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Christian Becker, William H Frishman, Corey Scurlock
No abstract text is available yet for this article.
August 27, 2016: American Journal of Medicine
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
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
Anas Moughrabieh, Craig Weinert
The conflict in Syria has created the largest humanitarian emergency of the twenty-first century. The 4-year Syrian conflict has destroyed hospitals and severely reduced the capacity of intensive care units (ICUs) and on-site intensivists. The crisis has triggered attempts from abroad to support the medical care of severely injured and acutely ill civilians inside Syria, including application of telemedicine. Within the United States, tele-ICU programs have been operating for more than a decade, albeit with high start-up costs and generally long development times...
February 2016: Annals of the American Thoracic Society
Simo Larinkari, Janne H Liisanantti, Timo Ala-Lääkkölä, Merja Meriläinen, Helvi Kyngäs, Tero Ala-Kokko
OBJECTIVES: Telemedicine in intensive care (tele-ICU) involves the use of information technologies to deliver care instructions from a command center to remote hospitals. To ensure acceptance and usability, clinicians should participate early in the design. This study surveyed clinical professionals to identify and rank important functions for a tele-ICU system. METHODS: This cross-sectional, prospective, structured, two-round survey included European intensive-care professionals that were not familiar with tele-ICU systems...
February 2016: International Journal of Medical Informatics
Donna Armaignac, Carlos Valle, Louis Gidel, Xiaorong Mei, Irfan Zaidi, Leslee Gross, Lisamae Williams, Emir Veledar
No abstract text is available yet for this article.
December 2015: Critical Care Medicine
Sarah Bell, Julie Schmidt
No abstract text is available yet for this article.
December 2015: Critical Care Medicine
Christina Canfield, Marianne Harris, John Tote, Chiedozie Udeh, Jorge Guzman, Marc Petre, Lara Jehi, Belinda Udeh
No abstract text is available yet for this article.
December 2015: Critical Care Medicine
Nan Myers, Peter Wehrwein
No abstract text is available yet for this article.
July 2015: Managed Care
Theresa Brindise, Manisa Phophairat Baker, Pat Juarez
The end of the formal unit orientation program is a stressful time of adjustment for nurses hired into critical care without previous critical care experience. Although most units offer reassurance that experienced colleagues will provide the needed guidance, consistent support may not be available for many reasons. Development of a structured postorientation program designed to provide support and ongoing feedback to bedside nurses who have completed orientation is one strategy to assist nurses through this period of adjustment...
August 2015: Critical Care Nurse
Peter H J van der Voort, Jesse de Metz, Jos P J Wester, Ilse van Stijn, Hilde Marieken Feijen, Anja Balzereit, Saskia Rijkenberg, Renate Obster, Rob J Bosman
INTRODUCTION: Tele-intensive care (teleIC) can be used to increase the level of care in the intensive care unit (ICU) with the tele-intensivist being at a remote site. In this study we describe the implementation and outcomes, including patient and family satisfaction, of the first Dutch teleIC. METHODS: In a retrospective analysis the patient characteristics are described with a focus on patient outcomes and patient and family satisfaction. The teleIC started on 6 December 2010 in an ICU with three beds...
April 2016: Journal of Telemedicine and Telecare
Andrea R Levine, Michael T McCurdy, Marc T Zubrow, Alfred Papali, Haney A Mallemat, Avelino C Verceles
PURPOSE: Intensive care unit telemedicine (tele-ICU) uses audiovisual systems to remotely monitor and manage patients. Intensive care unit ultrasound can augment an otherwise limited bedside evaluation. To date, no studies have utilized tele-ICU technology to assess the quality and clinical use of real-time ultrasound images. We assessed whether tele-intensivists can instruct nonphysicians to obtain high-quality, clinically useful ultrasound images. METHODS: This prospective pilot evaluated the effectiveness of a brief educational session of nonphysician "ultrasonographers" on their ability to obtain ultrasound images (right internal jugular vein, bilateral lung apices and bases, cardiac subxiphoid view, bladder) with real-time tele-intensivist guidance...
October 2015: Journal of Critical Care
Arlene Garingo, Philippe Friedlich, Thomas Chavez, Linda Tesoriero, Shilpa Patil, Paige Jackson, Istvan Seri
OBJECTIVE: To investigate the feasibility of 'tele-rounding' in the neonatal intensive care. METHODS: In this prospective study utilizing telemedicine technology in the NICU for daily patient bedside rounds ('tele-rounds'), twenty pairs of neonates were matched according to gestational age, diagnoses, and disease severity. One patient was cared for by the on-site NICU team lead by an on-site neonatologist. The other patient was cared for by the on-site team but led by an off-site neonatologist using a remote-controlled robot...
