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Results for “Remote Consultation”

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At least 289 records · Page 16Linked to original sources
PubMed1987

[Automated electrocardiographic diagnosis of ventricular hypertrophy in the system of the cardiologic telemetric consultation-diagnostic center].

A method and algorithm of automated diagnosis of ventricular hypertrophy is described for electrocardiograms, transmitted by telephone to the remote-control consultative diagnostic centre. The validity of computerized ECG diagnosis was assessed in comparison to roentgenologic, echocardiographic and angiographic diagnosis, on the one hand, and a collective ECG diagnosis made by physicians, on the other. Automated electrocardiographic diagnosis is shown to be only slightly less accurate, as compared to physicians' diagnosis. Left ventricular hypertrophy was diagnosed correctly on the basis of ECG findings in 73.01% by a physicians' counsel, and in 69.8% of cases by the computer; in case of right ventricular hypertrophy, the rates were 55.2% and 44.7%, respectively.

Cardiomegaly↗
PubMed2006

Patient confidentiality and telephone consultations: time for a password.

UNLABELLED: Although telephone consultations are widely used in the delivery of healthcare, they are vulnerable to breaches of patient confidentiality. Current guidelines on telephone consultations do not address adequately the issue of confidentiality. In this paper, we propose a solution to the PROBLEM: a password system to control access to patient information. Authorised persons will be offered the option of selecting a password which they will use to validate their request for information over the telephone. This simple yet stringent method of access control should improve security while allowing the continuing evolution of telephone consultations.

Computer Security↗
PubMed1999

Telepresence surgery system enhances medical student surgery training.

The telepresence surgery system (TeSS) permits the surgeon to operate on a patient across distances. This is achieved through real-time 3D video vision, stereo audio, and remote instrument control with haptic feedback. Telepresence surgery has been proposed to be useful in providing specialist operative consultation to remote areas. Remotely mentoring medical students with no surgical experience through complex procedures provides an even greater challenge. Third-year medical students with no prior operative experience were mentored exclusively through use of TeSS during a standard surgical skills lab. This two-day laboratory includes abdominal procedures and thoracic procedures. The medical students were alone in the operating room and the teaching surgeon was in an entirely separate room. Anatomy, surgical principles, and adjunct techniques were taught to the students. The students felt the experience was better than standard because of the enhanced learning secondary to the required verbal accuracy in describing the procedures. In addition, they felt they had better visibility since the instructor was not standing in the way. The telepresence surgery system can be successfully used to remotely mentor and enhance introductory surgical training for inexperienced medical students.

Animals↗
PubMed2003

The National HIV Telephone Consultation Service (Warmline): a clinical resource for physicians caring for African-Americans.

The National HIV Telephone Consultion Service (Warmline) at San Francisco General Hospital is a free clinical consultation service that provides expert medical and clinical pharmacy guidance to clinicians caring for patients with HIV/AIDS. Consultation can be especially useful when making critically important decisions about antiretroviral therapy and opportunistic infections. The Warmline has served an essential role for the many clinicians who are not AIDS experts but play key roles In HIV care, but do not have ready access to expert consultation. In addition, the Warmline serves a a medical and clinical pharmacy resource to other AID experts. Because the AIDS epidemic in the US profoundly affects African-Americans, the Warmline can be a valuable resource for African-American physicans and clinicians caring for African-American patients.

Black or African American↗
PubMed1999

Burns follow-up: an innovative application of telemedicine.

We assessed the efficiency and effectiveness of burn consultations via telemedicine. The Regions Hospital Burn Center completed 87 follow-up visits with 40 patients via telemedicine from March 1997 to August 1998. These consultations involved burn physicians, occupational therapists and a clinical psychologist. Patients were seen at 15 telemedicine sites in six states (Minnesota, Iowa, Montana, North and South Dakota, and Wisconsin). Telemedicine burn consultations were cost-effective for the patient, but were more time consuming for the physician and therapist. As remote sites become more familiar with preparing patients for teleconsultations, telemedicine will become more efficient for the physician while remaining cost-effective for the patient.

Adolescent↗
PubMed1998

Medicare program; payment for teleconsultations in rural health professional shortage areas--HCFA. Proposed rule.

This proposed rule would implement parts of section 4206 of the Balanced Budget Act of 1997 by amending our regulations to provide for payment for professional consultation by a physician and certain other practitioners via interactive telecommunication systems. Payment may be made if the physician or other practitioner is furnishing a service for which payment may be made under Medicare to a beneficiary residing in a rural area that is designated as a health professional shortage area. This proposed rule would also establish a methodology for determining the amount of payments made for the consultation.

Centers for Medicare and Medicaid Services, U.S.↗
PubMedDate not supplied

An Internet otolaryngology referral center: a preliminary report.

BACKGROUND: The aim of this study was to review our early experience with the UPenn Otolaryngology Referral Center Website, ENTConsult.org. METHODS: ENTConsult.org is an interactive website that allows a referring physician to select a University of Pennsylvania Health System otolaryngologist and share clinical information, including uploaded pictures, radiographs, and other images via the Internet. Traditional methods of long-distance consultation involve mailing clinical information, which often is slow and unwieldy, thus discouraging consultation. ENTConsult.org seeks to take advantage of Internet functionality to facilitate efficient and timely consultation regardless of any of the participants' locations. RESULTS: In this report we reviewed our initial experience with ENTConsult.org, including an overview of the website functionality and a detailed review of critical logistical considerations. CONCLUSION: The UPenn Otolaryngology Referral Center Website ENTConsult.org offers considerable promise as an avenue for long-distance referral and consultation.

Humans↗
PubMed2004

Telephone triage: the quiet revolution in Canada.

The computer revolution has for almost a decade been central to a nursing revolution known as telephone triage. The registered nurse can be virtually out in any community to help patients and their caregivers make informed decisions on appropriate emergent intervention and the venue commensurate with the determined level of necessity. Moreover, this presence in the province of New Brunswick has spawned positive effects in several unanticipated areas of community nursing.

Canada↗