The impact of a tele-ICU on provider attitudes about teamwork and safety climate

Abstract

Objective To measure teamwork and safety climate in three intensive care units (ICUs) before and after remote monitoring by intensivists using telemedicine technology (tele-ICU). Design Controlled pre tele-ICU and post tele-ICU crosssectional survey. Setting ICUs in two non-teaching community hospitals and one tertiary care teaching hospital.

Perceived benefit of a telemedicine consultative service in a highly staffed intensive care unit

“…Our result is similar to the findings of Chu-Weininger et al [11], in which nurses in a tele-ICU showed improvement in perceptions of safety and teamwork climate. In addition, our study showed that the perception of care in the control unit actually worsened during the time of study.…”

“…Most of the tele-ICU services are provided and used by nurses in the telemedicine center and at the bedside, respectively [10] . Although improving patient care through telemedicine can potentially improve the satisfaction of bedside staff with the overall care environment, only 1 study has addressed perceptions of tele-ICU [11].…”

“…Since the first study showing outcome benefit of a telemedicine intervention in the ICU, there has been increasing adoption of tele-ICU nationwide and several important studies of its effects on morbidity, mortality, and processes of care [1,8,[13][14][15][16][17], but the staff in 1 tele-ICU system had variable attitudes about teamwork and safety climates as they related to tele-ICU [11]. We had previously conducted site visits and discussions with ICU physicians and nurses at active tele-ICUs and believed that perceptions toward telemedicine in the ICU were an important factor in success [10].…”

Safety climate in 5 intensive care units: A nationwide hospital survey using the Greek-Cypriot version of the Safety Attitudes Questionnaire

“…environment. Although the moderate job satisfaction domain was not positive in the other studies [11,14,[22][23][24], ICU nurses stoutly agreed that they "like their job" (98.4%) and valued their hospital as a "good place to work" (95.9%); these 2 variables suggest that there is a high working morale among ICU nurses despite parallel complaints for fatigue and exhaustion. Although there was comparable less agreement that moral in this ICU area is high, positive scores are very high, indicating a strong commitment of the ICU nurses to their job.…”

Linking health information technology to patient safety and quality outcomes: a bibliometric analysis and review

“…• Transitions and Handoffs [50,51] • Evaluation of Health IT [52][53][54][55][56][57][58][59][60][61][62][63][64][65][66][67] • Foundations of Health IT [68][69][70][71][72][73][74][75][76][77][78][79][80][81] • Commentaries [82][83][84][85][86] …”