Telemedicine in the intensive care unit: A vehicle to improve quality of care?

被引：11

作者：

Weiss, Bjoern ^{[1
]}

Paul, Nicolas ^{[1
]}

Balzer, Felix ^{[1
]}

Noritomi, Danilo T. ^{[2
]}

Spies, Claudia D. ^{[1
]}

机构：

[1] Free Univ Berlin, Humboldt Univ Berlin, Charite Univ Med Berlin, Dept Anesthesiol & Operat Intens Care Med,CCM,CVK, Berlin, Germany

[2] Hosp Israelita Albert Einstein, Dept Crit Care Med, Sao Paulo, Brazil

来源：

JOURNAL OF CRITICAL CARE | 2021年 / 61卷

关键词：

Intensive care medicine; Critical care; Telemedicine; Quality of care; Virtual care; Remote care; CRITICALLY-ILL PATIENTS; ECONOMIC OUTCOMES; PATIENT OUTCOMES; ICU TELEMEDICINE; BED NUMBERS; MORTALITY; COVERAGE; IMPACT; COMPLICATIONS; ASSOCIATION;

D O I：

10.1016/j.jcrc.2020.09.036

中图分类号：

R4 [临床医学];

学科分类号：

1002 ; 100602 ;

摘要：

The high demand for intensive care, which is predicted to further increase in the future, is contrasted by a shortage of trained intensivists and specialized nurses. Telemedicine has been heralded as a promising solution. Yet, there is considerable heterogeneity in tele-critical care when it comes to measurable effects. However, the focus has been on telemedical solutions substituting on-site intensivist functions, and outcome measures have primarily been mortality and length of stay. In a new model of telemedicine for the ICU, telemedicine could be used to increase adherence to best practice guidelines and indicators of process quality. Further, indicators of process quality, functional outcomes and quality of life measures should be incorporated in the evaluation of outcomes, as patients frequently value those higher than mere survival. (C) 2020 Published by Elsevier Inc.

引用

页码：241 / 246

页数：6

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