California — Targeted Issue

Improving the Care of Acutely Ill and Injured Children in Rural Emergency Departments with Telemedicine

March 1, 2005 - Feb. 29, 2008

Grant Number
H34MC04367
Project Overview
Rural emergency departments (EDs) often lack pediatric expertise and pediatric emergency services. As a consequence, critically ill children cared for in rural EDs often receive delayed or substandard care. The goals of this project are to (1) develop and test a new instrument for measuring the quality of care provided to pediatric patients presenting to EDs; (2) determine baseline measurements of quality of care and medication errors that acutely ill and injured children experience in a sample of EDs; (3) determine differences in quality of care and medication errors between ED settings and physician training; (4) improve the quality of care provided to acutely ill and injured children presenting to rural EDs using telemedicine; and (5) improve parent/guardian satisfaction; and diagnostic and therapeutic advice provided to acutely ill and injured children in rural EDs when telemedicine is used compared to telephone consultations.
Institution
Regents of the University of California
Main Contact
Award Amount
$599,977

Contacts

Name Role(s) Phone Email
James Marcin, MD, MPH
  • Principal Investigator
(916) 734-4726 jpmarcin@ucdavis.edu

Disseminations

Title Type Publication/Event Published/Presented Identifier Details
Pediatric Critical Care Telemedicine Program: A Single Institution Review Research Paper/Publication Telemed J E Health 2016
Economic Evaluation of Pediatric Telemedicine Consultations to Rural Emergency Departments Research Paper/Publication Medical Decision Making 2015
Appropriateness of disposition following telemedicine consultations in rural emergency departments Research Paper/Publication Pediatric Critical Care Medicine 2015
Telemedicine consultations and medication errors in rural emergency departments Research Paper/Publication Pediatrics 2013
Impact of critical care telemedicine consultations on children in rural emergency departments Research Paper/Publication Critical Care Medicine 2013
Quality of care of children in the emergency department: association with hospital setting and physician training Research Paper/Publication Journal of Pediatrics 2008
Medication errors among acutely ill and injured children treated in rural emergency departments Research Paper/Publication Annals of Emergency Medicine 2007
A new implicit review instrument for measuring quality of care delivered to pediatric patients in the emergency department Research Paper/Publication BMC Emergency Medicine 2007