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Teleneurosurgery Implementation for Referrals in Johor Bahru Hospital

| Posted in: Science

Journal name: The Malaysian Journal of Medical Sciences
Original article title: The Implementation of Teleneurosurgery in the Management of Referrals to a Neurosurgical Department in Hospital Sultanah Amninah Johor Bahru
The Malaysian Journal of Medical Sciences (MJMS) is a peer-reviewed, open-access journal published online at least six times a year. It covers all aspects of medical sciences and prioritizes high-quality research.
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Original source:

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Author:

Risdhawati HASSAN, Johari Adnan SIREGAR, Noor Azman A.RAHMAN@MOHD


The Malaysian Journal of Medical Sciences:

(A peer-reviewed, open-access journal)

Full text available for: The Implementation of Teleneurosurgery in the Management of Referrals to a Neurosurgical Department in Hospital Sultanah Amninah Johor Bahru

Year: 2014

Copyright (license): CC BY 4.0


Download the PDF file of the original publication


Summary of article contents:

Introduction

Teleneurosurgery, a specialized branch of telemedicine, has been implemented in Malaysia since 2006 to facilitate the remote consultation and management of neurosurgical patients. This system allows healthcare providers from lower-level hospitals to transmit clinical data and imaging to a central neurosurgical unit for expert evaluation. The establishment of this telecommunication framework aims to improve patient management, particularly in reducing unnecessary inter-hospital transfers, enhancing cost-effectiveness, and improving patient outcomes.

Significant Reduction in Unnecessary Transfers

One of the key findings from the study conducted at the Hospital Sultanah Aminah Johor Bahru is the significant reduction in inter-hospital transfers that are deemed unnecessary. The implementation of teleneurosurgery led to a 37.1% reduction in patients being transferred to a higher-level neurosurgical unit after clinical data and imaging were evaluated. While this resulted in fewer unnecessary transfers, it was also noted that 20.1% of patients initially assessed as not needing transfer required observation at the neurosurgical center upon further review of their clinical data and imaging, emphasizing the dual role of the system in both reducing unnecessary transfers and identifying patients at risk of deterioration.

Conclusion

In conclusion, teleneurosurgery offers considerable benefits in the management of neurosurgical referrals, particularly by minimizing unnecessary transfers while ensuring that patients who require closer observation receive appropriate care. This innovative approach not only positively impacts patient outcomes by reducing the risks associated with inter-hospital transfers but also contributes to healthcare cost savings for both patients and medical providers. The findings underscore the importance of integrating advanced communication technologies in healthcare to facilitate efficient and effective patient management in neurosurgery.

FAQ section (important questions/answers):

What is the purpose of teleneurosurgery introduced in Malaysia?

Teleneurosurgery was introduced to improve patient management by reducing unnecessary inter-hospital transfers and enabling better observation and treatment in original hospitals, thereby also reducing costs for patients and medical providers.

What were the findings regarding patient transfers in this study?

The study found a significant 37% reduction in unnecessary transfers. However, it also revealed that 20.1% of patients initially deemed non-transferable needed transfer after reviewing their clinical data and images.

How does the Glasgow Coma Scale (GCS) affect transfer decisions?

The GCS significantly influenced transfer decisions; when only clinical data was reviewed, mild and moderate injuries had a lower chance of transfer. Review of both clinical data and images showed changes in the decision based on GCS.

What are the main benefits of teleneurosurgery for patients and providers?

Teleneurosurgery enhances access to specialist care, reduces unnecessary patient transfers, and minimizes healthcare costs. It also allows timely and appropriate patient observation and management, improving overall healthcare efficiency.

Glossary definitions and references:

Scientific and Ayurvedic Glossary list for “Teleneurosurgery Implementation for Referrals in Johor Bahru Hospital�. This list explains important keywords that occur in this article and links it to the glossary for a better understanding of that concept in the context of Ayurveda and other topics.

1) Table:
A table is a systematic arrangement of data, typically in rows and columns. In research, tables present results clearly and concisely, allowing for easier comparison and analysis of data points. Tables serve to summarize findings, facilitating reader comprehension and ensuring that key information is readily accessible in scientific reports.

2) Study (Studying):
A study refers to a detailed examination and analysis of a subject, often conducted in a structured manner. In medical research, studies investigate hypotheses or treatments to generate evidence-based findings that inform clinical practices. Their systematic format adds credibility and helps advance knowledge within the respective field.

