A second set of eyes: An introduction to Tele-ICU.

@article{Goran2010ASS,
  title={A second set of eyes: An introduction to Tele-ICU.},
  author={Susan F. Goran},
  journal={Critical care nurse},
  year={2010},
  volume={30 4},
  pages={
          46-55; quiz 56
        }
}
  • S. Goran
  • Published 1 August 2010
  • Medicine
  • Critical care nurse
Grundy et al 2 first described the use of intermittent remote telemedicine consultation to improve the delivery of health services to 395 patients in an intensive care unit (ICU) at a 100-bed hospital. Although the proj-ect demonstrated that television consultation had a “greater clinical and educational impact” than tele-phone consultation, Grundy et al concluded that further research was necessary to optimize use of the technology. Historically, other models of ICU tele-consultation have also… 

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References

SHOWING 1-10 OF 23 REFERENCES

Telemedicine in critical care: Problems in design, implementation, and assessment

Interactive television was used to provide consultation with university-based critical care physicians for patients in the ICU of a 100-bed hospital and had greater clinical and educational impact than consultation using the telephone.

The virtual ICU (vICU): a new dimension for critical care nursing practice.

  • M. MyersK. Reed
  • Medicine
    Critical care nursing clinics of North America
  • 2008

The eICU: it's not just telemedicine.

A technology-enabled care model (electronic ICU, or eICU) that represents a new paradigm for delivery of critical care services is described, designed to support the multidisciplinary intensivist-led team model and incorporates comprehensive ICU re-engineering efforts to change practice behavior.

Effect of a multiple-site intensive care unit telemedicine program on clinical and economic outcomes: An alternative paradigm for intensivist staffing*

The apparent success of this on-going multiple-site program, implemented with commercially available equipment, suggests that telemedicine may provide a means for hospitals to achieve quality improvements associated with intensivist care using fewer intensivists.

Remote ICU care programs: current status.

  • M. Breslow
  • Medicine, Political Science
    Journal of critical care
  • 2007

The effect of telemedicine on neonatal intensive care unit length of stay in very low birthweight infants

Telemedicine has been an effective intervention to reduce the intensive care length of stay of very low birthweight newborn infants under the circumstances present in this study.

Tele-ICU: A New Paradigm in Critical Care

  • Michael Ries
  • Medicine
    International anesthesiology clinics
  • 2009
Technology can help improve the delivery of care to ICU patients, in the form of Tele-ICU, by helping to ensure consistent application of protocols, thus reducing variability of care and can help solve the dilemma of scarce human resources.

Telemedicine reduces discrepancies in rural trauma care.

Early results of a telemedicine system provide encouragement as a means to address discrepancies in the outcomes after major trauma in rural areas, although more work needs to be completed and evaluated.

Prognostic outcomes after the initiation of an electronic telemedicine intensive care unit (eICU) in a rural health system.

Mortality, length of ICU stay, and length of hospital stay were significantly less than predicted, but the case mix index of severity had increased and more severely ill patients were being treated without increase in length of stay.