By the book or beyond? Lessons on implementation fidelity in remote patient monitoring within a hybrid hospital-at-home feasibility study.

ABSTRACT:

Objectives

Hybrid hospital-at-home (HaH) models, combining remote patient monitoring (RPM) with home visits, offer an alternative to inpatient care. Yet, evidence on how RPM is delivered is limited. This paper reports a substudy embedded within a feasibility study, examining RPM quality in a hybrid HaH programme for patients with lower respiratory tract infections before a large trial.

Methods

We analysed 19 patient trajectories in a multimethod feasibility study (April 2022-May 2023). We hypothesised that effective RPM implementation enables the timely detection of deterioration, prompting patients' return to the hospital and preventing harm. Quality was assessed via implementation fidelity and patient safety. Fidelity referred to adherence to RPM protocols for virtual ward

SUBMITTER: Dreisig TS 

PROVIDER: S-EPMC12918672 | biostudies-literature | 2026 Feb

REPOSITORIES: biostudies-literature