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Defining clinical decision making in the provision of audio-visual outpatient care for acute upper limb trauma services: A review of practice

The Covid-19 pandemic has accelerated the widespread adoption of technology-enabled care in the NHS.(1) Moving into phase two of the response, the continuing use of audio-visual technology is expected, where appropriate, to be integral in the provision of safe, quality patient care.(2) A clinical ne...

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Detalles Bibliográficos
Autores principales: McMullen, E.J., Robson, M., Valand, P., Sayed, L., Steele, J.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Published by Elsevier Ltd on behalf of British Association of Plastic, Reconstructive and Aesthetic Surgeons. 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7502177/
https://www.ncbi.nlm.nih.gov/pubmed/32978111
http://dx.doi.org/10.1016/j.bjps.2020.08.104
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author McMullen, E.J.
Robson, M.
Valand, P.
Sayed, L.
Steele, J.
author_facet McMullen, E.J.
Robson, M.
Valand, P.
Sayed, L.
Steele, J.
author_sort McMullen, E.J.
collection PubMed
description The Covid-19 pandemic has accelerated the widespread adoption of technology-enabled care in the NHS.(1) Moving into phase two of the response, the continuing use of audio-visual technology is expected, where appropriate, to be integral in the provision of safe, quality patient care.(2) A clinical need therefore exists to identify when care can be safely delivered remotely using audio-visual technology and when there is a need for in-person contact.  At Salisbury Foundation Trust (SFT), during phase one of the NHS response to Covid-19, the decision to treat upper limb trauma patients in-person or remotely was made using clinical screening criteria. For many patients, audio-visual appointments offered a practical, time efficient way of accessing their reconstructive team for assessment, advice and post-operative care. However, a subset of patients was identified by the team as requiring at least one in-person consultation to minimize perceived clinical risk and to optimize quality outcomes.  In order to understand more fully the challenges and successes of technology-enabled care to date, a national survey of practice across hand units in the UK was conducted. We present here some of our key findings and propose the need to develop nationally agreed screening criteria to determine how and when technology enabled outpatient care can be used in the management of acute upper limb trauma. The results of this survey forms part of a series of projects currently underway looking at the efficacy of audio-visual care in upper limb trauma, including a multicentre observational study.
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spelling pubmed-75021772020-09-21 Defining clinical decision making in the provision of audio-visual outpatient care for acute upper limb trauma services: A review of practice McMullen, E.J. Robson, M. Valand, P. Sayed, L. Steele, J. J Plast Reconstr Aesthet Surg Correspondence and Communications The Covid-19 pandemic has accelerated the widespread adoption of technology-enabled care in the NHS.(1) Moving into phase two of the response, the continuing use of audio-visual technology is expected, where appropriate, to be integral in the provision of safe, quality patient care.(2) A clinical need therefore exists to identify when care can be safely delivered remotely using audio-visual technology and when there is a need for in-person contact.  At Salisbury Foundation Trust (SFT), during phase one of the NHS response to Covid-19, the decision to treat upper limb trauma patients in-person or remotely was made using clinical screening criteria. For many patients, audio-visual appointments offered a practical, time efficient way of accessing their reconstructive team for assessment, advice and post-operative care. However, a subset of patients was identified by the team as requiring at least one in-person consultation to minimize perceived clinical risk and to optimize quality outcomes.  In order to understand more fully the challenges and successes of technology-enabled care to date, a national survey of practice across hand units in the UK was conducted. We present here some of our key findings and propose the need to develop nationally agreed screening criteria to determine how and when technology enabled outpatient care can be used in the management of acute upper limb trauma. The results of this survey forms part of a series of projects currently underway looking at the efficacy of audio-visual care in upper limb trauma, including a multicentre observational study. Published by Elsevier Ltd on behalf of British Association of Plastic, Reconstructive and Aesthetic Surgeons. 2021-02 2020-09-20 /pmc/articles/PMC7502177/ /pubmed/32978111 http://dx.doi.org/10.1016/j.bjps.2020.08.104 Text en Crown Copyright © 2020 Published by Elsevier Ltd on behalf of British Association of Plastic, Reconstructive and Aesthetic Surgeons. All rights reserved. Since January 2020 Elsevier has created a COVID-19 resource centre with free information in English and Mandarin on the novel coronavirus COVID-19. The COVID-19 resource centre is hosted on Elsevier Connect, the company's public news and information website. Elsevier hereby grants permission to make all its COVID-19-related research that is available on the COVID-19 resource centre - including this research content - immediately available in PubMed Central and other publicly funded repositories, such as the WHO COVID database with rights for unrestricted research re-use and analyses in any form or by any means with acknowledgement of the original source. These permissions are granted for free by Elsevier for as long as the COVID-19 resource centre remains active.
spellingShingle Correspondence and Communications
McMullen, E.J.
Robson, M.
Valand, P.
Sayed, L.
Steele, J.
Defining clinical decision making in the provision of audio-visual outpatient care for acute upper limb trauma services: A review of practice
title Defining clinical decision making in the provision of audio-visual outpatient care for acute upper limb trauma services: A review of practice
title_full Defining clinical decision making in the provision of audio-visual outpatient care for acute upper limb trauma services: A review of practice
title_fullStr Defining clinical decision making in the provision of audio-visual outpatient care for acute upper limb trauma services: A review of practice
title_full_unstemmed Defining clinical decision making in the provision of audio-visual outpatient care for acute upper limb trauma services: A review of practice
title_short Defining clinical decision making in the provision of audio-visual outpatient care for acute upper limb trauma services: A review of practice
title_sort defining clinical decision making in the provision of audio-visual outpatient care for acute upper limb trauma services: a review of practice
topic Correspondence and Communications
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7502177/
https://www.ncbi.nlm.nih.gov/pubmed/32978111
http://dx.doi.org/10.1016/j.bjps.2020.08.104
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