picot question for telehealth

However, the overall safety of telehealth is less well studied. 0000031290 00000 n <>17]/P 20 0 R/Pg 196 0 R/S/Link>> Telehealth, Telemedicine and Telecare: What's What? Safeguards are required, such as password protection, in order to ensure that issues of confidentiality of patient data are enforced (Lateff, 2011). T- Time period(ie. These types of guidance documents help to ensure that patients are receiving telehealth and in-person care in a consistent way, that the capabilities and limitations of telehealth are communicated effectively, and can ease the adjustment for providers with minimal prior experience performing telehealth. <> Using telehealth in the management of hypertension - PubMed See below for definitions, PICO templates, and example questionsfromthe primary clinical domains: intervention, diagnosis, etiology, prevention, prognosis/prediction, quality of life/meaning, and therapy. 5 0 obj 91 0 obj <> endobj Accessed April 26, 2020. Published March 17, 2020. In addition, providers will need to ensure reasonable accommodations are in place for patients who are deaf, hard-of-hearing, or are blind or have low vision. The George Washington University Does telelmonitoring blood pressure (I) in urban African Americans with hypertension (P) improve blood pressure control (O) within the six months of initiation of the medication (T)? Example: What are the experiences and perspectives ofundergraduate nursing studentsin clinical placements within prison healthcare settings? While telehealth is providing powerful approaches for protecting patients and providers during the COVID-19 outbreak, its increased and evolving use raises other potential patient safety concerns. I am trying formulate a PICOT question about telehealth and CHF. 194 0 obj 0000002030 00000 n Is a PKU test (I) done on two week old infants (P) more accurate in diagnosis inborn errors in metabolism (O) compared with PKU tests done at 24 hours of age (C)? The use of telehealth has been growing steadily as a patient-centered complement to care provided face-to-face, particularly among private insurers. 0000041860 00000 n 0000019268 00000 n <> endobj page (opens in new window). %PDF-1.3 % What action is taken for the users, potential users, or stakeholders? Running head: EBP TELEHEALTH Evidence Based Practice: Use of Telehealth to Reduce Rehospitalizations in the CHF Population Chadwick Boberg, RN, BSN . Does __________ (I) influence ________ (O) in patients who have _______ (P) over ______ (T)? It is important for institutions to maintain good patient safety culture and ensure that providers have the opportunity to learn from what went right and what went wrong in telehealth cases. "Reducing Stroke Readmission Through the Implementation of Telehealth 192 0 obj 26 0 obj You remember reading about the limitations of duplex ultrasound and calfveins, and are wondering if a d-dimerassay can help you rule out DVT more accurately. As providers and patients become more familiar with the technical aspects of telehealth, and as patients understanding of both the benefits and limitations of telehealth increases, telehealth will become a part of standard practice for delivering safe, high-quality healthcare. With a robust telehealth infrastructure in place, patients may receive more timely diagnoses and treatment recommendations, more appropriate follow-up care, and a reduced likelihood of experiencing an adverse event as a result of delayed assessment and treatment. The extensive uptake of telehealth has considerably transformed health care delivery since the beginning of the COVID-19 pandemic and has imposed tremendous challenges to its large-scale implementation and adaptation. In addressing these barriers and associated issues, it is also clear that safeguards are required to protect patients and ensure that the standard defining quality care provisions are upheld. ing real world practice, based on the research question and type of intervention.17 Table 1 gives a classication of the major types of comparisons in telehealth research. Managing Director, IMPAQ Health Pubmed Clinical Queries. Comparator, Outcome, and Time) TheirBMI is within a normal range, but they have a family history of obesity, and are concerned aboutthe impact carbsmay have onmaintaining a healthy weight. What time periods should be considered? This unique opportunity to implement innovative and creative approaches to patient care will have long-lasting impacts for the future of telehealth. 