Evidence map›Paper›PMID 35048294›Full record

ReviewJournal of general internal medicine2022

The Abrupt Expansion of Ambulatory Telemedicine: Implications for Patient Safety.

Elaine C Khoong, Anjana E Sharma, Kiran Gupta, Julia Adler-Milstein, Urmimala Sarkar

Abstract readReview
In one paragraph

Review in Journal of general internal medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

19 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Digital Health Care, Telemedicine, and Medicolegal Issues in Orthopedics: A Review.International journal of environmental research and public health · 2022
    Pooled it
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Elaine C KhoongDivision of General Internal Medicine at Zuckerberg San Francisco General Hospital, Department of Medicine, University of California San Francisco, San Francisco, CA, USA.
Anjana E SharmaUCSF Center for Vulnerable Populations at Zuckerberg San Francisco General Hospital, San Francisco, USA.
Kiran GuptaDivision of Hospital Medicine, Department of Medicine, University of California San Francisco, San Francisco, USA.
Julia Adler-MilsteinCenter for Clinical Informatics and Improvement Research (CLIIR) at University of California San Francisco, San Francisco, USA.
Urmimala SarkarDivision of General Internal Medicine at Zuckerberg San Francisco General Hospital, Department of Medicine, University of California San Francisco, San Francisco, CA, USA. urmimala.sarkar@ucsf.edu.ORCID 0000-0003-4213-4405

Funding

Institutional Career Development Core SupplementKL2TR001870 · NCATS · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI KANAYA, ALKA M., SARKAR, URMIMALA · 2016 to 2025
$19.7M
UCSF Career Development Program in Implementation Research in Heart and Lung DiseasesK12HL138046 · NHLBI · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI BIBBINS-DOMINGO, KIRSTEN, CATTAMANCHI, ADITHYA · 2017 to 2021
$2.9M
Designing a Remote Monitoring Intervention for Value & Equity in Hypertension (DRIVE-HTN)K23HL157750 · NHLBI · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI KHOONG, ELAINE · 2021 to 2025
$921k
Improving Survivorship Care for Diverse Cancer Patients Cared for in Safety-net SettingsK24CA212294 · NCI · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI SARKAR, URMIMALA · 2017 to 2021
$831k
NCATS NIH HHS KL2 TR001870NCI NIH HHS K24 CA212294NHLBI NIH HHS K12 HL138046NHLBI NIH HHS K23 HL157750
6 · The paper itself

Abstract

The exponential growth of telemedicine in ambulatory care triggered by the COVID-19 public health emergency has undoubtedly impacted the quality of care and patient safety. In particular, the increased adoption of remote care has impacted communication, care teams, and patient engagement, which are key factors that impact patient safety in ambulatory care. In this perspective, we draw on a scoping review of the literature, our own clinical experiences, and conversations with patient safety experts to describe how changes in communication, care teams, and patient engagement have impacted two high priority areas in ambulatory safety: diagnostic errors and medication safety. We then provide recommendations for research funders, researchers, healthcare systems, policy makers, and healthcare payors for how to improve patient safety in telemedicine based on what is currently known as well as next steps for how to advance understanding of the safety implications of telemedicine utilization.

Indexed as

COVID-19TelemedicineAmbulatory Care FacilitiesDelivery of Health CareHumansPatient SafetyAmbulatory careDiagnostic errorsMedication errorsPatient safetyTelemedicine

Identifiers

PMID35048294
PMCPMC8768444

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.