Safety and Quality Metrics for ICU Telemedicine: Measuring Success
Patients in the intensive care unit (ICU) warrant continuous monitoring and titration of care by qualified personnel. However, there has been a shortage of trained intensivists and round the clock availability further adds stress to the existing discrepancy in the supply and demand. Moreover, such a model also will contribute to physician fatigue and burn out. Remote monitoring of ICU patients from a central location provides for an efficient mechanism to optimally utilize the existing manpower while balancing the supply demand mismatch. Remote ICU or Tele-ICU intuitively should increase the quality and safety of care provided. However, data regarding this is conflicting. The variation in impact of tele-ICU on these outcomes stems from the type of ICU it is provided in, the model of care provision, its local acceptance, and the metrics evaluated. In this chapter we have addressed the existing literature on the effects of tele-ICU on patient safety and quality of care and the indices that have been studied to evaluate this.
KeywordsTelemedicine Tele-ICU Virtual ICU Quality of care Patient safety
- 11.Cowboy EN, Nygaard SD, Robin Simmons JS. Compliance with CMS timely referral and organ procurement impact via tele ICU. Chest. 2009;136(4):15S–b.Google Scholar
- 12.Kalb T, Raikhelkar J, Meyer S, Ntimba F, Thuli J, Gorman MJ, et al. A multicenter population-based effectiveness study of teleintensive care unit–directed ventilator rounds demonstrating improved adherence to a protective lung strategy, decreased ventilator duration, and decreased intensive care unit mortality. J Crit Care. 2014;29(4):691.e7–691.e14.CrossRefGoogle Scholar
- 16.Ikeda D, Hayatdavoudi S, Winchell J, Rojas A, Rincon T, Yee A. Implementation of a standard protocol for the surviving sepsis 6 and 24 hr bundles in patients with an APACHE III admission diagnosis of sepsis decreases mortality in an open adult ICU: 8. Crit Care Med. 2006;34(12):A2.CrossRefGoogle Scholar
- 34.Angus DC, Kelley MA, Schmitz RJ, White A, Popovich J. Committee on Manpower for Pulmonary and Critical Care Societies (COMPACCS). Caring for the critically ill patient. Current and projected workforce requirements for care of the critically ill and patients with pulmonary disease: can we meet the requirements of an aging population? JAMA. 2000;284(21):2762–70.CrossRefGoogle Scholar