6. Example: For adolescents with type II diabetes (P) does the use of telehealth consultations (I) compared to in-person consultations(C)improve blood sugar control(O)? Welcome to the PICOT Research Question Generator! Telehealth Use in Rural Healthcare - Rural Health Information Hub %PDF-1.5 week 2 PICOT question NR505.docx - Course Hero Telemedicine using remote monitoring technologies can facilitate treatment and even decrease the frequency of virtual and in-person patient encounters. My name is Eric Heidel, PhD, PStat, and I am an Associate Professor of Biostatistics at Obtain consent for telehealth visits and explain the process thoroughly and answer any questions. https://www.cms.gov/newsroom/press-releases/trump-administration-makes-sweeping-regulatory-changes-help-us-healthcare-system-address-covid-19. The effectiveness of tele-triage during the COVID-19 pandemic: a systematic review and narrative synthesis. endobj A Telehealth Blood Pressure Education Program on Hypertension Knowledge 0000015148 00000 n It can help reduce barriers to care for people who live far away from specialists or who have transportation or mobility issues. 24 0 obj <>/MediaBox[0 0 612 792]/Parent 9 0 R/Resources<>/Font<>/ProcSet[/PDF/Text/ImageC]/XObject<>>>/StructParents 0/Tabs/S/Type/Page>> Teamwork before and during COVID-19: the good, the same, and the ugly. 32 0 obj In _________ (P), how does _________ (I) compared to _________(C) affect _______(O) within _______ (T)? 36 0 obj KWM_# T=mUlE,{w{]=-"U7d-+wV}8,%rqv~?Z=\eH0=pW\ztVC'@6l wNM[p;D3k.Pt#=j&ZY1[b`(+\\\\C2:\;\&%%%R ```66 2@JJ@fH1\$dll2d"ec.4j(ccCQ$5R..ii &3@ What is the context for the question? Sites, Contact <>1]/P 13 0 R/Pg 196 0 R/S/Link>> endobj clinical placements in prison healthcare settings. Accessed May 6, 2020. stream Us, Quick-Start Guide to Telehealth During a Crisis, COVID-19 Telehealth Resources - Building a Telehealth Program, Telehealth and Telemedicine Publications and Resources, https://www.fcc.gov/general/telehealth-telemedicine-and-telecare-whats-what, https://www.ahip.org/wp-content/uploads/IB_Telehealth-031219.pdf, https://www.healthaffairs.org/do/10.1377/hblog20200315.319008/full/, https://s3.amazonaws.com/media2.fairhealth.org/whitepaper/asset/A%20Multilayered%20Analysis%20of%20Telehealth%20-%20A%20FAIR%20Health%20White%20Paper.pdf, http://www.medpac.gov/docs/default-source/reports/mar18_medpac_ch16_sec.pdf?sfvrsn=0, https://www.cms.gov/newsroom/press-releases/president-trump-expands-telehealth-benefits-medicare-beneficiaries-during-covid-19-outbreak, https://www.cms.gov/newsroom/press-releases/trump-administration-makes-sweeping-regulatory-changes-help-us-healthcare-system-address-covid-19, https://www.cms.gov/files/document/covid-19-physicians-and-practitioners.pdf, https://www.ahip.org/health-insurance-providers-respond-to-coronavirus-covid-19, The Role of Telehealth in the COVID-19 Crisis, In Conversation With Joel Willis, DO, PA, MA, MPhiL and Neal Sikka, MD. endstream 4. You may choose to build on the practice issue you identified in NR500NP/NR501NP. Eight research . Finally, in the effort to maximize use of telehealth services and minimize the risk of patient exposure to the virus, remote evaluations allow providers to recommend more judicious use of ancillary services, recognizing that there is a continued need to ensure patients are able to receive all necessary services when appropriate (e.g., labs, x-rays, procedures). 1. Is the PICOT question original, relevant, and interesting? 2. Is Mandated report: Telehealth services and the Medicare program. 0000003992 00000 n 33 0 obj Medical Faculty Associates Individuals are attracted by the Internet as an information provider as it is perceived as a "safe and anonymous place" to procure and share health care information (Thompson, Koumanakos and Hadjri, 2012, p. 149). 0000049147 00000 n Are kids (P) who have obese adoptive parents (I) at Increased risk for obesity (O) compared with kids (P) without obese adoptive parents (C) during the ages of five and 18 (T)? In adult patients with total hip replacements (, https://libraryguides.nau.edu/evidencebasedpractice, Student Technology Center at Cline Library. Introduction; Research Toggle Dropdown. 7 0 obj <> m risus ante, dapibus a molestie consequat, ultrices ac magna. This worksheet will help you build a PICOT question and identify keywords for your searchable question. 