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Mendeley readers
Attention Score in Context
| Title |
Impact of telemedicine in hospital culture and its consequences on quality of care and safety
|
|---|---|
| Published in |
Einstein (São Paulo), December 2015
|
| DOI | 10.1590/s1679-45082015gs2893 |
| Pubmed ID | |
| Authors |
Milton Steinman, Renata Albaladejo Morbeck, Philippe Vieira Pires, Carlos Alberto Cordeiro Abreu, Ana Helena Vicente Andrade, Jose Claudio Cyrineu Terra, José Carlos Teixeira, Alberto Hideki Kanamura |
| Abstract |
Objective To describe the impact of the telemedicine application on the clinical process of care and its different effects on hospital culture and healthcare practice. Methods The concept of telemedicine through real time audio-visual coverage was implemented at two different hospitals in São Paulo: a secondary and public hospital, Hospital Municipal Dr. Moysés Deutsch, and a tertiary and private hospital, Hospital Israelita Albert Einstein. Results Data were obtained from 257 teleconsultations records over a 12-month period and were compared to a similar period before telemedicine implementation. For 18 patients (7.1%) telemedicine consultation influenced in diagnosis conclusion, and for 239 patients (92.9%), the consultation contributed to clinical management. After telemedicine implementation, stroke thrombolysis protocol was applied in 11% of ischemic stroke patients. Telemedicine approach reduced the need to transfer the patient to another hospital in 25.9% regarding neurological evaluation. Sepsis protocol were adopted and lead to a 30.4% reduction mortality regarding severe sepsis. Conclusion The application is associated with differences in the use of health services: emergency transfers, mortality, implementation of protocols and patient management decisions, especially regarding thrombolysis. These results highlight the role of telemedicine as a vector for transformation of hospital culture impacting on the safety and quality of care. |
X Demographics
The data shown below were collected from the profiles of 3 X users who shared this research output. Click here to find out more about how the information was compiled.
Geographical breakdown
| Country | Count | As % |
|---|---|---|
| Colombia | 1 | 33% |
| United States | 1 | 33% |
| Unknown | 1 | 33% |
Demographic breakdown
| Type | Count | As % |
|---|---|---|
| Members of the public | 3 | 100% |
Mendeley readers
The data shown below were compiled from readership statistics for 166 Mendeley readers of this research output. Click here to see the associated Mendeley record.
Geographical breakdown
| Country | Count | As % |
|---|---|---|
| Canada | 1 | <1% |
| Brazil | 1 | <1% |
| Unknown | 164 | 99% |
Demographic breakdown
| Readers by professional status | Count | As % |
|---|---|---|
| Student > Master | 29 | 17% |
| Student > Bachelor | 26 | 16% |
| Student > Ph. D. Student | 17 | 10% |
| Researcher | 10 | 6% |
| Student > Doctoral Student | 10 | 6% |
| Other | 35 | 21% |
| Unknown | 39 | 23% |
| Readers by discipline | Count | As % |
|---|---|---|
| Medicine and Dentistry | 38 | 23% |
| Nursing and Health Professions | 23 | 14% |
| Business, Management and Accounting | 16 | 10% |
| Engineering | 7 | 4% |
| Agricultural and Biological Sciences | 5 | 3% |
| Other | 28 | 17% |
| Unknown | 49 | 30% |
Attention Score in Context
This research output has an Altmetric Attention Score of 3. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 24 January 2016.
All research outputs
#14,915,476
of 25,377,790 outputs
Outputs from Einstein (São Paulo)
#171
of 576 outputs
Outputs of similar age
#195,761
of 395,336 outputs
Outputs of similar age from Einstein (São Paulo)
#15
of 35 outputs
Altmetric has tracked 25,377,790 research outputs across all sources so far. This one is in the 40th percentile – i.e., 40% of other outputs scored the same or lower than it.
So far Altmetric has tracked 576 research outputs from this source. They typically receive a little more attention than average, with a mean Attention Score of 5.1. This one has gotten more attention than average, scoring higher than 69% of its peers.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 395,336 tracked outputs that were published within six weeks on either side of this one in any source. This one is in the 49th percentile – i.e., 49% of its contemporaries scored the same or lower than it.
We're also able to compare this research output to 35 others from the same source and published within six weeks on either side of this one. This one has gotten more attention than average, scoring higher than 57% of its contemporaries.