Tele-EEG in the UK: a report of over 1000 patients

Author:

Coates Steven12,Clarke Anne2,Davison Geoffrey3,Patterson Victor45

Affiliation:

1. Department of Clinical Neurophysiology, Sunderland Royal Hospital, UK

2. Bespoke Healthcare, Preston, UK

3. Concept Informatics Ltd, Newcastle upon Tyne, UK

4. Synapse Teleneurology Ltd, Belfast, UK

5. Queen's University, Belfast, UK

Abstract

Clinical neurophysiology is the medical specialty in the UK responsible for training doctors in the interpretation of electroencephalograms (EEGs). At present it is difficult to recruit doctors to train in clinical neurophysiology which causes difficulty in delivering services. We established a tele-EEG service to record and report on EEGs at a UK hospital which was unable to attract a resident clinical neurophysiologist. The EEGs were recorded in digital format and placed on a web server to be read by a clinical neurophysiologist in another part of the UK. Where possible this was done using NHS web servers and email, but a back-up system was established using other systems with suitable encryption. A total of 1007 EEGs were reported in 13 months from patients of all ages, epilepsy being the commonest reason for referral. All cases were reported within 24 h of recording. The back-up system was used in 60 cases. Tele-EEG is a feasible, secure, timely and effective method of providing an EEG service to hospitals which cannot recruit a resident clinical neurophysiologist.

Publisher

SAGE Publications

Subject

Health Informatics

Reference7 articles.

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3. Committee on Quality Healthcare in America, Institute of Medicine. Improving the 21st century healthcare system. pp 39–54 in Crossing the Quality Chasm: A New Health System for the 21st Century. Washington, DC: National Academies Press, 2001

4. Formative evaluation of a telemedicine model for delivering clinical neurophysiology services part I: Utility, technical performance and service provider perspective

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