3) Quality:
Quality refers to the standard or degree of excellence of something. In healthcare, quality is paramount for patient safety and treatment efficacy. High-quality care ensures positive patient outcomes, reduces errors, and fosters trust between patients and healthcare providers. Evaluating quality is essential for ongoing improvement within medical systems.

4) Observation:
Observation in research involves closely monitoring variables or subjects to collect data without interference. It plays a crucial role in both qualitative and quantitative studies, informing hypotheses and conclusions. Accurate observation is vital in clinical settings to ensure meticulous assessment and understanding of patient conditions, treatments, and outcomes.

5) Transmission:
Transmission refers to the act of conveying or passing something from one place or entity to another. In telemedicine, this term describes the transfer of medical data or imaging between healthcare providers and facilities, facilitating remote consultations. Effective transmission is critical, ensuring timely access to needed information for patient care.

6) Patel:
Patel likely refers to an author or researcher who contributed to the fields of neurosurgery or telemedicine, as mentioned in studies. The work produced by Patel may help in understanding medical practices, outcomes, or innovations in healthcare. Contributions from various authors enrich the academic and clinical knowledge base.

7) Filling (Filled):
Filled indicates the completion or occupation of a given space. In research contexts, it often describes forms, data sheets, or studies where all required information has been provided and compiled. Ensuring forms are adequately filled is crucial for the accuracy and validity of research findings and subsequent analyses.

8) Rules:
Rules in research or clinical settings provide guidelines or protocols that must be followed to ensure ethical, effective, and consistent practices. They govern the conduct of studies, ensuring the protection of participants and integrity of the data. Adhering to established rules enhances the reliability and credibility of findings.

9) Post:
Post refers to the stage or period after an event, often indicating follow-up assessments or analyses. In clinical research, post- refers to evaluations conducted after treatment or intervention, such as post-operative observations. These evaluations are essential for assessing outcomes, recovery, and long-term effects of treatments administered.

10) Coma:
Coma refers to a state of prolonged unconsciousness, where a patient cannot be awakened and fails to respond to stimuli. It is a significant clinical condition requiring immediate medical attention. Understanding the causes, effects, and management of coma is critical in neurology, influencing treatment decisions and patient prognosis.

11) Performance:
Performance refers to the execution or functioning of a task or intervention. In healthcare, performance metrics may relate to the efficacy of treatments, clinical practices, or systems within healthcare environments. Evaluation of performance helps ensure continuous improvement in patient care and supports the health workforce's effectiveness.

12) Discussion:
Discussion involves the interpretation and conversation around results and findings obtained from research. It serves to contextualize data, evaluate implications, and provide insight into future research areas or clinical applications. Engaging in discussion fosters critical thinking and collaboration among researchers and practitioners across disciplines.

13) Disease:
Disease refers to a pathological condition of a bodily part resulting from various causes, characterized by an identifiable group of signs or symptoms. Disease understanding is essential for the development of effective treatments, preventive measures, and healthcare policies, ultimately enhancing patient care and public health outcomes.

14) Family:
Family signifies the social unit consisting of individuals related by blood, marriage, or mutual consent. In healthcare, family dynamics can significantly impact a patient's mental and emotional well-being. Family involvement in patient care fosters support and can enhance the healthcare experience and overall treatment outcomes.

15) Field:
Field refers to a specific area of study or practice. For example, the medical field encompasses various specialties and disciplines aimed at understanding, diagnosing, and treating health conditions. Professionals in various fields often engage in interdisciplinary collaborations to advance knowledge, improve outcomes, and promote comprehensive care for patients.

16) Death:
Death is the cessation of all biological functions that sustain a living organism. In healthcare, understanding death's implications, including ethical considerations regarding end-of-life care and bereavement, is vital. Awareness of death's impact on the individual, family, and community guides healthcare policies and interventions.

17) Jacob:
Jacob may reference a specific researcher or contributor in the medical literature. Individuals like Jacob bring expertise and insights into their specialized areas for better comprehension of complex health issues. Their contributions improve the evidence base, ultimately aiding in the development of impactful interventions or health strategies.

18) Yona:
Yona likely refers to an author or key figure in the research community, contributing valuable insights and data to the medical field. The work presented by individuals like Yona can drive advancements, inform clinical practices, and enhance patient care within the healthcare system, reinforcing the importance of collaborative research.

