Enhancing the Implementation of the Virtual Pediatric Trauma Center Using Practical, Robust, Implementation and Sustainability Model: A Mixed-Methods Study

Background: This article describes factors related to adoption, implementation, and effectiveness of the Virtual Pediatric Trauma Center intervention, which uses telehealth for trauma specialist consultations for seriously injured children. We aimed at (1) measuring RE-AIM (Reach, Effectiveness, Adoption, Implementation, Maintenance) implementation outcomes and (2) identifying PRISM (Practical, Robust, Implementation, and Sustainability Model) contextual factors that influenced the implementation outcomes. Methods: This interim implementation evaluation of our telehealth trial used a convergent mixed-methods design. The quantitative component was a cross-sectional analysis of pediatric trauma encounters using electronic health records. The qualitative component was a thematic analysis of written and verbal feedback from providers and family advisory board meetings. We compared the quantitative and qualitative data by synthesizing them in a joint display table, organized by RE-AIM dimensions. We categorized these key findings into the PRISM domains. Results: During the first 10 months of this trial, 246 subjects were randomized, with 177 assigned to standard care and 69 assigned to telehealth. Four referring sites transitioned from standard care into their intervention period. PRISM contextual factors that influenced RE-AIM implementation outcomes included the following findings: Providers struggle to remember, interpret, and navigate intervention workflows; providers have preconceived ideas about the intervention purpose; the intervention mitigates parents' anxieties about the transfer process. Discussion: This study revealed implementation challenges that influence the overall success of this telehealth trial. Early identification of these challenges allows our team the opportunity to address them now to optimize the intervention reach, adoption, and implementation. This early action will ultimately enhance the success of our trial and the ability of our intervention to achieve broad impact. Ausführliche Beschreibung

Gespeichert in:

Autor*in:	Jennifer L. Rosenthal [verfasserIn] Sarah C. Haynes [verfasserIn] Bethney Bonilla [verfasserIn] Katherine Rominger [verfasserIn] Jacob Williams [verfasserIn] April Sanders [verfasserIn] Raynald A. Orqueza Dizon [verfasserIn] Kendra L. Grether-Jones [verfasserIn] James P. Marcin [verfasserIn] Michelle Y. Hamline [verfasserIn]

Format:	E-Artikel
Sprache:	Englisch

Erschienen:	2022

Schlagwörter:	child patient transfers communication implementation science telemedicine trauma centers

Übergeordnetes Werk:	In: Telemedicine Reports - Mary Ann Liebert, 2021, 3(2022), 1, Seite 137-148
Übergeordnetes Werk:	volume:3 ; year:2022 ; number:1 ; pages:137-148