March 2016: Journal of Telemedicine and Telecare
Arturo Henry Torres Zenteno, Francisco Fernández, Alfredo Palomino-García, Francisco Moniche, Irene Escudero, M Dolores Jiménez-Hernández, Auxiliadora Caballero, Germán Escobar-Rodriguez, Carlos Parra
This article presents the technological solution of a tele-assistance process for stroke patients in acute phase in the Seville metropolitan area. The main objective of this process is to reduce time from symptom onset to treatment of acute phase stroke patients by means of telemedicine, regarding mobility between an intensive care unit ambulance and an expert center and activating the pre-hospital care phase. The technological platform covering the process has been defined following an interoperability model based on standards and with a focus on service-oriented architecture focus...
September 2016: Health Informatics Journal
H Neal Reynolds, Joseph J Bander
This article seeks assist physicians or administrators considering establishing a Tele-ICU. Owing to an apparent domination of the Tele-ICU field by a single vendor, some may believe that there is only one design option. In fact, there are many alternative design formats that do not require the consumer to possess high-level technical expertise. As when purchasing any major item, if the consumer can formulate basic concepts of design and research the various vendors, then the consumer can develop the Tele-ICU system best for their facility, finances, availability of staff, coverage model, and quality metric goals...
April 2015: Critical Care Clinics
Herb Rogove, Kory Stetina
For more than 20 years, a 100-year-old state-based system for medical licensure has not progressed commensurate with the level of 21st century technology development. Despite government and nongovernment organizational attempts, each state maintains a process of variable and time-consuming requirements with lack of reciprocity. Lack of available reimbursement for Tele-ICU physician services is thought to be a long-standing and significant barrier to the rapid adoption of Tele-ICU programs. By reviewing the reimbursement guidelines for telehealth services across all major patient financial classes, a model is discussed for developing financial projections to determine exactly what reimbursement is available for Tele-ICU programs...
April 2015: Critical Care Clinics
Thomas H Kalb
This article explores the hypothesis that a telemedicine intensive care unit (Tele-ICU) platform is uniquely suited to facilitate quality performance improvement (PI). This article addresses some substantial hurdles to overcome that may limit the effectiveness of a Tele-ICU platform to achieve PI objectives. Lastly, this article describes the author's experience with a PI project to improve ventilator management conducted via a Tele-ICU hub interacting with 11 geographically dispersed ICUs. Using this example to illustrate the concepts, the author hopes to shed some light on the successes and lessons learned so as to generate best-practice guidelines for Tele-ICU-directed PI initiatives...
April 2015: Critical Care Clinics
Daniel M Rolston, Joseph S Meltzer
Disasters and emergencies lead to an overburdened health care system after the event, so additional telemedicine support can improve patient outcomes. If telemedicine is going to become an integral part of disaster response, there needs to be improved preparation for the use of telemedicine technologies. Telemedicine can improve patient triage, monitoring, access to specialists, health care provider burnout, and disaster recovery. However, the evidence for telemedicine and tele-intensive care in the disaster setting is limited, and it should be further studied to identify situations in which it is the most clinically effective and cost-effective...
April 2015: Critical Care Clinics
Ramesh Venkataraman, Nagarajan Ramakrishnan
Telemedicine has been increasingly used in the intensive care unit setting (Tele-ICU) for providing care. Given the shortage of qualified intensivists and critical care nurses in the United States and the ever-increasing demand for intensive care services, Tele-ICU has been proposed as a strategy to bridge this supply/demand gap. The Tele-ICU staffing model provides for many important outcome benefits that have been evaluated over the years by several studies. In this review, the authors summarize the existing evidence and identify areas where further evaluation is warranted...
April 2015: Critical Care Clinics
Corey Scurlock, Carolyn D'Ambrosio
Critical care medicine is at a crossroads in which limited numbers of staff care for increasing numbers of patients as the population ages and use of ICUs increases. Also at this time health care spending must be curbed. The high-intensity intensivist staffing model has been linked to improved mortality, complications, and costs. Tele-ICU uses technology to implement this high-intensity staffing model in areas that are relatively underserved. When implemented correctly and in the right populations this technology has improved outcomes...
April 2015: Critical Care Clinics
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