Telephotography in trauma: a 2-year clinical experience

Bellal A Joseph, Viraj Pandit, Julie Wynne, Hassan Aziz, Andrew - Tang, Narong Kulvatunyou, Arvie Webster, Terence S Okeeffe, Michelle Ziemba, Randall S Friese, Ronald S Weinstein, Peter M Rhee

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

INTRODUCTION: Smartphones can be used to record and transmit high-quality clinical photographs. The aim of this study was to describe our experience with smartphone telephotography in the care of trauma patients. We hypothesized that smartphone telephotography can be safely and effectively implemented on a trauma service.

SUBJECTS AND METHODS: We performed a 2-year (January 2011-December 2012) prospective analysis of all patient photographs recorded by members of our trauma team at our Level I trauma center. All members of the trauma team recorded patient photographs and e-mailed them to a secure e-mail account. An administrative assistant uploaded a copy of each photgrapho into the patient's electronic medical record. We assessed the number of photographs collected and uploaded, as well as the success, failure, and complication rates.

RESULTS: Our trauma team sent 7,200 photographs to a secure e-mail account. Of those, 6,120 (85%) were considered, after an initial review, to be of good quality. Of these, 3,320 photographs (54%) were successfully uploaded into a patient's electronic medical record; the remaining 2,800 photographs lacked adequate labeling and could not be uploaded. The average interval to uploading was 3 months. In total, 10 photographs were uploaded into the wrong patient's electronic medical record, for an error rate of 0.003%. We received only three complaints during the study period.

CONCLUSIONS: Telephotography can be safely and effectively implemented in trauma clinical practice. Fears of Health Insurance Portability and Accountability Act violations are not valid, as the incidence of patient complaints is minimal when telephotography is implemented under strict guidelines and rules. Dedicated administrative personnel are essential for effective implementation of smartphone photography.

Original languageEnglish (US)
Pages (from-to)342-345
Number of pages4
JournalTelemedicine Journal and e-Health
Volume20
Issue number4
DOIs
StatePublished - Apr 1 2014

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Electronic Health Records
Wounds and Injuries
Postal Service
Health Insurance Portability and Accountability Act
Medical Errors
Trauma Centers
Photography
Administrative Personnel
Fear
Patient Care
Guidelines
Smartphone
Incidence

ASJC Scopus subject areas

  • Medicine(all)

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Telephotography in trauma : a 2-year clinical experience. / Joseph, Bellal A; Pandit, Viraj; Wynne, Julie; Aziz, Hassan; Tang, Andrew -; Kulvatunyou, Narong; Webster, Arvie; Okeeffe, Terence S; Ziemba, Michelle; Friese, Randall S; Weinstein, Ronald S; Rhee, Peter M.

In: Telemedicine Journal and e-Health, Vol. 20, No. 4, 01.04.2014, p. 342-345.

Research output: Contribution to journalArticle

Joseph, Bellal A ; Pandit, Viraj ; Wynne, Julie ; Aziz, Hassan ; Tang, Andrew - ; Kulvatunyou, Narong ; Webster, Arvie ; Okeeffe, Terence S ; Ziemba, Michelle ; Friese, Randall S ; Weinstein, Ronald S ; Rhee, Peter M. / Telephotography in trauma : a 2-year clinical experience. In: Telemedicine Journal and e-Health. 2014 ; Vol. 20, No. 4. pp. 342-345.
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N2 - INTRODUCTION: Smartphones can be used to record and transmit high-quality clinical photographs. The aim of this study was to describe our experience with smartphone telephotography in the care of trauma patients. We hypothesized that smartphone telephotography can be safely and effectively implemented on a trauma service.SUBJECTS AND METHODS: We performed a 2-year (January 2011-December 2012) prospective analysis of all patient photographs recorded by members of our trauma team at our Level I trauma center. All members of the trauma team recorded patient photographs and e-mailed them to a secure e-mail account. An administrative assistant uploaded a copy of each photgrapho into the patient's electronic medical record. We assessed the number of photographs collected and uploaded, as well as the success, failure, and complication rates.RESULTS: Our trauma team sent 7,200 photographs to a secure e-mail account. Of those, 6,120 (85%) were considered, after an initial review, to be of good quality. Of these, 3,320 photographs (54%) were successfully uploaded into a patient's electronic medical record; the remaining 2,800 photographs lacked adequate labeling and could not be uploaded. The average interval to uploading was 3 months. In total, 10 photographs were uploaded into the wrong patient's electronic medical record, for an error rate of 0.003%. We received only three complaints during the study period.CONCLUSIONS: Telephotography can be safely and effectively implemented in trauma clinical practice. Fears of Health Insurance Portability and Accountability Act violations are not valid, as the incidence of patient complaints is minimal when telephotography is implemented under strict guidelines and rules. Dedicated administrative personnel are essential for effective implementation of smartphone photography.

AB - INTRODUCTION: Smartphones can be used to record and transmit high-quality clinical photographs. The aim of this study was to describe our experience with smartphone telephotography in the care of trauma patients. We hypothesized that smartphone telephotography can be safely and effectively implemented on a trauma service.SUBJECTS AND METHODS: We performed a 2-year (January 2011-December 2012) prospective analysis of all patient photographs recorded by members of our trauma team at our Level I trauma center. All members of the trauma team recorded patient photographs and e-mailed them to a secure e-mail account. An administrative assistant uploaded a copy of each photgrapho into the patient's electronic medical record. We assessed the number of photographs collected and uploaded, as well as the success, failure, and complication rates.RESULTS: Our trauma team sent 7,200 photographs to a secure e-mail account. Of those, 6,120 (85%) were considered, after an initial review, to be of good quality. Of these, 3,320 photographs (54%) were successfully uploaded into a patient's electronic medical record; the remaining 2,800 photographs lacked adequate labeling and could not be uploaded. The average interval to uploading was 3 months. In total, 10 photographs were uploaded into the wrong patient's electronic medical record, for an error rate of 0.003%. We received only three complaints during the study period.CONCLUSIONS: Telephotography can be safely and effectively implemented in trauma clinical practice. Fears of Health Insurance Portability and Accountability Act violations are not valid, as the incidence of patient complaints is minimal when telephotography is implemented under strict guidelines and rules. Dedicated administrative personnel are essential for effective implementation of smartphone photography.

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