Using a centralized nursing team to implement multi-specialty pediatric remote patient monitoring programs.
Kylee Denker, Micah Dean, DaVona Chapman and 1 others
PMID 36592607WHAT IT FOUND
A centralized pediatric nursing team running remote monitoring grew from six to 296 patients across 17 programs.
Satisfaction stayed high, but adherence averaged 68% and dropped after six months. English-only enrollment and device access excluded many families.
Key findings
01Adherence averaged 68% across all programs, with longer-term enrollments showing a drop around six months.
02Patients with a primary language other than English could not be enrolled, accounting for a majority of failed enrollments.
03Post-op pain management RPM interventions reduced prescribed oxycodone from 20 to 10 weight-based doses per patient.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
This is a single-center service description and quality improvement report, not a controlled trial, so outcomes cannot be attributed solely to RPM. The program excludes patients who do not speak English, creating a significant equity gap. Patient satisfaction data is collected via the same app managed by the nursing team, which may bias responses if families fear negative feedback affects care. Adherence data shows a decline over time, suggesting the model may not be sustainable for chronic conditions without adjusting monitoring frequency.
Declared interests
The authors declared no conflicts of interest. The RPM department was initially funded by the institution's general operating budget.
The easy way to misread this
Do not interpret the growth in patient numbers and high satisfaction scores as evidence that RPM improves clinical outcomes like hospitalizations or disease control. The paper reports no significant differences in health outcomes compared to standard care, and the reduction in opioid prescribing is an observational finding within a quality improvement project, not a tested intervention effect.