Association of health information technology and teleintensivist coverage with decreased mortality and ventilator use in critically ill patients

Archives of Internal Medicine

Volumn 170, Issue 7, 2010, Pages 648-653

  McCambridge, Matthew ^a,b   Jones, Kari ^a   Paxton, Hannah ^a   Baker, Kathy ^a   Sussman, Elliot J ^a,c   Etchason, Jeff ^a  

^a LEHIGH VALLEY HOSPITAL   (United States)

^b PENN STATE COLLEGE OF MEDICINE   (United States)

^c UNIVERSITY OF SOUTH FLORIDA   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

HYPERTENSIVE FACTOR;

ADULT; ARTICLE; CONTROLLED STUDY; CRITICAL ILLNESS; FEMALE; HEALTH CARE PERSONNEL; HOSPITALIZATION; HUMAN; INTENSIVE CARE; INTENSIVE CARE UNIT; MAJOR CLINICAL STUDY; MALE; MEDICAL TECHNOLOGY; MORTALITY; PRIORITY JOURNAL; RESUSCITATION; RISK FACTOR; TELEHEALTH; VENTILATOR;

AGED; CRITICAL ILLNESS; FEMALE; HOSPITAL MORTALITY; HUMANS; INTENSIVE CARE UNITS; LENGTH OF STAY; MALE; MIDDLE AGED; PROGRAM EVALUATION; REGRESSION ANALYSIS; RESPIRATION, ARTIFICIAL; TELEMEDICINE; VENTILATORS, MECHANICAL;

EID: 77951012164     PISSN: 00039926     EISSN: 15383679     Source Type: Journal    
DOI: 10.1001/archinternmed.2010.74     Document Type: Article

References (41)

