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Tele-icu

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https://www.readbyqxmd.com/read/29474321/evaluation-of-icu-risk-models-adapted-for-use-as-continuous-markers-of-severity-of-illness-throughout-the-icu-stay
#1
Omar Badawi, Xinggang Liu, Erkan Hassan, Pamela J Amelung, Sunil Swami
OBJECTIVES: Evaluate the accuracy of different ICU risk models repurposed as continuous markers of severity of illness. DESIGN: Nonintervention cohort study. SETTING: eICU Research Institute ICUs using tele-ICU software calculating continuous ICU Discharge Readiness Scores between January 2013 and March 2016. PATIENTS: Five hundred sixty-one thousand four hundred seventy-eight adult ICU patients with an ICU length of stay between 4 hours and 30 days...
March 2018: Critical Care Medicine
https://www.readbyqxmd.com/read/29282724/the-impact-of-enhanced-critical-care-training-and-24-7-tele-icu-support-on-medicare-spending-and-postdischarge-utilization-patterns
#2
Matthew J Trombley, Andrea Hassol, Jennifer T Lloyd, Timothy G Buchman, Allison F Marier, Alan White, Erin Colligan
OBJECTIVE: To estimate the effect of implementing a tele-ICU and a critical care residency training program for advanced practice providers on service utilization and total Medicare episode spending. DATA SOURCES/STUDY SETTINGS: Medicare claims data for fee-for-service beneficiaries at 12 large, inpatient hospitals in the Atlanta Hospital Referral Region. STUDY DESIGN: Difference-in-differences design where changes in spending and utilization for Medicare beneficiaries eligible for treatment in participating ICUs was compared to changes in a comparison group of clinically similar beneficiaries treated at similar hospitals' ICUs in the same hospital referral region...
December 27, 2017: Health Services Research
https://www.readbyqxmd.com/read/29210766/tele-icu-and-patient-safety-considerations
#3
Erkan Hassan
The tele-ICU is designed to leverage, not replace, the need for bedside clinical expertise in the diagnosis, treatment, and assessment of various critical illnesses. Tele-ICUs are primarily decentralized or centralized models with differing advantages and disadvantages. The centralized model has sufficiently powered published data to be associated with improved mortality and ICU length of stay in a cost-effective manner. Factors associated with improved clinical outcomes include improved compliance with best practices; providing off-hours implementation of the bedside physician's care plan; and identification of and rapid response to physiological instability (initial clinical review within 1 hour) and rapid response to alerts, alarms, or direct notification by bedside clinicians...
January 2018: Critical Care Nursing Quarterly
https://www.readbyqxmd.com/read/28911290/outcomes-of-telemedicine-intervention-in-a-regional-intensive-care-unit-a-before-and-after-study
#4
O M Panlaqui, E Broadfield, R Champion, J P Edington, S Kennedy
Telemedicine consultations in remote intensive care units (ICUs) overseas were found to be effective in reducing mortality and hospital length of stay (LOS). In Australia, there were anecdotal reports of these clinical outcomes. This retrospective before and after study assessed the improvement in patient outcomes with the implementation of a telemedicine program in a regional high dependency unit. Daily virtual consultations were conducted between the rural facility and the intensivists at the regional centre...
September 2017: Anaesthesia and Intensive Care
https://www.readbyqxmd.com/read/28826282/clinical-and-economic-outcomes-of-telemedicine-programs-in-the-intensive-care-unit-a-systematic-review-and-meta-analysis
#5
Jing Chen, Dalong Sun, Weiming Yang, Mingli Liu, Shufan Zhang, Jinhua Peng, Chuancheng Ren
OBJECTIVE: To evaluate the impact of telemedicine programs in intensive care unit (Tele-ICU) on ICU or hospital mortality or ICU or hospital length of stay and to summarize available data on implementation cost of Tele-ICU. METHODS: Controlled trails or observational studies assessing outcomes of interest were identified by searching 7 electronic databases from inception to July 2016 and related journals and conference literatures between 2000 and 2016. Two reviewers independently screened searched records, extracted data, and assessed the quality of included studies...
January 1, 2017: Journal of Intensive Care Medicine
https://www.readbyqxmd.com/read/28708685/tele-icu-increases-interhospital-transfers-does-big-brother-know-better
#6
Patrick D Tyler, Leo Anthony Celi
No abstract text is available yet for this article.
