title: Minor injuries telemedicine.
abstract: A minor injuries telemedicine network in Grampian connects 14 accident and emergency departments in community hospitals to a teaching hospital department. In a six-month study, 407 new telemedicine consultations met the inclusion criteria. Rates of transfer for treatment to the base hospital were used as an outcome measure. Fourteen out of a total of 19 members of medical staff gave telemedical advice. They were mainly middle-grade accident and emergency doctors. Transfer rates were 16-48% (median 29%) across staff. The rates did not seem to be affected by the base doctor's seniority, but were a reflection of that doctor's experience of and confidence in using videoconferencing equipment for clinical purposes. Transfer rates decreased as experience increased. Training for doctors undertaking the provision of specialist advice should include the clinical practicalities of making remote diagnoses.
authors.affiliation: Accident and Emergency Department, Aberdeen Royal Infirmary, Foresterhill, Aberdeen, UK. j.ferguson@arh.grampian.scot.nhs.uk
authors.forename: J
authors.initials: J
authors.lastname: Ferguson
authors.forename: A
authors.initials: A
authors.lastname: Rowlands
authors.forename: A
authors.initials: A
authors.lastname: Palombo
authors.forename: D
authors.initials: D
authors.lastname: Pedley
authors.forename: S
authors.initials: S
authors.lastname: Fraser
authors.forename: S
authors.initials: S
authors.lastname: Simpson
mesh_terms: D004636:Emergency Service, Hospital / Q000458:organization & administration*; D006801:Humans; D017063:Outcome Assessment, Health Care; D010360:Patient Transfer / Q000706:statistics & numerical data*; D012017:Referral and Consultation / Q000706:statistics & numerical data; D019114:Remote Consultation; D012606:Scotland; D014947:Wounds and Injuries / Q000175:diagnosis* / Q000628:therapy