Advanced ICU Care, One City Place Drive, Suite 570, St Louis, MO 63141, USA; Department of Critical Care Medicine, SSM DePaul, 123030 DePaul Drive, Bridgeton, MO 63044, USA.
Crit Care Clin. 2019 Jul;35(3):439-449. doi: 10.1016/j.ccc.2019.02.002. Epub 2019 Apr 10.
Intensive care unit (ICU) telemedicine lowers mortality, shortens length of stay and improves best practice compliance when implemented effectively. As a review of the literature shows, program success is not guaranteed. The model of ICU telemedicine with published results is the one designed to leverage an intensivist-led remote critical care team, assisted by technology, data streaming, and analytics. The value of ICU telemedicine lies in how well the model is applied, leveraged, and integrated into the existing staff, structure, and processes at the bedside. Key domains to master to achieve this integration are discussed.
重症监护病房（ICU）远程医疗可降低死亡率、缩短住院时间并提高最佳实践的合规性，只要实施得当。正如文献综述所表明的那样，并非所有项目都能成功。已公布结果的 ICU 远程医疗模式是旨在利用由重症医师领导的远程重症护理团队，辅以技术、数据流和分析。ICU 远程医疗的价值在于该模式在多大程度上被应用、利用并整合到床边现有的员工、结构和流程中。讨论了实现这种整合所需掌握的关键领域。