August 2017: Critical Care Medicine
https://www.readbyqxmd.com/read/28661790/selected-use-of-telemedicine-in-intensive-care-units-based-on-severity-of-illness-improves-cost-effectiveness
#7
Byung-Kwang Yoo, Minchul Kim, Tomoko Sasaki, Jeffrey S Hoch, James P Marcin
BACKGROUND: Telemedicine in the intensive care unit (tele-ICU) is expected to address geographic health disparities through more efficient resource allocation. Our previous economic evaluation demonstrated tele-ICU to be cost-effective in most cases and cost saving in some cases, compared to conventional intensive care unit (ICU) care without adequate intensivist coverage. INTRODUCTION: This study's objective is to examine how to optimize the cost-effectiveness of tele-ICU use by selecting highest risk (i...
June 29, 2017: Telemedicine Journal and E-health: the Official Journal of the American Telemedicine Association
https://www.readbyqxmd.com/read/28481753/impact-of-telemedicine-monitoring-of-community-icus-on-interhospital-transfers
#8
Jasleen Pannu, Devang Sanghavi, Todd Sheley, Darrell R Schroeder, Rahul Kashyap, Alberto Marquez, Craig E Daniels, Daniel R Brown, Sean M Caples
OBJECTIVES: To study the effects of tele-ICU monitoring on interhospital transfers from community-based ICUs to the quaternary care hospital at Mayo Clinic, Rochester, MN. DESIGN: This is a retrospective review of data on interhospital transfers comparing trends prior to tele-ICU implementation to those following implementation. SETTING: Tele-ICU programs are increasingly utilized to fill resource gaps in caring for critically ill patients...
August 2017: Critical Care Medicine
https://www.readbyqxmd.com/read/28379510/using-electronic-medical-record-notes-to-measure-icu-telemedicine-utilization
#9
Amy M J O'Shea, Mary Vaughan Sarrazin, Boulos Nassar, Peter Cram, Lynelle Johnson, Robert Bonello, Ralph J Panos, Heather S Reisinger
Given the complexity of high-acuity health care, designing an effective clinical note template can be beneficial to both document patient care and clarify how telemedicine is used. We characterized documented interactions via a standardized note template between bedside intensive care unit (ICU) providers and teleintensivists in 2 Veterans Health Administration ICU telemedicine support centers. All ICUs linked to support centers and providing care from October 2012 through September 2014 were considered. Interactions were assessed based on initiation site, bedside initiator, contact type, and patient care change...
September 1, 2017: Journal of the American Medical Informatics Association: JAMIA
https://www.readbyqxmd.com/read/28288028/the-obesity-paradox-is-not-observed-in-critically-ill-patients-on-early-enteral-nutrition
#10
MULTICENTER STUDY
Kimberley Harris, Jiachen Zhou, Xinggang Liu, Erkan Hassan, Omar Badawi
OBJECTIVES: To investigate the association between body mass index and mortality in a large, ICU population and determine if the relationship is observed among a subgroup of patients ordered early enteral nutrition. DESIGN: Retrospective cohort study within a national clinical mixed ICU database of patients admitted between January 1, 2008, and June 30, 2015. SETTING: Initial ICU admissions among patients monitored by tele-ICU programs and recorded in the Philips eICU Research Institute database...
May 2017: Critical Care Medicine
https://www.readbyqxmd.com/read/28216177/introduction-of-tele-icu-in-rural-hospitals-changing-organisational-culture-to-harness-benefits
#11
Cassie Cunningham Goedken, Jane Moeckli, Peter M Cram, Heather Schacht Reisinger
OBJECTIVE: This study evaluates rural hospital staff perceptions of a telemedicine ICU (Tele-ICU) before and after implementation. METHODS: We conducted a longitudinal qualitative study utilising semistructured group or individual interviews with staff from three rural ICU facilities in the upper Midwest of the United States that received Tele-ICU support. Interviews occurred pre-implementation and at two time points post-implementation. Interviews were conducted with: ICU administrators (n=6), physicians (n=3), nurses (n=9), respiratory therapists (n=5) and other (n=1) from July 2011 to May 2013...
