ArticlePediatrics2013
Telemedicine consultations and medication errors in rural emergency departments.
Article in Pediatrics, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 35 papers, 5 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
35 citing papers in PubMed, 5 syntheses or guidelines pooled it, 107 citations in OpenAlex.
- Telehealth-guided provider-to-provider communication to improve rural health: A systematic review.Journal of telemedicine and telecare · 2024Pooled it
- Effectiveness of Telehealth in Rural and Remote Emergency Departments: Systematic Review.Journal of medical Internet research · 2021Pooled it
- Interventions to Reduce Pediatric Prescribing Errors in Professional Healthcare Settings: A Systematic Review of the Last Decade.Paediatric drugs · 2021Pooled it
- Prevalence of Medication Errors Among Paediatric Inpatients: Systematic Review and Meta-Analysis.Drug safety · 2019Pooled it
- The Prevalence of Dose Errors Among Paediatric Patients in Hospital Wards with and without Health Information Technology: A Systematic Review and Meta-Analysis.Drug safety · 2019Pooled it
- Telemedicine vs Telephone Consultations and Medication Prescribing Errors Among Referring Physicians: A Cluster Randomized Crossover Trial.JAMA network open · 2024Trial
- Impact of Tele-Emergency Consultations on Pediatric Interfacility Transfers: A Cluster-Randomized Crossover Trial.JAMA network open · 2023Trial
- The effectiveness of telemedicine for paediatric retrieval consultations: rationale and study design for a pragmatic multicentre randomised controlled trial.BMC health services research · 2014Trial
- Impact of telemedicine on mortality, hospital admissions, and length of stay in pediatric emergencies: a systematic review and meta-analysis.International journal of emergency medicine · 2025Review
- Implementation of Telemedicine for Patients Referred to Emergency Medical Services.Epidemiologia (Basel, Switzerland) · 2025Article
- Investigating Continuance Intention for Telehealth Visits in Children's Hospitals: Survey-Based Study.Journal of medical Internet research · 2025Article
- Enhancing Healthcare through Sensor-Enabled Digital Twins in Smart Environments: A Comprehensive Analysis.Sensors (Basel, Switzerland) · 2024Review
- The role of telehealth in pediatric emergency care.Journal of the American College of Emergency Physicians open · 2023Article
- Pediatric Telehealth Use in U.S. Emergency Departments in 2019.Telemedicine journal and e-health : the official journal of the American Telemedicine Association · 2023Article
- Emergency Departments' Uptake of Telehealth for Stroke Versus Pediatric Care: Observational Study.Journal of medical Internet research · 2022Observational
- Health Care Providers' and Professionals' Experiences With Telehealth Oncology Implementation During the COVID-19 Pandemic: A Qualitative Study.Journal of medical Internet research · 2022Article
- Pilot Paramedic Survey of Benefits, Risks, and Strategies for Pediatric Prehospital Telemedicine.Pediatric emergency care · 2021Article
- Telehealth in emergency medicine: A consensus conference to map the intersection of telehealth and emergency medicine.Academic emergency medicine : official journal of the Society for Academic Emergency Medicine · 2021Article
- Profiling Pediatric Potentially Avoidable Transfers Using Procedure and Diagnosis Codes.Pediatric emergency care · 2021Article
- Strengthening eHealth Systems to Support Universal Health Coverage in sub-Saharan Africa.Online journal of public health informatics · 2021Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
9 authors at 5 institutions in 1 country.
Funding
Abstract
objectiveTo compare the frequency of physician-related medication errors among seriously ill and injured children receiving telemedicine consultations, similar children receiving telephone consultations, and similar children receiving no consultations in rural emergency departments (EDs).
methodsWe conducted retrospective chart reviews on seriously ill and injured children presenting to 8 rural EDs with access to pediatric critical care physicians from an academic children's hospital. Physician-related ED medication errors were independently identified by 2 pediatric pharmacists by using a previously published instrument. The unit of analysis was medication administered. The association of telemedicine consultations with ED medication errors was modeled by using hierarchical logistic regression adjusting for covariates (age, risk of admission, year of consultation, and hospital) and clustering at the patient level.
resultsAmong the 234 patients in the study, 73 received telemedicine consultations, 85 received telephone consultations, and 76 received no specialist consultations. Medications for patients who received telemedicine consultations had significantly fewer physician-related errors than medications for patients who received telephone consultations or no consultations (3.4% vs. 10.8% and 12.5%, respectively; P < .05). In hierarchical logistic regression analysis, medications for patients who received telemedicine consultations had a lower odds of physician-related errors than medications for patients who received telephone consultations (odds ratio: 0.19, P < .05) or no consultations (odds ratio: 0.13, P < .05).
conclusionsPediatric critical care telemedicine consultations were associated with a significantly reduced risk of physician-related ED medication errors among seriously ill and injured children in rural EDs.
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What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.