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American Journal of Medical Quality, Vol. 22, No. 4, 239-250 (2007)
DOI: 10.1177/1062860607302777

Reviews

Intensive Care Unit Telemedicine: Review and Consensus Recommendations

Joseph Cummings, PhD

University HealthSystem Consortium ICU

Cathleen Krsek, MSN, MBA, RN

University HealthSystem Consortium ICU

Kathy Vermoch, MPH, MT, SM

University HealthSystem Consortium ICU

Karl Matuszewski, MS, PharmD

University HealthSystem Consortium ICU, Matuszewski{at}uhc.edu

Intensive care unit telemedicine involves nurses and physicians located at a remote command center providing care to patients in multiple, scattered intensive care units via computer and telecommunication technology. The command center is equipped with a workstation that has multiple monitors displaying real-time patient vital signs, a complete electronic medical record, a clinical decision support tool, a high-resolution radiographic image viewer, and teleconferencing for every patient and intensive care unit room. In addition to communication functions, the video system can be used to view parameters on ventilator screens, infusion pumps, and other bedside equipment, as well as to visually assess patient conditions. The intensivist can conduct virtual rounds, communicate with on-site caregivers, and be alerted to important patient conditions automatically via software-monitored parameters. This article reviews the technology's background, status, significance, clinical literature, financial effect, implementation issues, and future developments. Recommendations from a University HealthSystem Consortium task force are also presented. (Am J Med Qual 2007;22:239-250)

Key Words: eICU • ICU telemedicine • consensus recommendations • ICU IT • telemedicine


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