Rogove Herb
C30 Telemedicine, Ojai, California, USA.
Crit Care Nurs Q. 2012 Oct-Dec;35(4):357-63. doi: 10.1097/CNQ.0b013e318266bdf5.
The concept of the tele-ICU (intensive care unit) is about 30 years old and more hospitals are utilizing it to cover multiple hospitals in their system or for hospitals that lack on-site critical care coverage such as in the rural setting. Doing a needs analysis, picking the appropriate committee to oversee development of the correct model, choosing quality metrics to measure, and designing an implementation plan that has a timeline is how the process should begin. Research including visitation to established programs and connecting with professional societies are helpful. Developing both a business and financial plan will optimize the value of a tele-ICU program. The innovative ICU nursing director will help to integrate a telemedicine program seamlessly with the on-site program to insure a successful program that benefits patients, their families, the ICU staff, and the hospital.
远程重症监护病房(ICU)的概念大约有30年历史了,越来越多的医院正在利用它来覆盖其系统中的多家医院,或者为缺乏现场重症监护服务的医院(如农村地区的医院)提供支持。进行需求分析、挑选合适的委员会来监督正确模式的开发、选择质量指标进行衡量以及设计一个有时间表的实施计划,这就是该过程应如何开始。包括参观已建立的项目以及与专业协会联系在内的研究是有帮助的。制定业务和财务计划将优化远程ICU项目的价值。有创新精神的ICU护理主任将有助于将远程医疗项目与现场项目无缝整合,以确保项目成功,使患者、其家属、ICU工作人员和医院都受益。