1. Ammenwerth E, Schnell-Inderst P, Machan C, Siebert U. The effect of electronic prescribing on medication errors and adverse drug events: a systematic review. J Am Med Inform Assoc. 2008;15(5):585-600.
2. Berenson RA, Grossman JM, November EA. Does telemonitoring of patients - the eICU - improve intensive care? Health Aff (Millwood). 2009;28(5):w937-w947.
3. Blumenthal D, Glaser JP. Information technology comes to medicine. N Engl J Med. 2007;356(24):2527-2534.
4. Han YY, Carcillo JA, Venkataraman ST, et al. Unexpected increased mortality after implementation of a commercially sold computerized physician order entry system. Pediatrics. 2005;116(6):1506-1512.
5. Mahoney CD, Berard-Collins CM, Coleman R, Amaral JF, Cotter CM. Effects of an integrated clinical information system on medication safety in a multi-hospital setting. Am J Health Syst Pharm. 2007;64(18):1969-1977. (Pubitemid 47462915)
6. Mekhjian HS, Kumar RR, Kuehn L, et al. Immediate benefits realized following implementation of physician order entry at an academic medical center. J Am Med Inform Assoc. 2002;9(5):529-539.
7. Poon EG, Cina JL, Churchill W, et al. Medication dispensing errors and potential adverse drug events before and after implementing bar code technology in the pharmacy. Ann Intern Med. 2006;145(6):426-434.
8. Potts AL, Barr FE, Gregory DF, Wright L, Patel NR. Computerized physician order entry and medication errors in a pediatric critical care unit. Pediatrics. 2004;113 (1, pt 1):59-63. (Pubitemid 38057494)
9. Wong DH, Gallegos Y, Weinger MB, Clack S, Slagle J, Anderson CT. Changes in intensive care unit nurse task activity after installation of a third-generation intensive care unit information system. Crit Care Med. 2003;31(10):2488-2494. (Pubitemid 37281734)
10. Brown JJ, Sullivan G. Effect on ICU mortality of a full-time critical care specialist. Chest. 1989;96(1):127-129. (Pubitemid 19176428)
11. Dimick JB, Pronovost PJ, Heitmiller RF, Lipsett PA. Intensive care unit physician staffing is associated with decreased length of stay, hospital cost, and complications after esophageal resection. Crit Care Med. 2001;29(4):753-758.
12. Higgins TL, McGee W, Steingrub J, Rapoport J, Lemeshow S, Teres D. Early indicators of prolonged intensive care unit stay: impact of illness severity, physician staffing, and pre-intensive care unit length of stay. Crit Care Med. 2003;31(1): 45-51. (Pubitemid 36151148)
13. Manthous CA, Amoateng-Adjepong Y, al-Kharrat T, et al. Effects of a medical intensivist on patient care in a community teaching hospital. Mayo Clin Proc. 1997; 72(5):391-399.
14. Pollack MM, Katz R, Ruttimann U, Getson P. Improving the outcome and efficiency of intensive care: the impact of an intensivist. Crit Care Med. 1988;16(1):11-17.
15. Pronovost PJ, Jenckes M, Dorman T, et al. Organizational characteristics of intensive care units related to outcomes of abdominal aortic surgery. JAMA. 1999; 281(14):1310-1317.
16. Reynolds HN, Haupt M, Thill-Baharozian M, Carlson RW. Impact of critical care physician staffing on patients with septic shock in a university hospital medical intensive care unit. JAMA. 1988;260(23):3446-3450. (Pubitemid 19003123)
17. Baldock G, Foley P, Brett S. The impact of organisational change on outcome in an intensive care unit in the United Kingdom. Intensive Care Med. 2001;27(5):865-872. (Pubitemid 32480515)
18. Carson SS, Stocking C, Podsadecki T, et al. Effects of organizational change in the medical intensive care unit of a teaching hospital: a comparison of "open" and "closed" formats. JAMA. 1996;276(4):322-328.
19. Ghorra S, Reinert S, Cioffi W, Buczko G, Simms H. Analysis of the effect of conversion from open to closed surgical intensive care unit. Ann Surg. 1999;229(2): 163-171. (Pubitemid 30191787)
20. Li TC, Phillips M, Shaw L, Cook E, Natanson C, Goldman L. On-site physician staffing in a community hospital intensive care unit; impact on test and procedure use and on patient outcome. JAMA. 1984;252(15):2023-2027. (Pubitemid 14046201)
21. Multz AS, Chalfin DB, Samson IM, et al. A "closed" medical intensive care unit (MICU) improves resource utilization when compared with an "open" MICU. Am J Respir Crit Care Med. 1998;157(5, pt 1):1468-1473.
22. Carlson RW, Weiland DE, Srivathsan K. Does a full-time, 24-hour intensivist improve care and efficiency? Crit Care Clin. 1996;12(3):525-551. (Pubitemid 26256462)
23. Chang SY, Multz AS, Hall JB. Critical care organization. Crit Care Clin. 2005;21(1): 43-53, viii.
24. Cummings J, Krsek C, Vermoch K, Matuszewski K; University Health System Consortium ICU Telemedicine Task Force. Intensive care unit telemedicine: review and consensus recommendations. Am J Med Qual. 2007;22(4):239-250.
25. Fact sheet: ICU Physician Staffing (IPS). The Leapfrog Group Web site. http: //www.leapfroggroup.org/media/file/Leapfrog-ICU-Physician-Staffing-Fact -Sheet.pdf. Accessed January 4, 2010.
26. Angus DC, Kelley MA, Schmitz RJ, White A, Popovich J Jr; Committee on Manpower for Pulmonary and Critical Care Societies (COMPACCS). Current and projected workforce requirements for care of the critically ill and patients with pulmonary disease: can we meet the requirements of an aging population? JAMA. 2000;284(21):2762-2770.
27. Pronovost PJ, Needham DM, Waters H, et al. Intensive care unit physician staffing: financial modeling of the Leapfrog standard. Crit Care Med. 2006;34(3) (suppl):S18-S24.
28. Cooper RA. There's a shortage of specialists: is anyone listening? Acad Med. 2002;77(8):761-766.
29. Dill MJ, Salsberg ES. The Complexities of Physician Supply and Demand: Projections Through 2025. Washington, DC: Association of American Medical Colleges; 2008.
30. The critical care workforce: a study of supply and demand for critical care physicians. Health Resources and Services Administration (HRSA)/United States Dept of Health and Human Services Web site. http://bhpr.hrsa.gov/ healthworkforce/reports /criticalcare/footnotes.htm. Accessed January 11, 2010.
31. Groves RH, Holcomb BW, Smith ML. Current principles and practices of telemedicine and e-health. In: Latifi R, ed. Studies in Health Technology and Informatics. Amsterdam, the Netherlands: IOS Press; 2008;131:300.
32. Breslow MJ, Rosenfeld BA, Doerfler M, et al. Effect of a multiple-site intensive care unit telemedicine program on clinical and economic outcomes: an alternative paradigm for intensivist staffing. Crit Care Med. 2004;32(1):31-38.
33. Rosenfeld BA, Dorman T, Breslow MJ, et al. Intensive care unit telemedicine: alternate paradigm for providing continuous intensivist care. Crit Care Med. 2000; 28(12):3925-3931.
34. Thomas EJ, Lucke JF, Wueste L, Weavind L, Patel B. Association of telemedicine for remote monitoring of intensive care patients with mortality, complications, and length of stay. JAMA. 2009;302(24):2671-2678.
35. Rabert AS, Sebastian MMC. The future is now: implementation of a tele-intensivist program. J Nurs Adm. 2006;36(1):49-54.
36. Knaus WA, Wagner DP, Draper EA, et al. The APACHE III prognostic system: risk prediction of hospital mortality for critically ill hospitalized adults. Chest. 1991; 100(6):1619-1636.
37. Zimmerman JE, Kramer AA, McNair DS, Malila FM. Acute Physiology and Chronic Health Evaluation (APACHE) IV: hospital mortality assessment for today's critically ill patients. Crit Care Med. 2006;34(5):1297-1310.
38. Cerner Corporation. The APACHE IV Equations: Benchmarks for Mortality and Resource Use. Kansas City, MO: Cerner Corp; 2005.
39. Howell GH, Lem VM, Ball JM. Remote ICU care correlates with reduced health system mortality and length of stay outcomes. CHEST 2007 Annual Meeting Abstracts Web site. http://meeting.chestpubs.org/cgi/content/abstract/132/4 /443b. Accessed February 23, 2010.
40. Fuchs RJ, Berenholtz SM, Dorman T. Do intensivists in ICU improve outcome? Best Pract Res Clin Anaesthesiol. 2005;19(1):125-135.
41. Pronovost PJ, Angus DC, Dorman T, Robinson KA, Dremsizov TT, Young TL. Physician staffing patterns and clinical outcomes in critically ill patients. JAMA. 2002;288(17):2151-2162.