Links:	Link aufrufen Link aufrufen Link aufrufen Journal toc

DOI / URN:	10.1089/TMR.2022.0020

Katalog-ID:	DOAJ096453672

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allfields	10.1089/TMR.2022.0020 doi (DE-627)DOAJ096453672 (DE-599)DOAJ2f1d425cc72449bb91d1d86fe6de5d7c DE-627 ger DE-627 rakwb eng R858-859.7 Jennifer L. Rosenthal verfasserin aut Enhancing the Implementation of the Virtual Pediatric Trauma Center Using Practical, Robust, Implementation and Sustainability Model: A Mixed-Methods Study 2022 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background: This article describes factors related to adoption, implementation, and effectiveness of the Virtual Pediatric Trauma Center intervention, which uses telehealth for trauma specialist consultations for seriously injured children. We aimed at (1) measuring RE-AIM (Reach, Effectiveness, Adoption, Implementation, Maintenance) implementation outcomes and (2) identifying PRISM (Practical, Robust, Implementation, and Sustainability Model) contextual factors that influenced the implementation outcomes. Methods: This interim implementation evaluation of our telehealth trial used a convergent mixed-methods design. The quantitative component was a cross-sectional analysis of pediatric trauma encounters using electronic health records. The qualitative component was a thematic analysis of written and verbal feedback from providers and family advisory board meetings. We compared the quantitative and qualitative data by synthesizing them in a joint display table, organized by RE-AIM dimensions. We categorized these key findings into the PRISM domains. Results: During the first 10 months of this trial, 246 subjects were randomized, with 177 assigned to standard care and 69 assigned to telehealth. Four referring sites transitioned from standard care into their intervention period. PRISM contextual factors that influenced RE-AIM implementation outcomes included the following findings: Providers struggle to remember, interpret, and navigate intervention workflows; providers have preconceived ideas about the intervention purpose; the intervention mitigates parents' anxieties about the transfer process. Discussion: This study revealed implementation challenges that influence the overall success of this telehealth trial. Early identification of these challenges allows our team the opportunity to address them now to optimize the intervention reach, adoption, and implementation. This early action will ultimately enhance the success of our trial and the ability of our intervention to achieve broad impact. child patient transfers communication implementation science telemedicine trauma centers Computer applications to medicine. Medical informatics Sarah C. Haynes verfasserin aut Bethney Bonilla verfasserin aut Katherine Rominger verfasserin aut Jacob Williams verfasserin aut April Sanders verfasserin aut Raynald A. Orqueza Dizon verfasserin aut Kendra L. Grether-Jones verfasserin aut James P. Marcin verfasserin aut Michelle Y. Hamline verfasserin aut In Telemedicine Reports Mary Ann Liebert, 2021 3(2022), 1, Seite 137-148 (DE-627)1755306016 26924366 nnns volume:3 year:2022 number:1 pages:137-148 https://doi.org/10.1089/TMR.2022.0020 kostenfrei https://doaj.org/article/2f1d425cc72449bb91d1d86fe6de5d7c kostenfrei https://www.liebertpub.com/doi/full/10.1089/TMR.2022.0020 kostenfrei https://doaj.org/toc/2692-4366 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 3 2022 1 137-148
spelling	10.1089/TMR.2022.0020 doi (DE-627)DOAJ096453672 (DE-599)DOAJ2f1d425cc72449bb91d1d86fe6de5d7c DE-627 ger DE-627 rakwb eng R858-859.7 Jennifer L. Rosenthal verfasserin aut Enhancing the Implementation of the Virtual Pediatric Trauma Center Using Practical, Robust, Implementation and Sustainability Model: A Mixed-Methods Study 2022 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background: This article describes factors related to adoption, implementation, and effectiveness of the Virtual Pediatric Trauma Center intervention, which uses telehealth for trauma specialist consultations for seriously injured children. We aimed at (1) measuring RE-AIM (Reach, Effectiveness, Adoption, Implementation, Maintenance) implementation outcomes and (2) identifying PRISM (Practical, Robust, Implementation, and Sustainability Model) contextual factors that influenced the implementation outcomes. Methods: This interim implementation evaluation of our telehealth trial used a convergent mixed-methods design. The quantitative component was a cross-sectional analysis of pediatric trauma encounters using electronic health records. The qualitative component was a thematic analysis of written and verbal feedback from providers and family advisory board meetings. We compared the quantitative and qualitative data by synthesizing them in a joint display table, organized by RE-AIM dimensions. We categorized these key findings into the PRISM domains. Results: During the first 10 months of this trial, 246 subjects were randomized, with 177 assigned to standard care and 69 assigned to telehealth. Four referring sites transitioned from standard care into their intervention period. PRISM contextual factors that influenced RE-AIM implementation outcomes included the following findings: Providers struggle to remember, interpret, and