{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,29]],"date-time":"2026-10-29T06:36:35Z","timestamp":1793255795214,"version":"4.5.0"},"reference-count":19,"publisher":"SAGE Publications","issue":"10","license":[{"start":{"date-parts":[[2024,11,18]],"date-time":"2024-11-18T00:00:00Z","timestamp":1731888000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Telemed Telecare"],"published-print":{"date-parts":[[2025,12]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Inadequate counseling at patient discharge from the emergency department can lead to adverse patient outcomes. Virtual discharge counseling can address gaps in discharge counseling and improve patients\u2019 understanding of instructions.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A previously established virtual discharge counseling program was scaled across three emergency departments and expanded to 13 diagnoses. Utilizing a standardized protocol and script, counselors performed virtual discharge counseling via a remote, secure teleconference platform in the patients\u2019 preferred language.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Virtual discharge counseling was performed with 166 patients. COVID-19, back pain, and headache were the most frequent diagnoses. The median counseling time was 14\u2005min. Median counseling time for English was 11\u2005min, versus 20\u2005min for other languages (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009&lt;\u20090.001). Counseling times were the longest for COVID-19 and diabetes (18\u2005min for each).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>We demonstrate the scalability of a virtual discharge counseling program. Our findings can assist in targeting virtual discharge counseling resources for limited English-proficiency patients and specific diagnoses that require longer counseling times.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/1357633x241297337","type":"journal-article","created":{"date-parts":[[2024,11,19]],"date-time":"2024-11-19T01:39:36Z","timestamp":1731980376000},"page":"1462-1467","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Virtual discharge counseling: An assessment of scalability of a novel patient educational process across a multi-site urban emergency department"],"prefix":"10.1177","volume":"31","author":[{"given":"Victoria","family":"Leybov","sequence":"first","affiliation":[{"name":"New York University Grossman School of Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1268-3342","authenticated-orcid":false,"given":"Joshua","family":"Ross","sequence":"additional","affiliation":[{"name":"New York University Grossman School of Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6397-0069","authenticated-orcid":false,"given":"Zoe","family":"Grabinski","sequence":"additional","affiliation":[{"name":"New York University Grossman School of Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Silas W","family":"Smith","sequence":"additional","affiliation":[{"name":"New York University Grossman School of Medicine"},{"name":"New York University Grossman School of Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yelan","family":"Wang","sequence":"additional","affiliation":[{"name":"New York University Grossman School of Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ian G","family":"Wittman","sequence":"additional","affiliation":[{"name":"New York University Grossman School of Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christopher G","family":"Caspers","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine, New York University Grossman Long Island School of Medicine, NYU Langone Health, New York, NY, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Audrey Bree","family":"Tse","sequence":"additional","affiliation":[{"name":"John Muir Health"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nancy","family":"Conroy","sequence":"additional","affiliation":[{"name":"New York University Grossman School of Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2024,11,18]]},"reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.1071\/AH09777"},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.annemergmed.2011.10.023"},{"key":"e_1_3_2_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jen.2009.11.008"},{"key":"e_1_3_2_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcjq.2021.08.013"},{"key":"e_1_3_2_6_2","doi-asserted-by":"publisher","DOI":"10.1007\/s11606-019-05119-y"},{"key":"e_1_3_2_7_2","doi-asserted-by":"publisher","DOI":"10.1080\/10410236.2012.743869"},{"key":"e_1_3_2_8_2","first-page":"25","article-title":"Milwaukee health system leverages telemedicine during triage process at multiple ED sites","volume":"29","author":"Coogan P","year":"2017","unstructured":"Coogan P, Rodgers M. Milwaukee health system leverages telemedicine during triage process at multiple ED sites. ED Manag 2017; 29: 25\u201328.","journal-title":"ED Manag"},{"key":"e_1_3_2_9_2","doi-asserted-by":"crossref","unstructured":"Jorge Short Apellaniz M \u00c1lvaro de la Parra JA Alvaro Gomez-Meana LCMD et al. Leveraging Telemedicine to Reduce ED Overcrowding: The Quir\u00f3nsalud Virtual Urgent Care Program. 4.","DOI":"10.1056\/CAT.22.0422"},{"key":"e_1_3_2_10_2","doi-asserted-by":"publisher","DOI":"10.1161\/JAHA.121.023935"},{"key":"e_1_3_2_11_2","first-page":"1357633X2211492","article-title":"Piloting a novel medical student virtual discharge counseling process in the time of the COVID-19 pandemic","volume":"30","author":"Leybov V","year":"2023","unstructured":"Leybov V, Ross J, Smith SW, et al. Piloting a novel medical student virtual discharge counseling process in the time of the COVID-19 pandemic. J Telemed Telecare 2023: 30: 1357633X221149227.","journal-title":"J Telemed Telecare"},{"key":"e_1_3_2_12_2","doi-asserted-by":"publisher","DOI":"10.1111\/acem.12877"},{"key":"e_1_3_2_13_2","doi-asserted-by":"publisher","DOI":"10.1007\/s11739-018-1943-6"},{"key":"e_1_3_2_14_2","article-title":"An equity agenda for the field of health care quality improvement","author":"O\u2019Kane M","year":"2021","unstructured":"O\u2019Kane M, Agrawal S, Binder L, et al. An equity agenda for the field of health care quality improvement. NAM Perspect 2021. Epub ahead of print 2021. 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