• J Clin Neurophysiol · Apr 2013

    Review

    Patient-centered care model in IONM: a review and commentary.

    • Stan Skinner.
    • J Clin Neurophysiol. 2013 Apr 1; 30 (2): 204-9.

    AbstractBoth remote monitoring and nearby/available care models depend on waveform telemetry (a limited form of telemedicine) during intraoperative neurophysiological monitoring (IONM). These dominant models neither mandate preoperative patient contact nor assume co-practitioner collegiality. This review and commentary argues in favor of a routine, normative relationship between the patient and the IONM physician/professional (IONM-P). Similarly, normal collegial relations should be established and maintained over time between the IONM-P and fellow co-practitioners (the proceduralist and the anesthesiologist). This professional practice "upgrade" places the IONM-P in a much stronger bioethical position among peers (and third party reviewers of the field and its practices). This "upgrade" also improves the likelihood that correct context-driven decisions will be made by the co-practitioners (IONM-P, proceduralist, and anesthesiologist) during complex multimodality monitoring. Most current models of IONM can be accommodated by readily available telemedicine-mediated videoconferencing. Several lines of argument are used to support this "patient-centered care model" of IONM.

      Pubmed     Full text   Copy Citation     Plaintext  

      Add institutional full text...

    Notes

     
    Knowledge, pearl, summary or comment to share?
    300 characters remaining
    help        
    You can also include formatting, links, images and footnotes in your notes
    • Simple formatting can be added to notes, such as *italics*, _underline_ or **bold**.
    • Superscript can be denoted by <sup>text</sup> and subscript <sub>text</sub>.
    • Numbered or bulleted lists can be created using either numbered lines 1. 2. 3., hyphens - or asterisks *.
    • Links can be included with: [my link to pubmed](http://pubmed.com)
    • Images can be included with: ![alt text](https://bestmedicaljournal.com/study_graph.jpg "Image Title Text")
    • For footnotes use [^1](This is a footnote.) inline.
    • Or use an inline reference [^1] to refer to a longer footnote elseweher in the document [^1]: This is a long footnote..

    hide…