navigate intervention workflows; providers have preconceived ideas about the intervention purpose; the intervention mitigates parents' anxieties about the transfer process. Discussion: This study revealed implementation challenges that influence the overall success of this telehealth trial. Early identification of these challenges allows our team the opportunity to address them now to optimize the intervention reach, adoption, and implementation. This early action will ultimately enhance the success of our trial and the ability of our intervention to achieve broad impact. child patient transfers communication implementation science telemedicine trauma centers Computer applications to medicine. Medical informatics Sarah C. Haynes verfasserin aut Bethney Bonilla verfasserin aut Katherine Rominger verfasserin aut Jacob Williams verfasserin aut April Sanders verfasserin aut Raynald A. Orqueza Dizon verfasserin aut Kendra L. Grether-Jones verfasserin aut James P. Marcin verfasserin aut Michelle Y. Hamline verfasserin aut In Telemedicine Reports Mary Ann Liebert, 2021 3(2022), 1, Seite 137-148 (DE-627)1755306016 26924366 nnns volume:3 year:2022 number:1 pages:137-148 https://doi.org/10.1089/TMR.2022.0020 kostenfrei https://doaj.org/article/2f1d425cc72449bb91d1d86fe6de5d7c kostenfrei https://www.liebertpub.com/doi/full/10.1089/TMR.2022.0020 kostenfrei https://doaj.org/toc/2692-4366 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 3 2022 1 137-148
allfields_unstemmed	10.1089/TMR.2022.0020 doi (DE-627)DOAJ096453672 (DE-599)DOAJ2f1d425cc72449bb91d1d86fe6de5d7c DE-627 ger DE-627 rakwb eng R858-859.7 Jennifer L. Rosenthal verfasserin aut Enhancing the Implementation of the Virtual Pediatric Trauma Center Using Practical, Robust, Implementation and Sustainability Model: A Mixed-Methods Study 2022 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background: This article describes factors related to adoption, implementation, and effectiveness of the Virtual Pediatric Trauma Center intervention, which uses telehealth for trauma specialist consultations for seriously injured children. We aimed at (1) measuring RE-AIM (Reach, Effectiveness, Adoption, Implementation, Maintenance) implementation outcomes and (2) identifying PRISM (Practical, Robust, Implementation, and Sustainability Model) contextual factors that influenced the implementation outcomes. Methods: This interim implementation evaluation of our telehealth trial used a convergent mixed-methods design. The quantitative component was a cross-sectional analysis of pediatric trauma encounters using electronic health records. The qualitative component was a thematic analysis of written and verbal feedback from providers and family advisory board meetings. We compared the quantitative and qualitative data by synthesizing them in a joint display table, organized by RE-AIM dimensions. We categorized these key findings into the PRISM domains. Results: During the first 10 months of this trial, 246 subjects were randomized, with 177 assigned to standard care and 69 assigned to telehealth. Four referring sites transitioned from standard care into their intervention period. PRISM contextual factors that influenced RE-AIM implementation outcomes included the following findings: Providers struggle to remember, interpret, and navigate intervention workflows; providers have preconceived ideas about the intervention purpose; the intervention mitigates parents' anxieties about the transfer process. Discussion: This study revealed implementation challenges that influence the overall success of this telehealth trial. Early identification of these challenges allows our team the opportunity to address them now to optimize the intervention reach, adoption, and implementation. This early action will ultimately enhance the success of our trial and the ability of our intervention to achieve broad impact. child patient transfers communication implementation science telemedicine trauma centers Computer applications to medicine. Medical informatics Sarah C. Haynes verfasserin aut Bethney Bonilla verfasserin aut Katherine Rominger verfasserin aut Jacob Williams verfasserin aut April Sanders verfasserin aut Raynald A. Orqueza Dizon verfasserin aut Kendra L. Grether-Jones verfasserin aut James P. Marcin verfasserin aut Michelle Y. Hamline verfasserin aut In Telemedicine Reports Mary Ann Liebert, 2021 3(2022), 1, Seite 137-148 (DE-627)1755306016 26924366 nnns volume:3 year:2022 number:1 pages:137-148 https://doi.org/10.1089/TMR.2022.0020 kostenfrei https://doaj.org/article/2f1d425cc72449bb91d1d86fe6de5d7c kostenfrei https://www.liebertpub.com/doi/full/10.1089/TMR.2022.0020 kostenfrei https://doaj.org/toc/2692-4366 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 3 2022 1 137-148
