FRINK Linked Data Fragments server

Matches in SemOpenAlex for { <https://semopenalex.org/work/W3094854757> ?p ?o ?g. }

• W3094854757 endingPage "S22" @default.
• W3094854757 startingPage "S21" @default.
• W3094854757 abstract "The novel coronavirus (SARS-CoV-2) pandemic placed unprecedented strain on the supply of personal protective equipment (PPE) in health care settings, particularly the emergency department (ED). Innovative strategies were needed for PPE conservation. Our ED deployed electronic PPE (ePPE) - a telehealth approach to conduct medical screening exams (MSEs) of COVID-19-suspected patients. As part of our plan to scale this intervention, we sought to evaluate provider perceptions of ePPE-based MSEs. We conducted a qualitative analysis at Vanderbilt University Medical Center in Nashville, TN. Emergency clinicians were identified through use of structured ePPE documentation elements in the EHR. Patients who received ePPE-based MSEs included English-speaking adults with fever or respiratory symptoms (inclusion criteria: age < 50; SpO2 > 94%; RR < 20; HR < 110; no cardiovascular, respiratory, or immunosuppressive history). We invited providers to participate in semi-structured video interviews (Zoom, San Jose, CA). A Likert scale between 1 [Not at all effective] and 5 [Extremely effective] was used to gauge perceived ePPE effectiveness. We recorded and transcribed interviews, subsequently extracting then encoding notable excerpts using Dedoose (SocioCultural Research Consultants, Los Angeles, CA). Thematic analysis was performed using intervention characteristics from the Consolidated Framework for Implementation Research (CFIR): intervention source, evidence strength and quality, relative advantage, adaptability, trialability, complexity, design quality and packaging, and cost. We identified 18 clinicians who documented ePPE use. On review, 2 never used ePPE and 5 only supervised other clinicians who used ePPE. Of the remaining 11, we interviewed 7 attending physicians and 1 physician assistant between 5/15/20 and 6/5/20. Providers gave ePPE a mean effectiveness score of 4.2 (SD 0.53). Identified advantages included improved patient and provider safety, PPE conservation, and improved patient-provider communication. The primary perceived limitation was inability to auscultate the lungs. While noting the risk of missed alternate diagnoses (eg, heart failure), providers asserted that video-based history-taking and respiratory exam sufficed for low-acuity patients and that auscultation’s absence was unlikely to change management. Beyond MSEs, providers used ePPE for patient reassessment and counseling, as well as to facilitate supervision. Many emphasized ePPE’s flexibility: “If I do pick up on a few things...I can always, sort of, abandon [ePPE] and go in and do my exam.” Barriers to use included potential for negative patient perceptions, poor audio quality, difficulty incorporating an interpreter, and workflow challenges related to staff coordination. Clinicians revealed that many ePPE encounters were not fully documented, suggesting ePPE use may be underrepresented in this study. In this trial implementation of ePPE, we found that ED clinicians perceived ePPE as an effective and useful technique for MSEs of COVID-19-suspected patients. The benefits largely outweighed the disadvantages, particularly in the low-acuity population. Our study may have been limited by early adoption from clinicians favorable to such technology, and future work should examine perceptions among clinicians with varying degrees of technology comfort." @default.
• W3094854757 created "2020-11-09" @default.
• W3094854757 creator A5011099630 @default.
• W3094854757 creator A5037050664 @default.
• W3094854757 creator A5055207591 @default.
• W3094854757 creator A5066680153 @default.
• W3094854757 creator A5080907260 @default.
• W3094854757 creator A5083860679 @default.
• W3094854757 date "2020-10-01" @default.
• W3094854757 modified "2023-09-27" @default.
• W3094854757 title "53 Emergency Clinician Perceptions of Electronic Personal Protective Equipment for Medical Screening Exams of COVID-19-Suspected Patients" @default.
• W3094854757 doi "https://doi.org/10.1016/j.annemergmed.2020.09.063" @default.
• W3094854757 hasPubMedCentralId "https://www.ncbi.nlm.nih.gov/pmc/articles/7598377" @default.
• W3094854757 hasPublicationYear "2020" @default.
• W3094854757 type Work @default.
• W3094854757 sameAs 3094854757 @default.
• W3094854757 citedByCount "0" @default.
• W3094854757 crossrefType "journal-article" @default.
• W3094854757 hasAuthorship W3094854757A5011099630 @default.
