Tele-ICU
Goran SF. Critical Care Nurse, 32(1)
The tele-intensive care unit (tele-ICU) uses sophisticated telemedicine technology and a remote team of critical care experts, including nurses, to provide continuous monitoring, assessment, and interventional services to a large number of patients across multiple ICUs. This new practice environment offers experienced critical care nurses an opportunity for career and knowledge expansion while reducing some of the physical and emotional risks encountered at the bedside.
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3 February 2012 | No Comments »
Categories: Science | Country: United States | Tag(s): Nurses, Tele-ICU, Telemedicine
Kurt Ullman, MedPage Today
“Intensive care unit nurses at one healthcare system said that personally knowing the physician providing overnight telemedicine coverage was important, although actual exposure to telemedicine among the respondents was quite low, according to a survey out of the University of Pennsylvania.
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9 January 2012 | No Comments »
Categories: News | Country: United States | Tag(s): Nurses, Tele-ICU, Telemedicine
Mullen-Fortino M et al, American Journal of Critical Care, 21(1)
Background
Intensive care unit telemedicine is an innovative approach to providing critical care services for a broad geographic area, but its success may depend on acceptance by bedside providers.
Objectives
To determine critical care nurses’ attitudes toward and perceptions about the use of telemedicine in critical care.
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9 January 2012 | No Comments »
Categories: Science | Country: United States | Tag(s): Intensive care, Nurses, Tele-ICU, Telemedicine
Sara Jackson, FierceMobileHealthcare
“With the rapid adoption of telehealth programs around the U.S., critics complain that there’s simply too little research and hard data on its efficacy. But with physician shortages continuing, and few hospitals able to provide 24/7 physician coverage of their ICUs, the pressure to adopt telehealth measures continues to grow.
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3 January 2012 | 1 Comment »
Categories: News | Country: United States | Tag(s): Benefits, Tele-ICU, Telemedicine
Reynolds HN et al, Telemedicine and e-Health, 2011
Telemedicine in the intensive care unit (Tele-ICU) has grown exponentially since the first formalized program in 2000. Initially, there was limited product choice, and certain capabilities have been engineered into the process with the implication of necessity. New technology is evolving, and new vendors are entering the market place, which should yield a multitude of technologies from which to select.
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28 October 2011 | No Comments »
Categories: Science | Country: United States | Tag(s): Lexicon, Tele-ICU, Telemedicine
Ankur Gupta, iMedicalApps
“The intensive care unit is a unique environment in healthcare. With CVP’s and PA catheter data, constant urine output monitoring, labs obtained as frequently as every hour, care in the ICU is extraordinarily data driven.
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29 July 2011 | No Comments »
Categories: News | Country: United States | Tag(s): Tele-ICU, Telemedicine
Kahn JM et al, Chest, 140(1)
ICU telemedicine uses audiovisual conferencing technology to provide critical care from a remote location. Research is needed to best define the optimal use of ICU telemedicine, but efforts are hindered by methodological challenges and the lack of an organized delivery approach. We convened an interdisciplinary working group to develop a research agenda in ICU telemedicine, addressing both methodological and knowledge gaps in the field. To best inform clinical decision-making and health policy, future research should be organized around a conceptual framework that enables consistent descriptions of both the study setting and the telemedicine intervention. The framework should include standardized methods for assessing the preimplementation ICU environment and describing the telemedicine program.
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16 July 2011 | No Comments »
Categories: Science | Country: United States | Tag(s): Critical Care, Research, Tele-ICU, Telemedicine
Nicole Lewis, InformationWeek Healthcare
“A team at the Children’s Hospital Los Angeles that conducted a first-of–a-kind study that compared the findings of an on-site neonatologist at a neonatal intensive care unit (NICU) to off-site neonatologists using remote robotic telemedicine technology found that the technology is not only feasible and safe, but can also help neonatologists at a different location accurately evaluate a neonate patient.
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10 July 2011 | No Comments »
Categories: News | Country: United States | Tag(s): Babies, Robot, Tele-ICU, Telemedicine
Mary Jo Gorman, MedGadget
“America’s ICUs are in crisis. Consider these staggering statistics: Today’s ICUs Serve 4 million patients annually, with roughly 20 percent mortality rates among those treated.
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30 June 2011 | No Comments »
Categories: News | Country: United States | Tag(s): Tele-ICU, Telemedicine
Lilly CM, Thomas EJ. Journal of Intensive Care Medicine, 25(1)
Tele-intensive care unit (ICU) is a care provided to critically ill patients by off-site clinicians using audio, video, and electronic links to leverage technical, informational, and clinical resources. Providing care includes the ability to detect patient’s instability or laboratory abnormalities in real-time, collect additional clinical information from or about the patient, order diagnostic testing, make diagnoses, implement treatment, render other forms of intensive care such as managing life-support devices, and communicate with patients and bedside providers.
