-notice emergency event, such as a mass casualty incident.

Tehnaz Boyle, Krislyn Boggs, Jingya Gao, Maureen McMahon, Rachel Bedenbaugh, Lauren Schmidt, Kori Sauser Zachrison, Eric Goralnick, Paul Biddinger, Carlos A Camargo Jr

JMIR Public Health Surveill 2023;9:e44164

Emergency Departments’ Uptake of Telehealth for Stroke Versus Pediatric Care: Observational Study

Emergency Departments’ Uptake of Telehealth for Stroke Versus Pediatric Care: Observational Study

However, it is the very nature of the rarity of a critically ill pediatric patient that makes telehealth such a potentially effective tool. If an emergency physician in a relatively low-volume ED sees a critically ill child as an exceedingly rare event, then having the ability to connect with an expert consultant becomes that much more valuable. This is particularly true given that many EDs have been found to have critical deficiencies in pediatric emergency services [25-27].

Kori S Zachrison, Emily M Hayden, Krislyn M Boggs, Tehnaz P Boyle, Jingya Gao, Margaret E Samuels-Kalow, James P Marcin, Carlos A Camargo Jr

J Med Internet Res 2022;24(6):e33981

Computer Administered Safety Planning for Individuals at Risk for Suicide: Development and Usability Testing

Computer Administered Safety Planning for Individuals at Risk for Suicide: Development and Usability Testing

However, these safety planning apps are not designed to be used as clinical tools in health care settings; as a result, they have significant limitations, including being dependent on a patient having a mobile phone, downloading the app successfully, and completing the safety planning steps, most of which require extensive text entry, during a clinical encounter. Should these barriers be resolved, review by the clinician on the patient’s phone is not practical.

Edwin D Lyn Boudreaux, Gregory K Brown, Barbara Stanley, Rajani S Sadasivam, Carlos A Camargo Jr, Ivan W Miller

J Med Internet Res 2017;19(5):e149