Marcin, James
Institution: University of California, Davis
Grant Title: Telemedicine for Children in
Rural Emergency Departments
Grant Number: K08 HS013179
Duration: 5 years (2002-2007)
Total Award: $608,850
Project Description: The purpose of this study is
to determine the impact of telemedicine consultations on the quality and
satisfaction of care that critically ill and injured children receive in rural
emergency departments. There are three
main specific aims:
- To assess the impact of telemedicine consultation on medication errors and quality of care provided to acutely ill and injured children who present to rural hospitals.
- To assess the effect of telemedicine on the frequency of admissions to and transports from rural hospitals.
- To determine the level of parental satisfaction when telemedicine consultations are used.
Baseline data being collected
will further result in data describing the current quality of care, frequency
of medication errors, and admission appropriateness of acutely ill children
presenting to rural hospitals.
Career Goals: Dr. Marcin intends to become
an expert in the field of pediatric emergency telemedicine for the acutely ill
and injured child. By incorporating and
developing explicit measures of medical errors and quality in the Pediatric
Emergency Department and Pediatric Intensive Care Unit, he hopes to contribute
to the science of assessing quality and measures other than mortality and
length of stay. The grantee will
complete coursework in clinical and injury epidemiology, hierarchical modeling
in biostatistics, diffusion theory, and health services research methods.
Progress to Date: Dr. Marcin is continuing
formal training at University of California, Davis, including courses in Clinical Epidemiology and
Study Design. He is also regularly
attending Center for Health Technology research meetings, conferences, and the
Center for Health Services Research journal clubs and seminars. Dr. Marcin has presented five abstracts that
resulted from his K-Award research at the Pediatric Academic Societies National
Meeting in Washington, DC.
Future Plans: Dr. Marcin will continue data
collection and analysis for the prospective portion of the study. He will prepare manuscripts that detail data on
baseline quality of care, medication errors and admission appropriateness of
acutely ill and injured children presenting to rural hospitals.
Highlights and Specific Accomplishments:
- Faculty member,
University of California, Davis Center for Health Services Research in Primary Care.
- Professional
Societies:
- American Medical Association.
- American Academy of Pediatrics.
K-Generated Publications:
- Derrington S, Cole SL, Marcin JP, et al. Increased Nonessential Admissions in Rural Emergency Departments and by Non-Pediatric Emergency Medicine Physicians. Pediatric Academic Society, May 2005.
- Marcin JP, Kuppermann N, Nesbitt TS, et al. Improving Care of Critically Ill Children in Rural Emergency Departments with Telemedicine. Pediatric Academic Society, May 2005.
- Marcin JP, Dharmar M, Kuppermann N, et al. Assessing Quality of Care Among Children Receiving Care in the Emergency Department. Pediatric Academic Society, May 2005.
- Marcin JP, Seifert L, Cho M, et al. Medication Errors Among Acutely Ill and Injured Children Presenting to Rural Emergency Departments. Pediatric Academic Society, May 2005.
- Cole SL, Kuppermann N, Marcin JP, et al. Quality of Care Provided to Acutely Ill Children in Emergency Departments by Hospital Setting and Physician Training. Pediatric Academic Society, May 2005.
AHRQ Research Portfolio: Informatics; Quality and Patient Safety; Training.
AHRQ Goals: Safety and Quality
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