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8 June 2011 | No Comments »
Categories: Science | Country: United States | Tag(s): Critical Care, health-information-system, Monitoring, Tele-ICU, Telemedicine
Kevin B. O'Reilly, amednews
“Technology that helps physicians remotely track more patients in intensive care units also improves care outcomes, according to a Journal of the American Medical Association study published in May that contradicts research finding no benefit.
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31 May 2011 | No Comments »
Categories: News | Country: United States | Tag(s): Tele-ICU, Telemedicine
Ankur Gupta, iMedicalApps
“A study published last week by the Journal of the American Medical Association shows that patients in the ICU of UMass Memorial Medical Center had significantly reduced mortality rate (8.6% as compared to 10.7%) when they were monitored by a remote “eICU.”
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28 May 2011 | No Comments »
Categories: News | Country: United States | Tag(s): eICU, Hospitals, Tele-ICU, Telemedicine
Marisa Plumb, IEEE Spectrum
“According to doctors at the University of Massachusetts Medical Center in Worcester, intensive care units backed up by off-site doctors and nurses, who could remotely monitor critically ill patients and direct the ICU’s on-site staff, had fewer patient deaths and shorter ICU stays.
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25 May 2011 | No Comments »
Categories: News | Country: United States | Tag(s): eICU, Hospitals, Tele-ICU, Telemedicine
CMIO
“Intensive care units (ICUs) that implemented telemedicine intervention including offsite electronic monitoring of processes and detection of nonadherence to best practices had lower hospital and ICU mortality, lower rates of preventable complications and shorter hospital and ICU length of stay, according to a study published May 16 online in the Journal of the American Medical Association.
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17 May 2011 | No Comments »
Categories: News | Country: United States | Tag(s): Hospitals, Tele-ICU, Telemedicine
Michael Smith, MedPage Today
“Telemedicine in the intensive care unit was associated with lower mortality and shorter hospital stays, a large single-institution study showed.
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17 May 2011 | No Comments »
Categories: News | Country: United States | Tag(s): Hospitals, Tele-ICU, Telemedicine
Mary Elizabeth Dallas, MSN
“Telemedicine — the care of patients by health care professionals located remotely — may benefit intensive care unit patients, new U.S. research shows.
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17 May 2011 | No Comments »
Categories: News | Country: United States | Tag(s): Hospitals, Tele-ICU, Telemedicine
Liz Kowalczyk, The Boston Globe
“Seriously ill patients at UMass Memorial Medical Center suffered fewer complications and were less likely to die when they were monitored by doctors working in a remote “eICU,” some of the first evidence that telemedicine can improve on care provided at the bedside.
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17 May 2011 | No Comments »
Categories: News | Country: United States | Tag(s): Tele-ICU, Telemedicine
Kahn JM. JAMA, 2011
More than 25 years have passed since the original description of intensive care unit (ICU) telemedicine, a technological strategy to improve critical care outcomes by expanding the reach and availability of intensivist clinicians. Since then, the understanding of evidence-based practice and the role of information technology in the ICU have substantially increased. Multiple commercial applications of ICU telemedicine now exist, and telemedicine is widely touted as an all-encompassing strategy to improve ICU outcomes.
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17 May 2011 | No Comments »
Categories: Science | Country: United States | Tag(s): Hospitals, Tele-ICU, Telemedicine
Lilly CM et al, JAMA, 2011
Context
The association of an adult tele-intensive care unit (ICU) intervention with hospital mortality, length of stay, best practice adherence, and preventable complications for an academic medical center has not been reported.
Objective
To quantify the association of a tele-ICU intervention with hospital mortality, length of stay, and complications that are preventable by adherence to best practices.
Design, Setting, and Patients
Prospective stepped-wedge clinical practice study of 6290 adults admitted to any of 7 ICUs (3 medical, 3 surgical, and 1 mixed cardiovascular) on 2 campuses of an 834-bed academic medical center that was performed from April 26, 2005, through September 30, 2007. Electronically supported and monitored processes for best practice adherence, care plan creation, and clinician response times to alarms were evaluated.
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17 May 2011 | No Comments »
Categories: Science | Country: United States | Tag(s): Hospitals, Tele-ICU, Telemedicine
Don Fluckinger, SearchHealthIT
“While some health care providers struggle to locate funding for paying for telemedicine technology in patient care, others are going a different route — implementing telemedicine to enhance provider-to-provider communication.
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10 May 2011 | No Comments »
Categories: News | Country: United States | Tag(s): Oncology, Tele-ICU, Telemedicine
