Measuring tele-ICU impact: does it optimize quality outcomes for the critically ill patient?
- 23 April 2012
- journal article
- research article
- Published by Wiley in Journal of Nursing Management
- Vol. 20 (3), 414-428
- https://doi.org/10.1111/j.1365-2834.2012.01414.x
Abstract
To determine the relationship between tele-ICU (intensive care unit) implementations and improvement in quality measures and patient outcomes. Tele-ICUs were designed to leverage scarce critical-care experts and promised to improve patient quality. Abstracts and peer-reviewed articles were reviewed to identify the associations between tele-ICU programmes and clinical outcomes, cost savings, and customer satisfaction. Few peer-reviewed studies are available and many variables in each study limit the ability to associate study conclusions to the overall tele-ICU programme. Further research is required to explore the impact of the tele-ICU on patient/family satisfaction. Research findings are highly dependent upon the level of ICU acceptance. The tele-ICU, in collaboration with the ICU team, can be a valuable tool for the enhancement of quality goals although the ability to demonstrate cost savings is extremely complex. Studies clearly indicate that tele-ICU nursing vigilance can enhance patient safety by preventing potential patient harm. Nursing managers and leaders play a vital part in optimizing the quality role of the tele-ICU through supportive modelling and the maximization of ICU integration.Keywords
This publication has 68 references indexed in Scilit:
- PREVENTING AIR EMBOLISMS WITH TELE-ICU COLLABORATIVESocial psychiatry. Sozialpsychiatrie. Psychiatrie sociale, 2009
- COMPLIANCE WITH CMS TIMELY REFERRAL AND ORGAN PROCUREMENT IMPACT VIA TELE-ICUSocial psychiatry. Sozialpsychiatrie. Psychiatrie sociale, 2009
- The future of critical careCurrent Opinion in Critical Care, 2009
- Medication errors in critical care: risk factors, prevention and disclosureCMAJ : Canadian Medical Association Journal, 2009
- The Recent Surge In Nurse Employment: Causes And ImplicationsHealth Affairs, 2009
- Remote ICU care programs: Current statusJournal of Critical Care, 2007
- GREATER COLLABORATION BETWEEN REMOTE INTENSIVISTS AND ON-SITE CLINICIANS IMPROVES BEST PRACTICE COMPLIANCE.Critical Care Medicine, 2006
- IMPACT OF REMOTE ICU MANAGEMENT ON VENTILATOR DAYS.Critical Care Medicine, 2005
- Effect of a multiple-site intensive care unit telemedicine program on clinical and economic outcomes: An alternative paradigm for intensivist staffing*Critical Care Medicine, 2004
- CRITICAL CARE IN THE UNITED STATESCritical Care Clinics, 1997