Intensive Care Unit Telemedicine, An Issue of Critical Care Clinics, Volume 35-3

 Table of contents:

·  Important Administrative Aspects of Critical Care Telemedicine Programs

·  Key points

·  Introduction

·  Discussion

·  Summary

·  TeleICU Interdisciplinary Care Teams

·  Key points

·  Introduction

·  The essential TeleICU team structure

·  TeleICU team members

·  Getting teams to work together: the Synergy Model

·  Communication is key

·  Varying intensive care unit environments

·  Potential team extensions

·  One or multiple hub sites?

·  Additional uses of the TeleICU team/technology

·  Summary

·  Tele-ICU Technologies

·  Key points

·  Introduction

·  History and evolving technology of telemedicine in the intensive care unit

·  Tele-ICU technology

·  Hardware and software specifications

·  Regulations and cybersecurity

·  Health information technology standards and interoperability

·  Vendors and Tele-ICU technologies

·  Technology is important, but it is not everything

·  Impact of Intensive Care Unit Telemedicine on Outcomes

·  Key points

·  Meta-analysis

·  Process of care outcomes

·  Association of intensive care unit and intensive care unit telemedicine integration with results

·  Hospital impacts

·  Patients and providers

·  Final thoughts

·  Quality Improvement and Telemedicine Intensive Care Unit: A Perfect Match

·  Key points

·  Introduction

·  Medical errors in the intensive care unit and increasing safety in tele-intensive care using quality improvement tools

·  Quality improvement methodology examples: plan–do–study–act cycles, define–measure–analyze–improve–control, and lean

·  Tele-intensive care and its role in enhancing intensive care unit quality of care

·  Continuous quality improvement by tele-intensive care

·  Leveraging current and future knowledge to enhance intensive care unit metrics by tele-intensive care

·  Resource use and project prioritization

·  Diffusion of best practices across all intensive care units

·  Impact of quality improvement by tele-intensive care on interhospital transfers

·  Continuous quality improvement use in tele-intensive care

·  Handoff communication

·  Summary

·  Evolution of the Intensive Care Unit Telemedicine Value Proposition

·  Key points

·  Early warning systems

·  Intensive care unit telemedicine patient monitoring systems

·  Automated acuity and transfer readiness

·  Communication for team harmony and patient safety

·  Intensive care unit telemedicine sign-in and -out procedures enhance situational awareness

·  Delivering medical management and documentation services: more than advice

·  Pathways for escalation

·  Workforce leveraging

·  Incremental staffing resources for nascent physiologic instability

·  Teamwork for continuous management

·  An interprofessional approach to logistical support

·  Decreased time to rescue

·  Logistical support to increased access to care

·  Financial performance: a matter of perspective

·  Summary

·  Intensive Care Unit Telemedicine Care Models

·  Key points

·  Introduction

·  Basic principles

·  Intensity of the care models

·  Quality improvement

·  Intensive care unit telemedicine as a model for medical education

·  Summary

·  Intensive Care Unit Telemedicine in the Era of Big Data, Artificial Intelligence, and Computer Clinical Decision Support Systems

·  Key points

·  Introduction

·  History

·  State of clinical decision support systems in the telemedicine intensive care unit

·  Future telemedicine intensive care unit applications of machine learning

·  Telemedicine intensive care unit clinical decision support system considerations

·  Summary

·  Intensive Care Unit Telemedicine: Innovations and Limitations

·  Key points

·  Introduction

·  Recent innovations in intensive care unit telemedicine

·  Opportunities for intensive care unit telemedicine innovation

·  Limitations

·  Summary

·  Satisfaction in Intensive Care Unit Telemedicine Programs

·  Key points

·  Introduction

·  Tools for evaluating patient and provider satisfaction in an intensive care unit telemedicine program

·  Factors that affect satisfaction

·  Standards for measuring satisfaction in an intensive care unit telemedicine program

·  Summary

·  Appendix 1. Teamwork Climate Scale and Safety Climate Scale items

·  Expansion of Telemedicine Services: Telepharmacy, Telestroke, Teledialysis, Tele–Emergency Medicine

·  Key points

·  Introduction

·  Telepharmacy

·  Telestroke

·  Teledialysis

·  Tele–emergency medicine

·  Other telehealth services