title: Telemedicine in the intensive care unit: state of the art.
abstract: Critical care medicine is at a crossroads in which limited numbers of staff care for increasing numbers of patients as the population ages and use of ICUs increases. Also at this time health care spending must be curbed. The high-intensity intensivist staffing model has been linked to improved mortality, complications, and costs. Tele-ICU uses technology to implement this high-intensity staffing model in areas that are relatively underserved. When implemented correctly and in the right populations this technology has improved outcomes. Future studies regarding implementation, organization, staffing, and innovation are needed to determine the optimal use of this critical care professional enhanced technology.
authors: Advanced ICU Care, 747 Third Avenue, Suite 28 A, New York, NY 10017, USA. Electronic address: cscurlock@icumedicine.com.
authors: Corey
authors: C
authors: Scurlock
authors: Harvard-Brigham and Women's Hospital, Pulmonary and Critical Care Fellowship Program Faculty, Harvard Medical School, Boston, MA 02115, USA.
authors: Carolyn
authors: C
authors: D'Ambrosio
mesh_terms: D017052:Hospital Mortality; D006801:Humans; D007362:Intensive Care Units / Q000191:economics / Q000458:organization & administration; D011787:Quality of Health Care; D017216:Telemedicine / Q000458:organization & administration*
keywords: Checklists; Health care finances; Intensivist staffing; Quality improvement; Technology in medicine; Tele-ICU