allfieldsGer	10.1089/TMR.2022.0020 doi (DE-627)DOAJ096453672 (DE-599)DOAJ2f1d425cc72449bb91d1d86fe6de5d7c DE-627 ger DE-627 rakwb eng R858-859.7 Jennifer L. Rosenthal verfasserin aut Enhancing the Implementation of the Virtual Pediatric Trauma Center Using Practical, Robust, Implementation and Sustainability Model: A Mixed-Methods Study 2022 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background: This article describes factors related to adoption, implementation, and effectiveness of the Virtual Pediatric Trauma Center intervention, which uses telehealth for trauma specialist consultations for seriously injured children. We aimed at (1) measuring RE-AIM (Reach, Effectiveness, Adoption, Implementation, Maintenance) implementation outcomes and (2) identifying PRISM (Practical, Robust, Implementation, and Sustainability Model) contextual factors that influenced the implementation outcomes. Methods: This interim implementation evaluation of our telehealth trial used a convergent mixed-methods design. The quantitative component was a cross-sectional analysis of pediatric trauma encounters using electronic health records. The qualitative component was a thematic analysis of written and verbal feedback from providers and family advisory board meetings. We compared the quantitative and qualitative data by synthesizing them in a joint display table, organized by RE-AIM dimensions. We categorized these key findings into the PRISM domains. Results: During the first 10 months of this trial, 246 subjects were randomized, with 177 assigned to standard care and 69 assigned to telehealth. Four referring sites transitioned from standard care into their intervention period. PRISM contextual factors that influenced RE-AIM implementation outcomes included the following findings: Providers struggle to remember, interpret, and navigate intervention workflows; providers have preconceived ideas about the intervention purpose; the intervention mitigates parents' anxieties about the transfer process. Discussion: This study revealed implementation challenges that influence the overall success of this telehealth trial. Early identification of these challenges allows our team the opportunity to address them now to optimize the intervention reach, adoption, and implementation. This early action will ultimately enhance the success of our trial and the ability of our intervention to achieve broad impact. child patient transfers communication implementation science telemedicine trauma centers Computer applications to medicine. Medical informatics Sarah C. Haynes verfasserin aut Bethney Bonilla verfasserin aut Katherine Rominger verfasserin aut Jacob Williams verfasserin aut April Sanders verfasserin aut Raynald A. Orqueza Dizon verfasserin aut Kendra L. Grether-Jones verfasserin aut James P. Marcin verfasserin aut Michelle Y. Hamline verfasserin aut In Telemedicine Reports Mary Ann Liebert, 2021 3(2022), 1, Seite 137-148 (DE-627)1755306016 26924366 nnns volume:3 year:2022 number:1 pages:137-148 https://doi.org/10.1089/TMR.2022.0020 kostenfrei https://doaj.org/article/2f1d425cc72449bb91d1d86fe6de5d7c kostenfrei https://www.liebertpub.com/doi/full/10.1089/TMR.2022.0020 kostenfrei https://doaj.org/toc/2692-4366 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 3 2022 1 137-148
allfieldsSound	10.1089/TMR.2022.0020 doi (DE-627)DOAJ096453672 (DE-599)DOAJ2f1d425cc72449bb91d1d86fe6de5d7c DE-627 ger DE-627 rakwb eng R858-859.7 Jennifer L. Rosenthal verfasserin aut Enhancing the Implementation of the Virtual Pediatric Trauma Center Using Practical, Robust, Implementation and Sustainability Model: A Mixed-Methods Study 2022 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background: This article describes factors related to adoption, implementation, and effectiveness of the Virtual Pediatric Trauma Center intervention, which uses telehealth for trauma specialist consultations for seriously injured children. We aimed at (1) measuring RE-AIM (Reach, Effectiveness, Adoption, Implementation, Maintenance) implementation outcomes and (2) identifying PRISM (Practical, Robust, Implementation, and Sustainability Model) contextual factors that influenced the implementation outcomes. Methods: This interim implementation evaluation of our telehealth trial used a convergent mixed-methods design. The quantitative component was a cross-sectional analysis of pediatric trauma encounters using electronic health records. The qualitative component was a thematic analysis of written and verbal feedback from providers and family advisory board meetings. We compared the quantitative and qualitative data by synthesizing them in a joint display table, organized by RE-AIM dimensions. We categorized these key findings into the PRISM domains. Results: During the first 10 months of this trial, 246 subjects were randomized, with 177 assigned to standard care and 69 assigned to telehealth. Four referring sites transitioned from standard care into their intervention period. PRISM contextual factors that influenced RE-AIM implementation outcomes included the following findings: Providers struggle to remember, interpret, and navigate intervention workflows; providers have preconceived ideas about the intervention purpose; the intervention mitigates parents' anxieties about the transfer process. Discussion: This study revealed implementation challenges that influence the overall success of this telehealth trial. Early identification of these challenges allows our team the opportunity to address them now to optimize the intervention reach, adoption, and implementation. This early action will ultimately enhance the success of our trial and the ability of our intervention to achieve broad impact. child patient transfers communication implementation science telemedicine trauma centers Computer applications to medicine. Medical informatics Sarah C. Haynes verfasserin aut Bethney Bonilla verfasserin aut Katherine Rominger verfasserin aut Jacob Williams verfasserin aut April Sanders verfasserin aut Raynald A. Orqueza Dizon verfasserin aut Kendra L. Grether-Jones verfasserin aut James P. Marcin verfasserin aut Michelle Y. Hamline verfasserin aut In Telemedicine Reports Mary Ann Liebert, 2021 3(2022), 1, Seite 137-148 (DE-627)1755306016 26924366 nnns volume:3 year:2022 number:1 pages:137-148 https://doi.org/10.1089/TMR.2022.0020 kostenfrei https://doaj.org/article/2f1d425cc72449bb91d1d86fe6de5d7c kostenfrei https://www.liebertpub.com/doi/full/10.1089/TMR.2022.0020 kostenfrei https://doaj.org/toc/2692-4366 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 3 2022 1 137-148
