Journal article
Using electronic medical record notes to measure ICU telemedicine utilization
Journal of the American Medical Informatics Association : JAMIA, Vol.24(5), pp.969-974
09/01/2017
DOI: 10.1093/jamia/ocx029
PMID: 28379510
Abstract
Given the complexity of high-acuity health care, designing an effective clinical note template can be beneficial to both document patient care and clarify how telemedicine is used. We characterized documented interactions via a standardized note template between bedside intensive care unit (ICU) providers and teleintensivists in 2 Veterans Health Administration ICU telemedicine support centers. All ICUs linked to support centers and providing care from October 2012 through September 2014 were considered. Interactions were assessed based on initiation site, bedside initiator, contact type, and patient care change. Of 14 511 ICU admissions with teleintensivist access, teleintensivist interaction was documented in 21.6% (N = 3136). In particular, contacts were primarily initiated by bedside staff (74.4%), use increased over time, and of contacts resulting in changes in patient care, most were initiated by a bedside nurse (84.3%). Given this variation, future research necessitates inclusion of utilization in evaluation of Tele-ICU and patient outcomes.
Details
- Title: Subtitle
- Using electronic medical record notes to measure ICU telemedicine utilization
- Creators
- Amy M J O'Shea - Department of Internal Medicine, Division of General Internal Medicine, University of Iowa Roy J. and Lucille A. Carver College of Medicine, Iowa City, IA, USAMary Vaughan Sarrazin - Department of Internal Medicine, Division of General Internal Medicine, University of Iowa Roy J. and Lucille A. Carver College of Medicine, Iowa City, IA, USABoulos Nassar - Department of Internal Medicine, Division of Pulmonary, Critical Care, and Occupational Medicine, University of Iowa Roy J. and Lucille A. Carver College of MedicinePeter Cram - Department of Internal Medicine, University of Toronto, Toronto, Ontario, CanadaLynelle Johnson - VA Integrated Healthcare Network 10, VA Healthcare System, Cincinnati, OH, USARobert Bonello - Minneapolis VA Health Care System, Minneapolis, MN, USARalph J Panos - Pulmonary, Critical Care, and Sleep Division, University of Cincinnati College of Medicine, Cincinnati, OH, USAHeather S Reisinger - Department of Internal Medicine, Division of General Internal Medicine, University of Iowa Roy J. and Lucille A. Carver College of Medicine, Iowa City, IA, USA
- Resource Type
- Journal article
- Publication Details
- Journal of the American Medical Informatics Association : JAMIA, Vol.24(5), pp.969-974
- Publisher
- England
- DOI
- 10.1093/jamia/ocx029
- PMID
- 28379510
- ISSN
- 1067-5027
- eISSN
- 1527-974X
- Language
- English
- Date published
- 09/01/2017
- Academic Unit
- Pulmonary, Critical Care, and Occupational Medicine; Health Management and Policy; Center for Social Science Innovation; General Internal Medicine; Internal Medicine
- Record Identifier
- 9984064195902771
Metrics
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