June 2017: Intensive & Critical Care Nursing: the Official Journal of the British Association of Critical Care Nurses
https://www.readbyqxmd.com/read/27932050/icu-telemedicine-program-financial-outcomes
#12
Craig M Lilly, Christine Motzkus, Teresa Rincon, Shawn E Cody, Karen Landry, Richard S Irwin
BACKGROUND: ICU telemedicine improves access to high-quality critical care, has substantial costs, and can change financial outcomes. Detailed information about financial outcomes and their trends over time following ICU telemedicine implementation and after the addition of logistic center function has not been published to our knowledge. METHODS: Primary data were collected for consecutive adult patients of a single academic medical center. We compared clinical and financial outcomes across three groups that differed regarding telemedicine support: a group without ICU telemedicine support (pre-ICU intervention group), a group with ICU telemedicine support (ICU telemedicine group), and an ICU telemedicine group with added logistic center functions and support for quality-care standardization (logistic center group)...
February 2017: Chest
https://www.readbyqxmd.com/read/27876482/virtual-collaboration-satisfaction-and-trust-between-nurses-in-the-tele-icu-and-icus-results-of-a-multilevel-analysis
#13
Peter L T Hoonakker, Kristen E Pecanac, Roger L Brown, Pascale Carayon
PURPOSE: The purpose of the study was to examine how tele-intensive care unit (tele-ICU) nurse characteristics and organizational characteristics influence tele-ICU nurses' trust and satisfaction of monitored bedside ICU nurses, and whether these influences are mediated by communication. MATERIALS AND METHODS: Data of tele-ICU characteristics and characteristics of the ICUs they monitored were collected at 5 tele-ICUs located throughout the country. One hundred ten tele-ICU nurses at those tele-ICUs completed a questionnaire containing items related to their characteristics and their trust, satisfaction, and perceived communication with monitored bedside nurses...
February 2017: Journal of Critical Care
https://www.readbyqxmd.com/read/27851546/1911-tele-icu-regionalization-of-critical-care-and-ecmo-leptospirosis-with-diffuse-alveolar-hemorrhage
#14
Ali Tabatabai, Michael Mazzeffi, Ann Matta, Allison Hollis, Marc Zubrow, Keshava Rajagopal, Sarah Schmalze, Thomas Scalea
No abstract text is available yet for this article.
December 2016: Critical Care Medicine
https://www.readbyqxmd.com/read/27850855/1219-financial-impact-assessment-of-a-tele-icu-program
#15
Colleen Karvetski, Michael Green, Scott Lindblom, Jonathan Tedder
No abstract text is available yet for this article.
December 2016: Critical Care Medicine
https://www.readbyqxmd.com/read/27850824/1188-use-of-tele-icu-to-improve-adherence-to-ventilator-tidal-volume-goals
#16
Amanda Richter
No abstract text is available yet for this article.
December 2016: Critical Care Medicine
https://www.readbyqxmd.com/read/27850786/1149-improving-population-health-of-acute-patients-through-tele-icu
#17
Isabelle Kopec
No abstract text is available yet for this article.
December 2016: Critical Care Medicine
https://www.readbyqxmd.com/read/27576079/telemedicine-and-tele-icu-the-evolution-and-differentiation-of-a-new-medical-field
#18
REVIEW
Christian Becker, William H Frishman, Corey Scurlock
No abstract text is available yet for this article.
December 2016: American Journal of Medicine
https://www.readbyqxmd.com/read/27388507/temporal-informative-analysis-in-smart-icu-monitoring-m-healthcare-perspective
#19
Munish Bhatia, Sandeep K Sood
The rapid introduction of Internet of Things (IoT) Technology has boosted the service deliverance aspects of health sector in terms of m-health, and remote patient monitoring. IoT Technology is not only capable of sensing the acute details of sensitive events from wider perspectives, but it also provides a means to deliver services in time sensitive and efficient manner. Henceforth, IoT Technology has been efficiently adopted in different fields of the healthcare domain. In this paper, a framework for IoT based patient monitoring in Intensive Care Unit (ICU) is presented to enhance the deliverance of curative services...
August 2016: Journal of Medical Systems
https://www.readbyqxmd.com/read/27350478/the-impact-of-telenursing-on-nursing-practice-and-education-a-systematic-literature-review
#20
REVIEW
Hanan Asiri, Mowafa Househ
This systematic review aims to answer the following question: What is the impact of telenursing on nursing practice and education? Any article that was written in English and published in PubMed and Computers Informatics Nursing (CIN) journal from January 2012 to February 2016 discussing the impact of telenursing on nursing practice and education were included, while any opinion and review literature was excluded. The results show that there are four themes covered by the literature: 1. Impact of telenursing intervention using telephone and/ or videoconferencing on satisfaction and health outcomes; 2...
2016: Studies in Health Technology and Informatics
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