• W3094854757 hasAuthorship W3094854757A5037050664 @default.
• W3094854757 hasAuthorship W3094854757A5055207591 @default.
• W3094854757 hasAuthorship W3094854757A5066680153 @default.
• W3094854757 hasAuthorship W3094854757A5080907260 @default.
• W3094854757 hasAuthorship W3094854757A5083860679 @default.
• W3094854757 hasBestOaLocation W30948547571 @default.
• W3094854757 hasConcept C105776082 @default.
• W3094854757 hasConcept C105795698 @default.
• W3094854757 hasConcept C126322002 @default.
• W3094854757 hasConcept C142724271 @default.
• W3094854757 hasConcept C144024400 @default.
• W3094854757 hasConcept C159110408 @default.
• W3094854757 hasConcept C160735492 @default.
• W3094854757 hasConcept C162324750 @default.
• W3094854757 hasConcept C190248442 @default.
• W3094854757 hasConcept C2775969662 @default.
• W3094854757 hasConcept C2779134260 @default.
• W3094854757 hasConcept C2780665704 @default.
• W3094854757 hasConcept C2780668467 @default.
• W3094854757 hasConcept C2780724011 @default.
• W3094854757 hasConcept C3008058167 @default.
• W3094854757 hasConcept C33923547 @default.
• W3094854757 hasConcept C36289849 @default.
• W3094854757 hasConcept C50522688 @default.
• W3094854757 hasConcept C512399662 @default.
• W3094854757 hasConcept C524204448 @default.
• W3094854757 hasConcept C545542383 @default.
• W3094854757 hasConcept C71924100 @default.
• W3094854757 hasConcept C74196892 @default.
• W3094854757 hasConceptScore W3094854757C105776082 @default.
• W3094854757 hasConceptScore W3094854757C105795698 @default.
• W3094854757 hasConceptScore W3094854757C126322002 @default.
• W3094854757 hasConceptScore W3094854757C142724271 @default.
• W3094854757 hasConceptScore W3094854757C144024400 @default.
• W3094854757 hasConceptScore W3094854757C159110408 @default.
• W3094854757 hasConceptScore W3094854757C160735492 @default.
• W3094854757 hasConceptScore W3094854757C162324750 @default.
• W3094854757 hasConceptScore W3094854757C190248442 @default.
• W3094854757 hasConceptScore W3094854757C2775969662 @default.
• W3094854757 hasConceptScore W3094854757C2779134260 @default.
• W3094854757 hasConceptScore W3094854757C2780665704 @default.
• W3094854757 hasConceptScore W3094854757C2780668467 @default.
• W3094854757 hasConceptScore W3094854757C2780724011 @default.
• W3094854757 hasConceptScore W3094854757C3008058167 @default.
• W3094854757 hasConceptScore W3094854757C33923547 @default.
• W3094854757 hasConceptScore W3094854757C36289849 @default.
• W3094854757 hasConceptScore W3094854757C50522688 @default.
• W3094854757 hasConceptScore W3094854757C512399662 @default.
• W3094854757 hasConceptScore W3094854757C524204448 @default.
• W3094854757 hasConceptScore W3094854757C545542383 @default.
• W3094854757 hasConceptScore W3094854757C71924100 @default.
• W3094854757 hasConceptScore W3094854757C74196892 @default.
• W3094854757 hasIssue "4" @default.
• W3094854757 hasLocation W30948547571 @default.
• W3094854757 hasLocation W30948547572 @default.
• W3094854757 hasOpenAccess W3094854757 @default.
• W3094854757 hasPrimaryLocation W30948547571 @default.
• W3094854757 hasRelatedWork W2099283319 @default.
• W3094854757 hasRelatedWork W2188471757 @default.
• W3094854757 hasRelatedWork W2758619651 @default.
• W3094854757 hasRelatedWork W2973599677 @default.
• W3094854757 hasRelatedWork W2982633241 @default.
• W3094854757 hasRelatedWork W3018119167 @default.
• W3094854757 hasRelatedWork W4285239446 @default.
• W3094854757 hasRelatedWork W4306177056 @default.
• W3094854757 hasRelatedWork W4319349896 @default.
• W3094854757 hasRelatedWork W4360977429 @default.
• W3094854757 hasVolume "76" @default.
• W3094854757 isParatext "false" @default.
• W3094854757 isRetracted "false" @default.
• W3094854757 magId "3094854757" @default.
• W3094854757 workType "article" @default.