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- Article] Utilization of Robotic "Remote Presence" Technology Within North American Intensive Care Units
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DocNo of ILP: 1161
Doc. Type: Article
Title: Utilization of Robotic "Remote Presence" Technology Within North American Intensive Care Units
Authors: Reynolds, EM; Grujovski, A; Wright, T; Foster, M; Reynolds, HN
Full Name of Authors: Reynolds, Eliza M.; Grujovski, Andre; Wright, Tim; Foster, Michael; Reynolds, H. Neal
Keywords by Author: e-health; technology; telehealth; telemedicine
Keywords Plus: CRITICALLY-ILL PATIENTS; RURAL HEALTH SYSTEM; TELEMEDICINE PROGRAM; ICU TELEMEDICINE; MORTALITY; WORKFORCE; OUTCOMES; IMPACT; MANAGEMENT; PARADIGM
Abstract: Objective: To describe remote presence robotic utilization and examine perceived physician impact upon care in the intensive care unit (ICU). Study Design: Data were obtained from academic, university, community, and rural medical facilities in North America with remote presence robots used in ICUs. Objective utilization data were extracted from a continuous monitoring system. Physician data were obtained via an Internet-based survey. Results: As of 2010, 56 remote presence robots were deployed in 25 North American ICUs. Of 10,872 robot activations recorded, 10,065 were evaluated. Three distinct utilization patterns were discovered. Combining all programs revealed a pattern that closely reflects diurnal ICU activity. The physician survey revealed staff are senior (75% > 40 years old, 60% with > 16 years of clinical practice), trained in and dedicated to critical care. Programs are mature (70% > 3 years old) and operate in a decentralized system, originating from cities with > 50,000 population and provided to cities > 50,000 (80%). Of the robots, 46.6% are in academic facilities. Most physicians (80%) provide on-site and remote ICU care, with 60% and 73% providing routine or scheduled rounds, respectively. All respondents (100%) believed patient care and patient/family satisfaction were improved. Sixty-six percent perceived the technology was a "blessing," while 100% intend to continue using the technology. Conclusions: Remote presence robotic technology is deployed in ICUs with various patterns of utilization that, in toto, simulate normal ICU work flow. There is a high rate of deployment in academic ICUs, suggesting the intensivists shortage also affects large facilities. Physicians using the technology are generally senior, experienced, and dedicated to critical care and highly support the technology.
Cate of OECD: Health sciences
Year of Publication: 2012
Business Area: other
Detail Business: medicine & science
Country: USA
Study Area:
Name of Journal: TELEMEDICINE AND E-HEALTH
Language: English
Country of Authors: [Reynolds, H. Neal] Univ Maryland, Sch Med, R Adams Cowley Shock Trauma Ctr, Baltimore, MD 21201 USA; [Reynolds, Eliza M.; Grujovski, Andre; Wright, Tim; Foster, Michael] InTouch Hlth, Santa Barbara, CA USA
Press Adress: Reynolds, HN (reprint author), Univ Maryland, Sch Med, R Adams Cowley Shock Trauma Ctr, 22 S Greene St, Baltimore, MD 21201 USA.
Email Address: HNeal.Reynolds@gmail.com
Citaion:
Funding:
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Number of Citaion: 47
Publication: MARY ANN LIEBERT INC
City of Publication: NEW ROCHELLE
Address of Publication: 140 HUGUENOT STREET, 3RD FL, NEW ROCHELLE, NY 10801 USA
ISSN: 1530-5627
29-Character Source Abbreviation: TELEMED E-HEALTH
ISO Source Abbreviation: Telemed. e-Health
Volume: 18
Version: 7
Start of File: 507
End of File: 515
DOI: 10.1089/tmj.2011.0206
Number of Pages: 9
Web of Science Category: Health Care Sciences & Services
Subject Category: Health Care Sciences & Services
Document Delivery Number: 004TF
Unique Article Identifier: WOS:000308703300004
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