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authorswithroles_txt_mv	Jennifer L. Rosenthal @@aut@@ Sarah C. Haynes @@aut@@ Bethney Bonilla @@aut@@ Katherine Rominger @@aut@@ Jacob Williams @@aut@@ April Sanders @@aut@@ Raynald A. Orqueza Dizon @@aut@@ Kendra L. Grether-Jones @@aut@@ James P. Marcin @@aut@@ Michelle Y. Hamline @@aut@@
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author	Jennifer L. Rosenthal
spellingShingle	Jennifer L. Rosenthal misc R858-859.7 misc child misc patient transfers misc communication implementation misc science misc telemedicine misc trauma centers misc Computer applications to medicine. Medical informatics Enhancing the Implementation of the Virtual Pediatric Trauma Center Using Practical, Robust, Implementation and Sustainability Model: A Mixed-Methods Study
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topic_title	R858-859.7 Enhancing the Implementation of the Virtual Pediatric Trauma Center Using Practical, Robust, Implementation and Sustainability Model: A Mixed-Methods Study child patient transfers communication implementation science telemedicine trauma centers
topic	misc R858-859.7 misc child misc patient transfers misc communication implementation misc science misc telemedicine misc trauma centers misc Computer applications to medicine. Medical informatics
topic_unstemmed	misc R858-859.7 misc child misc patient transfers misc communication implementation misc science misc telemedicine misc trauma centers misc Computer applications to medicine. Medical informatics
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title	Enhancing the Implementation of the Virtual Pediatric Trauma Center Using Practical, Robust, Implementation and Sustainability Model: A Mixed-Methods Study
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title_full	Enhancing the Implementation of the Virtual Pediatric Trauma Center Using Practical, Robust, Implementation and Sustainability Model: A Mixed-Methods Study
author_sort	Jennifer L. Rosenthal
journal	Telemedicine Reports
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author_browse	Jennifer L. Rosenthal Sarah C. Haynes Bethney Bonilla Katherine Rominger Jacob Williams April Sanders Raynald A. Orqueza Dizon Kendra L. Grether-Jones James P. Marcin Michelle Y. Hamline
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author-letter	Jennifer L. Rosenthal
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title_sort	enhancing the implementation of the virtual pediatric trauma center using practical, robust, implementation and sustainability model: a mixed-methods study
callnumber	R858-859.7
title_auth	Enhancing the Implementation of the Virtual Pediatric Trauma Center Using Practical, Robust, Implementation and Sustainability Model: A Mixed-Methods Study
abstract	Background: This article describes factors related to adoption, implementation, and effectiveness of the Virtual Pediatric Trauma Center intervention, which uses telehealth for trauma specialist consultations for seriously injured children. We aimed at (1) measuring RE-AIM (Reach, Effectiveness, Adoption, Implementation, Maintenance) implementation outcomes and (2) identifying PRISM (Practical, Robust, Implementation, and Sustainability Model) contextual factors that influenced the implementation outcomes. Methods: This interim implementation evaluation of our telehealth trial used a convergent mixed-methods design. The quantitative component was a cross-sectional analysis of pediatric trauma encounters using electronic health records. The qualitative component was a thematic analysis of written and verbal feedback from providers and family advisory board meetings. We compared the quantitative and qualitative data by synthesizing them in a joint display table, organized by RE-AIM dimensions. We categorized these key findings into the PRISM domains. Results: During the first 10 months of this trial, 246 subjects were randomized, with 177 assigned to standard care and 69 assigned to telehealth. Four referring sites transitioned from standard care into their intervention period. PRISM contextual factors that influenced RE-AIM implementation outcomes included the following findings: Providers struggle to remember, interpret, and navigate intervention workflows; providers have preconceived ideas about the intervention purpose; the intervention mitigates parents' anxieties about the transfer process. Discussion: This study revealed implementation challenges that influence the overall success of this telehealth trial. Early identification of these challenges allows our team the opportunity to address them now to optimize the intervention reach, adoption, and implementation. This early action will ultimately enhance the success of our trial and the ability of our intervention to achieve broad impact.