19) King:
King may denote an academic author or researcher involved in medical studies, particularly regarding neurosurgery or healthcare advancements. Contributions from researchers like King provide essential empirical evidence, thereby supporting or challenging existing methodologies and practices in the field, crucial for clinical improvement.

20) Bell:
Bell might refer to a contributor whose work is influential in the domain of telemedicine or healthcare delivery systems. Such contributions enrich scholarly discussions, facilitate advancements in practice, and promote innovations enhancing patient care and health service delivery across settings.

21) Kar:
Kaar may identify a researcher whose studies contribute to the academic literature on neurosurgery, telemedicine, or related fields. Contributions from various authors strengthen the understanding of clinical practices, foster collaboration, and encourage best practices among healthcare providers, ultimately benefiting patient outcomes.

22) Male:
Male refers to the biological sex of an individual, characterized by specific physiological and genetic features. In medical studies, understanding the implications of sex differences, including prevalence of diseases or response to treatments, is crucial for developing targeted interventions and ensuring equitable health outcomes for all genders.

23) Reliability:
Reliability indicates the consistency and dependability of a measure or system over time. In research and healthcare, reliability is vital to ensure accurate data collection, treatment efficacy, and overall patient safety. High reliability in clinical practices promotes trust among clinicians and patients, ultimately enhancing care delivery.

24) Reflecting:
Reflecting refers to the act of showing, demonstrating, or representing something. In research contexts, reflecting results based on empirical findings allows for meaningful conclusions to be drawn. This process supports a deeper understanding of patient outcomes, treatment efficacy, and potential areas for improvement in clinical practice.

25) Medicine:
Medicine is the science and practice of diagnosing, treating, and preventing diseases and injuries. It encompasses a diverse range of practices and specialties aimed at promoting health. The advancement of medicine relies on continuous research, education, and collaborative efforts among healthcare professionals to improve patient care and health outcomes.

26) Relative:
Relative refers to a person connected by blood or marriage, often involved in the patient's care decisions. In healthcare, understanding the role of relatives can highlight the influence of family dynamics on patient wellbeing, treatment adherence, and overall satisfaction with medical care.

27) Reason:
Reason refers to the rationale or justification for a decision or action. In healthcare, reasoned decision-making is essential for achieving optimal patient care, particularly when selecting treatment routes or managing clinical situations. Clear reasoning helps shape evidence-based practices and supports patient and provider understanding.

28) Money:
Money signifies currency, a crucial resource in healthcare transactions. Financial considerations significantly influence healthcare access, treatment choices, and available resources. Understanding financial implications can aid policymakers in crafting strategies that enhance the affordability and accessibility of medical care for diverse populations.

29) Line:
Line can refer to communication links that facilitate information transfer in healthcare contexts, especially in telemedicine. These lines, particularly digital or telecommunication lines, enable seamless interaction between healthcare providers, ensuring accurate diagnoses and effective consultations while reducing the need for patient transport.

30) Hand:
Hand suggests manual dexterity or assistance, often in the context of care delivery. In healthcare, hands-on techniques—such as surgery or patient evaluations—play a crucial role in effective practice. The interplay between technology and human touch remains essential in enhancing patient-provider relationships and overall treatment success.

31) Pur:
Poor denotes low-quality conditions or inadequate resources. In healthcare, poor outcomes signal the need for improved interventions and support systems. Addressing factors leading to poor health conditions fosters equitable care strategies, enhancing access and outcomes for vulnerable populations while highlighting areas for systemic improvement.

Other Science Concepts:

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Discover the significance of concepts within the article: �Teleneurosurgery Implementation for Referrals in Johor Bahru Hospital�. Further sources in the context of Science might help you critically compare this page with similair documents:

Clinical data, Medical information, Diagnosis, Patient management, Severe injury, Hospital admission, Mobile phone, Sample size, Health management, CT scan, Video consultation, Telemedicine, Patient safety, Prospective study, Clinical information, Odds ratio, Computed tomography scan, Hypotension, Trauma, Patient observation, Glasgow Coma Scale, Head injury, Multiple regression analysis, Cost Saving, Significance difference, Hypoxia, GC, Severe head injury, DICOM format, Patient referral, Referral hospital, Neurosurgery department, Teleconsultation, Inter hospital transfer, Mild injury, Neurosurgical intervention, Remote consultation, Secondary healthcare, Healthcare centres, Prospective observational cohort study.

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