Quality Improvement and Telemedicine Intensive Care Unit: A Perfect Match

Devang K Sanghavi; Pramod K Guru; Pablo Moreno Franco

doi:10.1016/j.ccc.2019.02.003

Quality Improvement and Telemedicine Intensive Care Unit: A Perfect Match

Crit Care Clin. 2019 Jul;35(3):451-462. doi: 10.1016/j.ccc.2019.02.003. Epub 2019 Apr 6.

Authors

Devang K Sanghavi¹, Pramod K Guru¹, Pablo Moreno Franco²

Affiliations

¹ Department of Critical Care Medicine, Mayo Clinic, 4500 San Pablo Road, Jacksonville, FL 32224, USA.
² Division of Transplant Medicine, Department of Critical Care Medicine, Mayo Clinic, 4500 San Pablo Road, Jacksonville, FL 32224, USA. Electronic address: MorenoFranco.Pablo@mayo.edu.

PMID: 31076045
DOI: 10.1016/j.ccc.2019.02.003

Abstract

The health care delivery system is complex. New technologies offer new treatment options. The process of quality improvement includes system re-engineering. Telemedicine intensive care is an evolving area of delivery. Its core characteristic is the need for a merger of human and machine activity. Optimal use of quality improvement tools can lead to improved patient-centered outcomes. This article outlines how quality improvement tools can be used to facilitate the patient-centered collaboration with a focus on defining evidence-practice gaps, developing actionable metrics, analyzing the impact of proposed interventions, quantifying resources, prioritizing improvement plans, evaluating results, and diffusing best practices.

Keywords: Communication; Critical care; Quality improvement; Tele-ICU.

Publication types

Review

MeSH terms

Humans
Intensive Care Units* / organization & administration
Quality Improvement / organization & administration*
Telemedicine* / organization & administration