Robotic remote presence technology in the surgical intensive care unit
| Autor: | John F. Collins, John McNelis, Garry J. Schwall |
|---|---|
| Rok vydání: | 2012 |
| Předmět: |
medicine.medical_specialty
Evening Staffing Psychological intervention Critical Care and Intensive Care Medicine law.invention Patient safety law medicine Humans Hospital Mortality Practice Patterns Physicians' Intensive care medicine APACHE Retrospective Studies Remote Consultation business.industry Communication Retrospective cohort study Robotics Length of Stay Intensive care unit Intensive Care Units Treatment Outcome Workforce Emergency medicine Surgery business |
| Zdroj: | Journal of Trauma and Acute Care Surgery. 72:527-530 |
| ISSN: | 0022-5282 |
| DOI: | 10.1097/ta.0b013e31822f7d3b |
| Popis: | Background A national shortage of intensivists coupled with an increased demand for 24/7 intensive care unit (ICU) attending coverage poses staffing problems. To extend physician availability, many institutions have adopted varying forms of remote presence technology (RPT). The authors examine their experience with robotic technology to extend physician presence. Methods The RP-7 experience (InTouch Health, Santa Barbara, CA) was examined from March 1, 2008, to December 31, 2010. Intensivists were on site daily from 8:00 AM to 5:00 PM. Evening rounds were conducted by either RP-7 or telephone. Data were acquired after each session and included demographic data, patients evaluated, interventions made, nighttime discussions regarding plan of care, signal drops, time spent, subsequent calls, unexpected events, and a user evaluation. In addition, Acute Physiology and Chronic Health Evaluation II data, length of stay (LOS), and mortality data were tracked for each group. Data are presented as mean ± standard deviation. Statistical analysis was done using Student's t test. Results The two groups did not differ in regard to age, Acute Physiology and Chronic Health Evaluation II score, or mortality. The RP-7 group demonstrated a decreased hospital and ICU LOS and less subsequent unexpected events. RPT rounds were longer, resulted in more interventions, intensivists received less subsequent calls, and users reported a higher rate of satisfaction with RP-7. Conclusions Communication between attending physician and staff is enhanced by RPT. In addition, hospital and ICU LOS are improved with RPT. Although the two groups do not differ in mortality, improved patient safety was inferred by the decreased number of untoward events. |
| Databáze: | OpenAIRE |
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