Tele Intensive care wherein the critically ill patietns are manned by nurses with an offshore command centre planning the care
About the Project
-Increasing access to quality healthcare for every patient in need, no matter the setting or the location,
-Reducing the chances of healthcare workers getting infected while treating covid 19 positive patients.
-To train the manpower especially nursing and allied staff to be prepared to counter the pandemic in times of need.
Current challenges in critical care-
-Covid 19 pandemic.
-chances of infections to healthcare workers in contact with Covid positive patients.
-Number of patients needing critical care are increasing
– Ageing population and increasing life expectancy
– Increasing healthcare expectations
- Financial burden and decreasing ability to pay
– Availability of skilled manpower availability especially doctors, nurses, pharmacists and others in rural indian sector.
- Critical care patients need specialized care takers with high competence level
– Critical care is a human resource intensive therapy (P/N 1:1)
– Need for remote monitoring techniques to identify those at risk earlier
Patient outcomes and treatment costs depend on
• Dedicated 24/7 intensivist and ICU nursing staff
• Volume of the case flow necessitating regionalized or centralized care
• Skilled interdisciplinary teamwork (incl. eg. pharmacists, physiotherapists)
• Compliance to evidence based treatment protocols
• Rapid identification of the at risk patient with prompt initiation of treatment also outside the ICU (e.g. Medical Emergency Teams)
• Patient management after the ICU stay (e.g. ICU outreach teams)
How could telemedicine help?
- Improve quality of care and increase productivity of intensivists and ICU nurses – Maximize resources and expertise for larger regional critical care patient population – Immediate access to experienced ICU nurse or intensivists
– Allow remote monitoring, advice and support of bed side caretakers (intensivists and nurses) between units and hospitals
– Regional coordination and guidance of treatment processes
– Provide real-time education (via camera)
-Provide earlier identification of patients at risk and treatment initiation in all areas of the hospital
- Interaction with patients and families and local caretakers during crisis and difficult discussions
- Check for compliance with best practices
- Provide tools for quality improvement by gathering information for benchmarking and best practices
- Provide tools for national and international collaboration
Telemedicine utilization in CAV Global Solutions ICU
ICU multidiciplinary morning rounds through remote monitoring:
– Doctors, nurses and pharmacists are gathered to ”command center” where they analyze patient data, discuss the cases and make treatment plan
– No bedside walking rounds
– Real-time patient data is projected to big screen for all participants to review -
electronic medical records • laboratory results • physiological parameters (incl. real time ECG and EEG) • critical care information system • medication • imaging data • nursing notes
- To a remote central hospital when needed
- similar patient data management systems between hospitals
– Interactive telemedicine solution provides all relevant information for the consulting intensivist ◊ better support for colleagues and information for better decisions
– Multi-disciplinary university hospital level support available in a single session
– Fewer patient transfers needed between hospitals
Manpower training-We have a dedicated curriculum designed especially for nursing and pharmacist staff pertaining to critical care medicine.
Telemedicine improves ICU outcomes;
• 15667 pre-intervention and 25797 post-intervention patients
• Statistically significant 20 % decrease in ICU mortality (OR 0.8, CI 0.66-0.97, p=0.02)
• Decrease in hospital mortality (OR 0.82, CI 0.65- 1.03, p=0.08)
• Statistically significant decrease in the ICU length of stay (mean difference 1.26 days; CI -2.2—0.3, p=0.01)
• Decrease in the length of hospital stay (mean difference 0.64 days; CI -1.52-0.25, p=.16)
Brendan L at al. Arch Intern Med 2011; 171: 498-506
Registered company over 6 months
Experience of managing critically ill patients for over 10 years.
- Who is already working on this
- Helpful links
- How to get in touch
- Number of volunteers needed
- Preferred Volunteer location
- Organization status