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医学重症监护病房中的远程机器人临场感——临床医生的看法

Robotic Telepresence in a Medical Intensive Care Unit--Clinicians' Perceptions.

作者信息

Becevic Mirna, Clarke Martina A, Alnijoumi Mohammed M, Sohal Harjyot S, Boren Suzanne A, Kim Min S, Mutrux Rachel

机构信息

Mirna Becevic, PhD, MHA, is an assistant research professor of telemedicine at the University of Missouri Department of Dermatology in Columbia, MO.

Martina A. Clarke, MS, is a PhD candidate at the University of Missouri Informatics Institute in Columbia, MO.

出版信息

Perspect Health Inf Manag. 2015 Jul 1;12(Summer):1c. eCollection 2015.

Abstract

BACKGROUND

Robotic telepresence has been used for outsourcing of healthcare services for more than a decade; however, its use within an academic medical department is not yet widespread. Intensive care unit (ICU) robots can be used to increase access to off-site supervising physicians and other specialists, reducing possible wait time for difficult admissions and procedures.

OBJECTIVE

To study the use of ICU robots through a pilot program in an academic hospital and examine provider attitudes toward the usability and effectiveness of an ICU robot.

MATERIALS AND METHODS

The study was done as a postinterventional cross-sectional seven-question survey in a medical ICU in an urban academic hospital. Participants were attending physicians, fellows, residents, nurses, and respiratory therapists.

RESULTS

Users of the ICU robot reported satisfaction with communication, and improved patient care. They also reported perceived improved quality of care with the use of the robot.

CONCLUSIONS

Findings show the importance of a whole-team approach to the installation and implementation of an ICU robot. The ICU robot is an effective tool when it is used to visualize and communicate with patients, bedside staff, and families. However, a number of providers are still not trained or have not been shown how to use the ICU robot, which affects the overall utilization rate.

摘要

背景

机器人远程临场技术已用于医疗服务外包十余年;然而,其在学术医学科室中的应用尚不广泛。重症监护病房(ICU)机器人可用于增加获得异地监督医生和其他专家的机会,减少困难入院和手术可能的等待时间。

目的

通过一家学术医院的试点项目研究ICU机器人的使用情况,并调查医护人员对ICU机器人可用性和有效性的态度。

材料与方法

该研究是在一家城市学术医院的医疗重症监护病房进行的一项干预后横断面七问题调查。参与者包括主治医师、住院医师、实习医生、护士和呼吸治疗师。

结果

ICU机器人的使用者报告了对沟通的满意度以及患者护理的改善。他们还报告称,使用机器人后护理质量得到了改善。

结论

研究结果表明,采用全团队方法安装和实施ICU机器人非常重要。当ICU机器人用于与患者、床边医护人员和家属进行可视化沟通时,它是一种有效的工具。然而,许多医护人员仍未接受培训或未被告知如何使用ICU机器人,这影响了其整体利用率。

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