abstractGer	Background: This article describes factors related to adoption, implementation, and effectiveness of the Virtual Pediatric Trauma Center intervention, which uses telehealth for trauma specialist consultations for seriously injured children. We aimed at (1) measuring RE-AIM (Reach, Effectiveness, Adoption, Implementation, Maintenance) implementation outcomes and (2) identifying PRISM (Practical, Robust, Implementation, and Sustainability Model) contextual factors that influenced the implementation outcomes. Methods: This interim implementation evaluation of our telehealth trial used a convergent mixed-methods design. The quantitative component was a cross-sectional analysis of pediatric trauma encounters using electronic health records. The qualitative component was a thematic analysis of written and verbal feedback from providers and family advisory board meetings. We compared the quantitative and qualitative data by synthesizing them in a joint display table, organized by RE-AIM dimensions. We categorized these key findings into the PRISM domains. Results: During the first 10 months of this trial, 246 subjects were randomized, with 177 assigned to standard care and 69 assigned to telehealth. Four referring sites transitioned from standard care into their intervention period. PRISM contextual factors that influenced RE-AIM implementation outcomes included the following findings: Providers struggle to remember, interpret, and navigate intervention workflows; providers have preconceived ideas about the intervention purpose; the intervention mitigates parents' anxieties about the transfer process. Discussion: This study revealed implementation challenges that influence the overall success of this telehealth trial. Early identification of these challenges allows our team the opportunity to address them now to optimize the intervention reach, adoption, and implementation. This early action will ultimately enhance the success of our trial and the ability of our intervention to achieve broad impact.
abstract_unstemmed	Background: This article describes factors related to adoption, implementation, and effectiveness of the Virtual Pediatric Trauma Center intervention, which uses telehealth for trauma specialist consultations for seriously injured children. We aimed at (1) measuring RE-AIM (Reach, Effectiveness, Adoption, Implementation, Maintenance) implementation outcomes and (2) identifying PRISM (Practical, Robust, Implementation, and Sustainability Model) contextual factors that influenced the implementation outcomes. Methods: This interim implementation evaluation of our telehealth trial used a convergent mixed-methods design. The quantitative component was a cross-sectional analysis of pediatric trauma encounters using electronic health records. The qualitative component was a thematic analysis of written and verbal feedback from providers and family advisory board meetings. We compared the quantitative and qualitative data by synthesizing them in a joint display table, organized by RE-AIM dimensions. We categorized these key findings into the PRISM domains. Results: During the first 10 months of this trial, 246 subjects were randomized, with 177 assigned to standard care and 69 assigned to telehealth. Four referring sites transitioned from standard care into their intervention period. PRISM contextual factors that influenced RE-AIM implementation outcomes included the following findings: Providers struggle to remember, interpret, and navigate intervention workflows; providers have preconceived ideas about the intervention purpose; the intervention mitigates parents' anxieties about the transfer process. Discussion: This study revealed implementation challenges that influence the overall success of this telehealth trial. Early identification of these challenges allows our team the opportunity to address them now to optimize the intervention reach, adoption, and implementation. This early action will ultimately enhance the success of our trial and the ability of our intervention to achieve broad impact.
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title_short	Enhancing the Implementation of the Virtual Pediatric Trauma Center Using Practical, Robust, Implementation and Sustainability Model: A Mixed-Methods Study
url	https://doi.org/10.1089/TMR.2022.0020 https://doaj.org/article/2f1d425cc72449bb91d1d86fe6de5d7c https://www.liebertpub.com/doi/full/10.1089/TMR.2022.0020 https://doaj.org/toc/2692-4366
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author2	Sarah C. Haynes Bethney Bonilla Katherine Rominger Jacob Williams April Sanders Raynald A. Orqueza Dizon Kendra L. Grether-Jones James P. Marcin Michelle Y. Hamline
author2Str	Sarah C. Haynes Bethney Bonilla Katherine Rominger Jacob Williams April Sanders Raynald A. Orqueza Dizon Kendra L. Grether-Jones James P. Marcin Michelle Y. Hamline
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up_date	2024-07-03T20:16:21.476Z
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