Medical teleconsultation to general practitioners reduces the medical error vulnerability of internal medicine patients
Copyright © 2015 European Federation of Internal Medicine. Published by Elsevier B.V. All rights reserved..
BACKGROUND: e-Health strategies are supposed to improve the performance of national health systems. Medical teleconsultation (MT) is an important component of such e-Health strategies.
OBJECTIVES: The outcome of MT was evaluated with regard to the impact on the medical error vulnerability (MEV) of internal medicine patients.
METHODS: A team of internal medicine doctors plus a network of forty specialists was set-up in one health district belonging to a unified and universal national health system of a country of Western Europe, in order to provide free-of-charge MT to support general practitioners in solving internal medicine cases. In this observational study, the case series of 2013 is reviewed.
RESULTS: a) Only 21% of the MT fell short to the general practitioner's expectations about the case solving focus; b) throughout the medical care process of the patient, 49% of the cases met with one or more of the five MEVs, namely: 1) clinical test mishandling; 2) inaccurate differential diagnosis; 3) inadequate information flow between health providers at different levels of care (transition care); 4) poor coordination between health providers; and 5) poor reconciliation of medications or hazardous therapies. c) MT canceled or prevented MEVs in 56% and mitigate MEVs in 15% of the cases; d) MT canceled or prevented 85% of MEV caused by poor information exchange in transition care, therefore improving patient referral and counter-referral.
CONCLUSIONS: MT reduces MEV and therefore, whenever implemented to a large extent, may improve the quality of health care delivery and the performance of national health systems.
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2015 |
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| Erschienen: |
2015 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:26 |
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| Enthalten in: |
European journal of internal medicine - 26(2015), 9 vom: 22. Nov., Seite 675-9 |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Campanella, Nando [VerfasserIn] |
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| Links: |
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| Themen: |
General practitioner |
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| Anmerkungen: |
Date Completed 12.09.2016 Date Revised 21.11.2015 published: Print-Electronic Citation Status MEDLINE |
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| doi: |
10.1016/j.ejim.2015.08.010 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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NLM252364759 |
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| 500 | |a published: Print-Electronic | ||
| 500 | |a Citation Status MEDLINE | ||
| 520 | |a Copyright © 2015 European Federation of Internal Medicine. Published by Elsevier B.V. All rights reserved. | ||
| 520 | |a BACKGROUND: e-Health strategies are supposed to improve the performance of national health systems. Medical teleconsultation (MT) is an important component of such e-Health strategies | ||
| 520 | |a OBJECTIVES: The outcome of MT was evaluated with regard to the impact on the medical error vulnerability (MEV) of internal medicine patients | ||
| 520 | |a METHODS: A team of internal medicine doctors plus a network of forty specialists was set-up in one health district belonging to a unified and universal national health system of a country of Western Europe, in order to provide free-of-charge MT to support general practitioners in solving internal medicine cases. In this observational study, the case series of 2013 is reviewed | ||
| 520 | |a RESULTS: a) Only 21% of the MT fell short to the general practitioner's expectations about the case solving focus; b) throughout the medical care process of the patient, 49% of the cases met with one or more of the five MEVs, namely: 1) clinical test mishandling; 2) inaccurate differential diagnosis; 3) inadequate information flow between health providers at different levels of care (transition care); 4) poor coordination between health providers; and 5) poor reconciliation of medications or hazardous therapies. c) MT canceled or prevented MEVs in 56% and mitigate MEVs in 15% of the cases; d) MT canceled or prevented 85% of MEV caused by poor information exchange in transition care, therefore improving patient referral and counter-referral | ||
| 520 | |a CONCLUSIONS: MT reduces MEV and therefore, whenever implemented to a large extent, may improve the quality of health care delivery and the performance of national health systems | ||
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a Observational Study | |
| 650 | 4 | |a General practitioner | |
| 650 | 4 | |a Health system | |
| 650 | 4 | |a Medical error vulnerability | |
| 650 | 4 | |a Teleconsultation | |
| 650 | 4 | |a WHO | |
| 700 | 1 | |a Morosini, Pierpaolo |e verfasserin |4 aut | |
| 700 | 1 | |a Sampaolo, Guido |e verfasserin |4 aut | |
| 700 | 1 | |a Catozzo, Vania |e verfasserin |4 aut | |
| 700 | 1 | |a Caso, Andrea |e verfasserin |4 aut | |
| 700 | 1 | |a Ferretti, Maurizio |e verfasserin |4 aut | |
| 700 | 1 | |a Giovagnoli, Moreno |e verfasserin |4 aut | |
| 700 | 1 | |a Torniai, Mariangela |e verfasserin |4 aut | |
| 700 | 1 | |a Antico, Ettore |e verfasserin |4 aut | |
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