Creation of a Rudimentary Electronic Pediatric Intensive Care Unit Model to Explore Resident-Attending Communication

Agasthya, Nisha; Foo, Katrina; Smith, Tara C.; Slamon, Nicholas

doi:10.1089/tmj.2018.0190

Cited by 2 publications

(11 citation statements)

References 13 publications

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“…Of 2703 records identified through the search strategy, 2226 had their titles and abstracts screened. Of these, 55 were selected for full-text reading, of which 10 [ 18 – 27 ] were included in the present study ( Fig 1 ).…”

Section: Resultsmentioning

confidence: 99%

“…Of the 10 cohort studies included in this systematic review, 5 assessed the number of deaths in the PICU [ 19 – 21 , 24 , 27 ] and 5 assessed patients’ length of PICU stay [ 18 – 21 , 27 ].…”

Section: Resultsmentioning

confidence: 99%

“…Subgroup analyses were performed to explore heterogeneity among studies. When studies with a follow-up of 24 months or less [ 18 , 20 ] were compared to those with more than 24 months of follow-up [ 19 , 21 , 27 ], length of PICU stay was MD = 2.71 (95% CI −3.66 to 9.08; I2 = 98%) in the group ≤24 months vs MD = 7.58 (95% CI −7.91 to 23.08, I2 = 99%) in the group >24 months.…”

Section: Resultsmentioning

confidence: 99%

“…All cohorts included in the present review were assessed by the NOS [ 15 ]. Study quality was rated as low in 1 study [ 22 ], moderate in 3 [ 22 , 25 , 27 ], and high in 6 [ 18 – 21 , 24 , 26 ].…”

Section: Resultsmentioning

confidence: 99%

“…Of 2703 records identified through the search strategy, 2226 had their titles and abstracts screened. Of these, 55 were selected for full-text reading, of which 10 [18][19][20][21][22][23][24][25][26][27] were included in the present study (Fig 1). There was a significant difference in disposition patterns, since telemedicine allowed better assessment of patients.…”

Section: Study Selectionmentioning

confidence: 99%

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The use of telemedicine in the PICU: A systematic review and meta-analysis

et al. 2021

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The use of telemedicine in ICUs has grown and is becoming increasingly recognized. However, its impact on PICUs remains unclear. This systematic review and meta-analysis aimed to evaluate whether telemedicine in the PICU has the potential to improve clinical and non-clinical outcomes. PubMed, Scopus, LILACS, and CINAHL electronic databases were searched to identify studies that assessed the impact of telemedicine on clinical outcomes, with no publication date restrictions. The reference lists of the selected articles were hand-searched for additional studies that had not been identified by the initial electronic search. Studies were included if they had a cohort design, used telemedicine, were conducted in PICUs or specialized PICUs, and were published in Portuguese, English, or Spanish. Two groups of reviewers independently screened titles and abstracts for inclusion. The same group of reviewers independently assessed the full-text articles for eligibility and extracted the following information: telecommunication method, intervention characteristics, patient characteristics, sample size, and main results. Studies were meta-analyzed using a random-effects model to estimate the pooled prevalence of PICU mortality and length of PICU stay. Risk of bias was assessed using the Newcastle-Ottawa Scale. Of 2703 studies initially identified, 2226 had their titles and abstracts screened. Of these, 53 were selected for full-text reading, of which 10 were included and analyzed. The main results of interest were length of PICU stay, number of deaths or mortality rate, and satisfaction of health professionals and family members. The results of meta-analysis show that the mortality rate reduced by 34% with an increase of the length of PICU stay in the PICUs with the use of telemedicine. Family members and health professionals were satisfied with the use of telemedicine. Telemedicine has the potential to improve PICU outcomes, such as mortality rate and family and staff satisfaction. However, it extended length of PICU stay in the studies included in this systematic review.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Study Selectionmentioning

confidence: 99%

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The use of telemedicine in the PICU: A systematic review and meta-analysis

et al. 2021

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Patient- and Family-Centered Video Rounds in the Pediatric Intensive Care Unit

DeSanti

Brown

Srinivasan

et al. 2020

TMT

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Objective: Management of the coronavirus disease 2019 (COVID-19) pandemic has required social distancing requirements and personal protective equipment shortages, which have forced hospitals to modify patient care rounds. We describe our process developing telemedicine rounds to maintain synchronous, multidisciplinary, pediatric intensive care unit rounds. By adapting available resources using rapid process improvement (PI), we were able to develop patient- and family-centered video rounds (PFCVR). Design: When rounding team members were forced to work from home, we adapted an existing telemedicine platform (VidyoConnect) to perform PFCVR. A quality improvement (QI) team developed an initial standard process, which underwent rapid PI using a small multidisciplinary team. Setting: A 21-bed, mixed medical/surgical/cardiac pediatric intensive care unit. Participants: Critical care patients, families, physicians, consultants, nurses, and ancillary staff. Interventions: The QI team initially met daily, then weekly, sought feedback from nurses, families, and other care providers, and utilized small tests of change to improve the rounding process. Results: We established standardized, socially distanced rounds using VidyoConnect to allow synchronous, multidisciplinary PFCVR. Implementation of a schedule and rounding script facilitated efficient and effective team communication, optimized participation by the entire team, and decreased interruptions. Conclusions: The COVID-19 pandemic compromised the feasibility of the previous rounding process. PFCVR is a safe and effective tool to facilitate communication while adhering to social distancing guidelines. Use of available platforms and team-based PI is critical for successful implementation.

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Creation of a Rudimentary Electronic Pediatric Intensive Care Unit Model to Explore Resident-Attending Communication

Cited by 2 publications

References 13 publications

The use of telemedicine in the PICU: A systematic review and meta-analysis

The use of telemedicine in the PICU: A systematic review and meta-analysis

Patient- and Family-Centered Video Rounds in the Pediatric Intensive Care Unit

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