Virtual Rounds Research Articles

Virtual Patient Safety Rounds

Understanding how and why errors in healthcare happen is essential to improving patient safety. Yet exposure to this learning process is usually limited to those events occurring in one's own institution. Virtual Safety Rounds expands this learning opportunity to multiple hospitals. Twice each month physicians; nurses; and quality, risk, and patient safety staff participate in a discussion about a recent safety event within the healthcare system. Within this safe collegial environment experiences, plans of correction and lessons learned are shared. Hospitals are learning from each other without having to experience the patient safety issue directly.

Videoconferencing in a Veterinary Curriculum

Videoconferencing is a powerful and versatile method for distance learning. Videoconferencing incorporates real-time video and audio into connections with distant sites and, when combined with simultaneous Internet transmission of high-resolution images, enables veterinary educators to expand the classroom to include students and faculty from remote sites. The University of Tennessee College of Veterinary Medicine (UTCVM) has used videoconferencing to deliver and receive entire courses, virtual rounds, seminars, journal clubs, and small meetings and for in-house transmission from one area of the campus to another. Responses from faculty and students at UTCVM indicate that videoconferencing technology will be a permanent part of the academic mission of the college for years to come. This article describes a number of veterinary school applications using distance-learning approaches that the authors hope will serve as examples upon which others can build.

Intensive Care Unit Telemedicine: Review and Consensus Recommendations

Intensive care unit telemedicine involves nurses and physicians located at a remote command center providing care to patients in multiple, scattered intensive care units via computer and telecommunication technology. The command center is equipped with a workstation that has multiple monitors displaying real-time patient vital signs, a complete electronic medical record, a clinical decision support tool, a high-resolution radiographic image viewer, and teleconferencing for every patient and intensive care unit room. In addition to communication functions, the video system can be used to view parameters on ventilator screens, infusion pumps, and other bedside equipment, as well as to visually assess patient conditions. The intensivist can conduct virtual rounds, communicate with on-site caregivers, and be alerted to important patient conditions automatically via software-monitored parameters. This article reviews the technology's background, status, significance, clinical literature, financial effect, implementation issues, and future developments. Recommendations from a University HealthSystem Consortium task force are also presented.

Bilateral Norrie's disease in identical twins.

A case of Norrie's disease in an identical twins is reported. No positive family history was obtained. The couple had no other children. The older of the twins died at the age of 9 months of uncertain cause. To the best of my knowledge this is the first case of Norrie's disease reported in Malaysia. And its occurrence in an identical twins is very rare.