4 0 obj The Evidence Base for Telehealth: Reassurance in the Face of Rapid o Explain why (what specific aspects of the website) you would recommend these websites to this population. What study types are most likely to have the information you seek? Across most frameworks, youll often be considering: PICO is the most common framework for developing a clinical research question, but multiple question frameworks exist. It may include clinical care services, education for both patients and providers, and public health or healthcare administrative services.1 Telehealth can be used as a tool to monitor, diagnose, treat, and counsel patients in circumstances where in-person care is not feasible, or when telehealth is more convenient or economical. a how ([how] did the [what] affect the [who] - an outcome, an effect). 3 0 obj 41 0 obj PDF Using Telehealth to Improve Quality and Safety - Agency for Healthcare Profile of AHRQ Telehealth Grantees GranteeCharacteristics Thesubsetof theAHRQgranteesand contractors who haveimplemented,orareinthe Questions addressing the prediction of the course of a disease. xU]o@|\l(TU P`klqgD5P$w=XmeWp3^4uUm^&`Fp 0J3N?kzn~`~s@$RSzdr_UMV/`6IG*,f%R!,q1zub:1f)tO|qSPq5L#(gs]K,WL?3y8kTJG:YzI0)R!fw^,,i [)/h Ra hn&0IM,B))\|(,Ucq~vNS~J0%2 G%~sH$u". -dJia,V?w*ky$k9:%~ What kinds of interventions would fall under the umbrella of 'telehealth'? Published March 30, 2020. statistical tests by visiting the PICOT question and statistics page (opens in new window). Developing a Research Question - Capstone and PICO Project Toolkit 0000027079 00000 n <> endstream endobj N=l%l+xD005$,K Fusce dui le. Does dietary carbohydrate intake influence healthy weight maintenance (BMI <25) in patients who have family history of obesity (BMI >30). Question: In POPULATION, does INTERVENTION as compared to COMPARISON/CONTROL GROUP result in OUTCOME? Published March 16, 2020. PICO is a abbreviation that has elements of a good clinical question. PICOT is an acronym that is used to represent the clinical question: (P) Patient population, or group of patients of interest. into text boxes that reflect each of the five PICOT components. Thank you for using the PICOT Research Question Generator! Vqm``A`bC#[L i @.(v*| ^? <> What are the reasons for behavior and decisions? 0000003138 00000 n Centers for Medicare & Medicaid Services. 40 0 obj Accessed October 9, 2019. 2020-05-04T07:16:06-07:00 <><>5 6]/P 6 0 R/Pg 45 0 R/S/Link>> Design: After a PICOT question was developed, a critical appraisal of the evidence was conducted. "Are_________________(P), who have_________________(I) compared with those without_________________(C) at_________________risk for/of_________________(O) over_________________(T)?". Finally, you will click on a button and the PICOT Research Question Generator will present the following: Your PICOT question. It can be helpful to classify your question based on the clinical domain (s) it falls under. Who is the group of people being studied? Bohan Farrell What is the outcome that may be affected by the exposure (dependent variable)? Your dependent variable. There are a variety of tools that can be utilized to address security concerns. This model helps us create searchable clinical questions before we start looking at the literature. Rapidly accelerating telehealth capabilities may be necessary for many institutions as the healthcare community tackles the COVID-19 epidemic. All clinical staff within a given institution should be aware of these guidance documents and of when to use them. Ensuring primary care diagnostic quality in the era of telemedicine. Advanced communication technology offers a method for addressing this problem. Your patientand her wife have lived together for 10 years, and while she doesn't smoke, her partner does. Evaluating Health-Related Websites for Populations Telehealth Nursing Essay, o For the preferred patient population, identify two credible health-related web sites that would be useful to ensuring this populations effective health status. 6 0 obj <>3]/P 6 0 R/Pg 196 0 R/S/Link>> Step-by-step explanation. 2012). 2 0 obj Telehealth Nursing Essay, It is true of many rural and remote locations that insufficient access to health care provision results in lower health status when compared to their urban counterparts. Satisfaction with the use of telehealth during COVID-19 - ScienceDirect Another approach is to use telehealth as a means of performing an initial evaluation and triage of patients with COVID-19 symptoms. Over the past decade, private insurers have greatly expanded telehealth coverage, recognizing its ability to provide affordable expanded access and care for patients. Rosswurm and Larrabee (1999) EBP model was used as a guiding framework for the pilot study. An official website of 0000013059 00000 n Accredited Professional Statistician. Use this guide to learn about the first four steps of Evidence Based Practice, get help writing your PICO question, and get started on your research.

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