Intensive care unit telemedicine: Alternate paradigm for providing continuous intensivist care

Rosenfeld, Brian A.; Dorman, Todd; Breslow, Michael J.; Pronovost, Peter J.; Jenckes, Mollie W.; Zhang, Nancy R.; Anderson, Gerard F.; Rubin, Haya R.

doi:10.1097/00003246-200012000-00034

Cited by 345 publications

(200 citation statements)

References 21 publications

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“…28,34 Only two (11%) studies and expansion seems likely. 7 Despite rapid adoption, reported effectiveness of tele-ICU coverage has varied across studies, [8][9][10][11] and studies often have neglected to address tele-ICU impact on staff. Staff impact is important as evidenced by a report of one hospital system that dropped tele-ICU coverage after 2 years.…”

Section: Description Of Studiesmentioning

confidence: 99%

Staff Acceptance of Tele-ICU Coverage

Young

Chan

Cram

2011

Chest

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A lthough intensivist care is associated with lower ICU and hospital mortality and with reduced length of stay, 1 only one-third of critically ill patients receive intensivist care, and the shortfall is projected to worsen. 2 As a result, hospitals increasingly rely on tele-ICU coverage. 3 For the purposes of this article, we defi ne tele-ICU coverage as the application of telemedicine 4 to in-hospital critical care units, thereby encompassing an array of technologies of varying complexity 5,6 that allow physical ICUs to access critical care experts in real time.At the present time, it is estimated that 10% of US hospitals use some form of tele-ICU coverage, Background: Remote coverage of ICUs is increasing, but staff acceptance of this new technology is incompletely characterized. We conducted a systematic review to summarize existing research on acceptance of tele-ICU coverage among ICU staff. Methods: We searched for published articles pertaining to critical care telemedicine systems (aka, tele-ICU) between January 1950 and March 2010 using PubMed, Cumulative Index to Nursing and Allied Health Literature, Global Health, Web of Science, and the Cochrane Library and abstracts and presentations delivered at national conferences. Studies were included if they provided original qualitative or quantitative data on staff perceptions of tele-ICU coverage. Studies were imported into content analysis software and coded by tele-ICU confi guration, methodology, participants, and fi ndings (eg, positive and negative staff evaluations). Results: Review of 3,086 citations yielded 23 eligible studies. Findings were grouped into four categories of staff evaluation: overall acceptance level of tele-ICU coverage (measured in 70% of studies), impact on patient care (measured in 96%), impact on staff (measured in 100%), and organizational impact (measured in 48%). Overall acceptance was high, despite initial ambivalence. Favorable impact on patient care was perceived by . 82% of participants. Staff impact referenced enhanced collaboration, autonomy, and training, although scrutiny, malfunctions, and contradictory advice were cited as potential barriers. Staff perceived the organizational impact to vary. An important limitation of available studies was a lack of rigorous methodology and validated survey instruments in many studies. Conclusions: Initial reports suggest high levels of staff acceptance of tele-ICU coverage, but more rigorous methodologic study is required.

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Section: Description Of Studiesmentioning

confidence: 99%

Staff Acceptance of Tele-ICU Coverage

Young

Chan

Cram

2011

Chest

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“…In the past decade, the expansion of telemedicine into the ICU has increased coverage during off-hours 13,14 and improved compliance with "best practices," such as adherence to bundles for prevention of ventilator-associated pneumonia. 15 However, less effort has focused on patient and family-centered endeavors.…”

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confidence: 99%

Perceptions of Family Participation in Intensive Care Unit Rounds and Telemedicine: A Qualitative Assessment

Stelson¹,

Carr²,

Golden³

et al. 2016

American Journal of Critical Care

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“…In the surgical disciplines, telementoring, in which one physician is able to watch and "talk" with another physician through a surgical procedure has been successfully tested in a number of different venues [7][8][9][10][11][12][13][14]. In addition, remote management of ICUs by intensivists demonstrated shorter lengths of stay and lower costs when compared with units staffed by generalist physicians [15][16].…”

Section: Discussionmentioning

confidence: 99%

Future of Remote Presence in Developing Countries and its Applications in Medicine (Robot to Otorob)

Iftikhar

Mariappan

2010

Int. J. Onl. Eng.

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Abstract-Mobile robots are expensive for developing and under developed countries. Their utilizations are general in field of medicine, from neurosurgery to intensive care units. Our ongoing project "OTOROB" which stands for Orthopedic Robot is more specific for the usage of orthopedic surgeons with special consideration on its cost effectiveness. Statistical analysis of the survey conducted helped to identify the requirement of orthopedic surgeons to make OTOROB more specific. A new concept of VIrtual Presence (VIP) Specialist Clinic and Roboscope are discussed.

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Intensive care unit telemedicine: Alternate paradigm for providing continuous intensivist care

Cited by 345 publications

References 21 publications

Staff Acceptance of Tele-ICU Coverage

Staff Acceptance of Tele-ICU Coverage

Perceptions of Family Participation in Intensive Care Unit Rounds and Telemedicine: A Qualitative Assessment

Future of Remote Presence in Developing Countries and its Applications in Medicine (Robot to Otorob)

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