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Innovating in a crisis: a qualitative evaluation of a hospital and Google partnership to implement a COVID-19 inpatient video monitoring program
OBJECTIVE: To describe adaptations necessary for effective use of direct-to-consumer (DTC) cameras in an inpatient setting, from the perspective of health care workers. METHODS: Our qualitative study included semi-structured interviews and focus groups with clinicians, information technology (IT) pe...
Autores principales: | , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Oxford University Press
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9129147/ https://www.ncbi.nlm.nih.gov/pubmed/35595236 http://dx.doi.org/10.1093/jamia/ocac081 |
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author | Gorbenko, Ksenia Mohammed, Afrah Ezenwafor, Edward I I Phlegar, Sydney Healy, Patrick Solly, Tamara Nembhard, Ingrid Xenophon, Lucy Smith, Cardinale Freeman, Robert Reich, David Mazumdar, Madhu |
author_facet | Gorbenko, Ksenia Mohammed, Afrah Ezenwafor, Edward I I Phlegar, Sydney Healy, Patrick Solly, Tamara Nembhard, Ingrid Xenophon, Lucy Smith, Cardinale Freeman, Robert Reich, David Mazumdar, Madhu |
author_sort | Gorbenko, Ksenia |
collection | PubMed |
description | OBJECTIVE: To describe adaptations necessary for effective use of direct-to-consumer (DTC) cameras in an inpatient setting, from the perspective of health care workers. METHODS: Our qualitative study included semi-structured interviews and focus groups with clinicians, information technology (IT) personnel, and health system leaders affiliated with the Mount Sinai Health System. All participants either worked in a coronavirus disease 2019 (COVID-19) unit with DTC cameras or participated in the camera implementation. Three researchers coded the transcripts independently and met weekly to discuss and resolve discrepancies. Abiding by inductive thematic analysis, coders revised the codebook until they reached saturation. All transcripts were coded in Dedoose using the final codebook. RESULTS: Frontline clinical staff, IT personnel, and health system leaders (N = 39) participated in individual interviews and focus groups in November 2020–April 2021. Our analysis identified 5 areas for effective DTC camera use: technology, patient monitoring, workflows, interpersonal relationships, and infrastructure. Participants described adaptations created to optimize camera use and opportunities for improvement necessary for sustained use. Non-COVID-19 patients tended to decline participation. DISCUSSION: Deploying DTC cameras on inpatient units required adaptations in many routine processes. Addressing consent, 2-way communication issues, patient privacy, and messaging about video monitoring could help facilitate a nimble rollout. Implementation and dissemination of inpatient video monitoring using DTC cameras requires input from patients and frontline staff. CONCLUSIONS: Given the resources and time it takes to implement a usable camera solution, other health systems might benefit from creating task forces to investigate their use before the next crisis. |
format | Online Article Text |
id | pubmed-9129147 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Oxford University Press |
record_format | MEDLINE/PubMed |
spelling | pubmed-91291472022-05-25 Innovating in a crisis: a qualitative evaluation of a hospital and Google partnership to implement a COVID-19 inpatient video monitoring program Gorbenko, Ksenia Mohammed, Afrah Ezenwafor, Edward I I Phlegar, Sydney Healy, Patrick Solly, Tamara Nembhard, Ingrid Xenophon, Lucy Smith, Cardinale Freeman, Robert Reich, David Mazumdar, Madhu J Am Med Inform Assoc Research and Applications OBJECTIVE: To describe adaptations necessary for effective use of direct-to-consumer (DTC) cameras in an inpatient setting, from the perspective of health care workers. METHODS: Our qualitative study included semi-structured interviews and focus groups with clinicians, information technology (IT) personnel, and health system leaders affiliated with the Mount Sinai Health System. All participants either worked in a coronavirus disease 2019 (COVID-19) unit with DTC cameras or participated in the camera implementation. Three researchers coded the transcripts independently and met weekly to discuss and resolve discrepancies. Abiding by inductive thematic analysis, coders revised the codebook until they reached saturation. All transcripts were coded in Dedoose using the final codebook. RESULTS: Frontline clinical staff, IT personnel, and health system leaders (N = 39) participated in individual interviews and focus groups in November 2020–April 2021. Our analysis identified 5 areas for effective DTC camera use: technology, patient monitoring, workflows, interpersonal relationships, and infrastructure. Participants described adaptations created to optimize camera use and opportunities for improvement necessary for sustained use. Non-COVID-19 patients tended to decline participation. DISCUSSION: Deploying DTC cameras on inpatient units required adaptations in many routine processes. Addressing consent, 2-way communication issues, patient privacy, and messaging about video monitoring could help facilitate a nimble rollout. Implementation and dissemination of inpatient video monitoring using DTC cameras requires input from patients and frontline staff. CONCLUSIONS: Given the resources and time it takes to implement a usable camera solution, other health systems might benefit from creating task forces to investigate their use before the next crisis. Oxford University Press 2022-05-25 /pmc/articles/PMC9129147/ /pubmed/35595236 http://dx.doi.org/10.1093/jamia/ocac081 Text en © The Author(s) 2022. Published by Oxford University Press on behalf of the American Medical Informatics Association. https://creativecommons.org/licenses/by-nc/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial License (https://creativecommons.org/licenses/by-nc/4.0/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is properly cited. For commercial re-use, please contact journals.permissions@oup.com |
spellingShingle | Research and Applications Gorbenko, Ksenia Mohammed, Afrah Ezenwafor, Edward I I Phlegar, Sydney Healy, Patrick Solly, Tamara Nembhard, Ingrid Xenophon, Lucy Smith, Cardinale Freeman, Robert Reich, David Mazumdar, Madhu Innovating in a crisis: a qualitative evaluation of a hospital and Google partnership to implement a COVID-19 inpatient video monitoring program |
title | Innovating in a crisis: a qualitative evaluation of a hospital and Google partnership to implement a COVID-19 inpatient video monitoring program |
title_full | Innovating in a crisis: a qualitative evaluation of a hospital and Google partnership to implement a COVID-19 inpatient video monitoring program |
title_fullStr | Innovating in a crisis: a qualitative evaluation of a hospital and Google partnership to implement a COVID-19 inpatient video monitoring program |
title_full_unstemmed | Innovating in a crisis: a qualitative evaluation of a hospital and Google partnership to implement a COVID-19 inpatient video monitoring program |
title_short | Innovating in a crisis: a qualitative evaluation of a hospital and Google partnership to implement a COVID-19 inpatient video monitoring program |
title_sort | innovating in a crisis: a qualitative evaluation of a hospital and google partnership to implement a covid-19 inpatient video monitoring program |
topic | Research and Applications |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9129147/ https://www.ncbi.nlm.nih.gov/pubmed/35595236 http://dx.doi.org/10.1093/jamia/ocac081 |
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