Table 3. Feedback about inpatient telehealth provided by clinicians.
Positive feedback | Negative feedback |
---|---|
“It was seamless”-Pediatric hospitalist | “Couldn't figure out how to turn audio on.” -Pediatric hospitalist |
“Parent used her own device...and already had [the video conferencing app] installed for work.”-Pediatric hospitalist | “At admission, the automatic [meeting links] didn't seem to be set up so I had to create my own.” -Pediatric hospitalist |
“I was able to get a pretty good history and fairly decent physical and develop good rapport.”-Pediatric hospitalist | “The hospital-assigned [meeting links] didn't work so I set up a personal [meeting identification] and added a password.” -Pediatric hospitalist |
“Using the families own smartphone...was much easier. I could see/hear better [than using hospital device].”-Pediatric hospitalist | “It was hard to get a good skin exam on [the video conferencing software] but I could tell the skin looked generally more eczematous and that the patient was well appearing and nontoxic.” |
“Parents very willing to help with exam, including cap refill, ROM testing, etc.” -Pediatric Hospitalist | “[The residents] seemed hesitant to use their own device [in the room].” -Pediatric hospitalist |
“I think I established great rapport with both families, both of whom had already had telemedicine visit with their PCP btw.” -Pediatric hospitalist | “I didn't ask the nurse to do as many exam maneuvers for me because I sensed she was trying to maintain a distance and I wanted to minimize her exposure.” -Pediatric hospitalist |
“I think overall it worked quite well. We had really good success with getting the families to download [the app] to their phones and no major technological issues.” -Pediatric gastroenterology fellow | “The main issue is getting [inpatient telehealth] appointments set up is that patients who are NOT under precautions are not consistently trained/set up to use [telehealth] (and challenge to do so during busy rounds/day). For patients in precautions, there appears to be more consistent attention to have them set up [on the video conferencing app]” -Pediatric endocrinologist |
“I think it is an amazingly important technology for social distancing.” -Pediatric gastroenterologist | “This could be streamlined by helping family's download the app on admission.” -Pediatric endocrinology fellow |
“My sense was that the families liked it or at least didn't seem to have any big problem with it” -Pediatric gastroenterology fellow | “I was told that the [tablets] were only available for patients on precautions/COVID rule outs. I also felt that nurses seemed surprised that we would even want/need to do a virtual visit for a patient who wasn't on precautions.” -Pediatric endocrinology fellow |
“Thanks again for the outstanding job of deploying the capabilities of [video conferencing software] for the OR” -Pediatric anesthesiologist | |
“As typically happens, great success brings new visions and with it more possibilities” -Pediatric anesthesiologist | |
“We had a very successful [telehealth] visit using the family's personal device and [the assigned meeting link and password].” -Pediatric endocrinology fellow |
Abbreviations: PCP, primary care physician; ROM, range of motion.