Evaluation of an accident and emergency teleconsultation service for north-east Scotland

E M Brebner, J A Brebner, H Ruddick-Bracken, R Wootton, J Ferguson, A Palombo, D Pedley, A Rowlands, S Fraser

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    25 Citations (Scopus)


    We evaluated an accident and emergency teleconsultation service provided to 14 community hospitals in north-east Scotland. Each community hospital was equipped with a videoconferencing system and a document camera to allow transmission of radiographs. The network used 384 kbit/s ISDN connections. A total of 1392 teleconsultations were recorded during a 12-month study period. Seventy-seven per cent of patients (n=1072) were managed locally and 23% (n=320) were transferred to Aberdeen. The majority (95%) of teleconsultations were conducted on weekdays, and 90% of these occurred between the hours of 09:00 and 16:00. The mean delay in contacting a doctor was 9 min and the mean consultation time was 10 min. The majority of patients were suffering from fractures or suspected fractures of the limbs. Radiograph transmission was used in 75% of all teleconsultations. A high degree of satisfaction was recorded by all users of the service.

    Original languageEnglish
    Pages (from-to)16-20
    Number of pages5
    JournalJournal of telemedicine and telecare
    Issue number1
    Publication statusPublished - 1 Feb 2004


    • minor injuries telemedicine
    • radiographs
    • support
    • system


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