Measuring the Value of Romote ICU Monitoring

衡量远程 ICU 监测的价值

• 批准号: 7092535
• 负责人: ERIC J THOMAS
• 金额: $ 45.92万
• 依托单位: UNIVERSITY OF TEXAS HLTH SCI CTR HOUSTON
• 依托单位国家: 美国
• 财政年份: 2004
• 资助国家: 美国
• 起止时间: 2004-09-30 至 2008-09-29
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7092535
• 关键词: automated health care system; clinical research; community health services; computer human interaction; cost effectiveness; health care quality; health services research tag; hospital length of stay; human mortality; human subject; intensive care; patient care personnel attitude; patient care planning; patient safety /medical error; rural health; technology /technique development; telemedicine

DESCRIPTION (provided by the applicant): A powerful influence on the quality of care in intensive care units (ICUs) is the presence of critical care physicians (intensivists) in the unit. High-intensity intensivist staffing (required intensivist consultation or closed ICU where intensivists see all patients) is associated with a 29 percent reduction in hospital mortality and a 49 percent reduction in ICU mortality. However, only 10-15 percent of U.S. hospitals have high-intensity staffing by intensivists, primarily due to an existing and worsening shortage of intensivists. Telemedicine, a common form of health information technology, has been used to provide remote intensivist monitoring for ICUs via a tele-ICU. The only study of remote ICU monitoring with a tele-ICU found a reduction in mortality and length of stay comparable to on-site intensivist staffing. More research is needed because of limitations with this single study, the growing demand for intensivist coverage in ICUs, the shortage of intensivists, and the possible effectiveness of tele-ICUs. The specific aims of this study are: 1. To measure the effect of a tele-ICU on mortality, complications, and length of stay in ICUs in a tertiary care teaching hospital, and in seven community (including two "small") hospitals using a pre- and post-intervention study design. 2. To measure the cost-effectiveness of the tele-ICU. 3. To use human factors engineering techniques to determine how changes to the user interface of the tele-ICU may increase the value of the technology. 4. To measure changes in healthcare provider attitudes about teamwork and safety climate after implementation of the tele-ICU.

项目成果

Association of telemedicine for remote monitoring of intensive care patients with mortality, complications, and length of stay.

• DOI: 10.1001/jama.2009.1902
• 发表时间: 2009-12
• 期刊: JAMA
• 作者: Eric J Thomas;Joseph F Lucke;L. Wueste;Lisa Weavind;Bela Patel

A time-motion study of registered nurses' workflow in intensive care unit remote monitoring.

重症监护病房远程监护中注册护士工作流程的时间动态研究。

• 发表时间: 2006
• 期刊: AMIA ... Annual Symposium proceedings. AMIA Symposium
• 作者: Tang,Zhihua;Mazabob,Janine;Weavind,Liza;Thomas,Eric;Johnson,ToddR
• 通讯作者: Johnson,ToddR

Costs and cost-effectiveness of a telemedicine intensive care unit program in 6 intensive care units in a large health care system.

• DOI: 10.1016/j.jcrc.2010.12.004
• 发表时间: 2011-06
• 期刊: JOURNAL OF CRITICAL CARE
• 影响因子: 3.7
• 作者: Franzini, Luisa;Sail, Kavita R.;Thomas, Eric J.;Wueste, Laura
• 通讯作者: Wueste, Laura

Workflow in intensive care unit remote monitoring: A time-and-motion study.

重症监护病房远程监控的工作流程：时间和运动研究。

• DOI: 10.1097/01.ccm.0000281516.84767.96
• 发表时间: 2007
• 期刊: Critical care medicine
• 影响因子: 8.8
• 作者: Tang,Zhihua;Weavind,Liza;Mazabob,Janine;Thomas,EricJ;Chu-Weininger,MingYingL;Johnson,ToddR
• 通讯作者: Johnson,ToddR