Integration Strategy for e-Intensive Care Unit: A Narrative Review and Implementation Plan

Antoine Boustany; Honorata Hencel; Ondrej SvobodaSunshin FungcapFrancois Abi Fadel

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Integration Strategy for e-Intensive Care Unit: A Narrative Review and Implementation Plan

机译：Integration Strategy for e-Intensive Care Unit: A Narrative Review and Implementation Plan

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Introduction: The objectives of this article are to review previously established tele-intensive care unit (ICU) services describing their impact at the technical and medical level, and to propose an implementation plan to equip health care facilities in need of telehealth.Materials and Methods: We searched MEDLINE, EMBASE, PubMed, and ISI web of knowledge, using terms related to “e-ICU” and “tele-ICU” from inception to May 2021.Discussion: At the technical level, an increase in private insurance enrollment and routine checkups, as well as a reduction in hospital utilization rates and improvement in health outcomes was seen in the aftermath of the adoption of telehealth insurance mandates. Moreover, e-ICU helped reducing mortality and length of hospital stay of critically ill patients. The main approach to implementation should include features that are widely accepted for quality improvement, including being focused on patient-centered outcomes, having strong executive support, and targeting changes that were known to improve outcomes. HL7 Fast Healthcare Interoperability Resources stands out as one of the best candidates to achieve structural interoperability for patient health records.Conclusions: Adoption of tele-ICU services requires a substantial up-front investment and ongoing cost of maintenance. This could be challenging for hospitals with low budgets. Hence the importance of further investigating more efficient strategies of e-ICU services integration and implementation.

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《Telemedicine and e-health: the official journal of the American Telemedicine Association》 |2023年第3期|361-365|共5页
作者
Antoine Boustany; Honorata Hencel; Ondrej SvobodaSunshin FungcapFrancois Abi Fadel;
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作者单位

Department of Internal Medicine, Cleveland Clinic Foundation;

Rome Business School;

Respiratory Institute, Pulmonary and Critical Care Medicine, Cleveland Clinic;

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原文格式 PDF
正文语种英语
中图分类预防医学、卫生学;
关键词
tele-ICU; e-ICU; telemedicine; telehealth;

Integration Strategy for e-Intensive Care Unit: A Narrative Review and Implementation Plan

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