Providing Early Attending Physician Expertise via Telemedicine to Improve Rapid Response Team Evaluations

Pediatric Critical Care Medicine : a Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies
Marie L FieroRobert M Sutton

Abstract

To evaluate the effect of providing early attending physician involvement via telemedicine to improve the decision process of rapid response teams. Quasi-experimental; three pairs of control/intervention months: June/July; August/October; November/December. Single-center, urban, quaternary academic children's hospital with three-member rapid response team: critical care fellow or nurse practitioner, nurse, respiratory therapist. Baseline practice: rapid response team leader reviewed each evaluation with an ICU attending physician within 2 hours after return to ICU. 1) Patients evaluated by rapid response team, 2) rapid response team members. Implementation of a smartphone-based telemedicine platform to facilitate early co-assessment and disposition planning between the rapid response team at the patient's bedside and the attending in the ICU. As a marker of efficiency, the primary provider outcome was time the rapid response team spent per patient encounter outside the ICU prior to disposition determination. The primary patient outcome was percentage of patients requiring intubation or vasopressors within 60 minutes of ICU transfer. There were three pairs of intervention/removal months. In the first 2 pairs, the intervention wa...Continue Reading

References

Oct 14, 2005·Journal of the American Medical Informatics Association : JAMIA·Anthony D HarrisJoseph Finkelstein
Aug 1, 2006·Critical Care Medicine·Michael A DevitaSanjay Galhotra
Dec 9, 2009·Pediatric Annals·Madan DharmarJames P Marcin
Apr 2, 2011·Resuscitation·William J BradyUNKNOWN American Heart Association's Get with the Guidelines (formerly, NRCPR) Investigators
Dec 23, 2011·Critical Care : the Official Journal of the Critical Care Forum·Marlys K ChristiansonTheodore J Iwashyna
May 4, 2013·Pediatric Clinics of North America·James P Marcin
Nov 13, 2013·JAMA Pediatrics·Christopher P BonafideRon Keren
May 3, 2014·Hospital Pediatrics·Patrick W BradyUma R Kotagal
Aug 1, 2014·Critical Care Medicine·Craig M LillyUNKNOWN Society of Critical Care Medicine Tele-ICU Committee
Jan 8, 2016·Telemedicine Journal and E-health : the Official Journal of the American Telemedicine Association·Peter A PappasScott Gettings
Jul 19, 2016·Pediatric Critical Care Medicine : a Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies·Justin Robison, Nicholas B Slamon
Nov 6, 2018·Pediatric Critical Care Medicine : a Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies·Zachary J BerrensKen Tegtmeyer

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Citations

May 3, 2020·Pediatric Critical Care Medicine : a Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies·Derek S Wheeler

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