Healthcare stakeholders' perceptions and experiences of factors affecting the implementation of critical care telemedicine (CCT): qualitative evidence synthesis.

Jane Sandall,Katerina Iliopoulou,Julia Philippou,Nicola J Mackintosh,Marius Terblanche,Andreas Xyrichis,Suzanne Bench

doi:10.1002/14651858.cd012876.pub2

Abstract

Healthcare stakeholders' perceptions and experiences of factors affecting the implementation of critical care telemedicine (CCT): qualitative evidence synthesis.

Highlights

The context of critical care International interest in the benefits and implementation of telemedicine in a variety of settings and for different conditions is growing fast, as evidenced by the recently published Cochrane intervention review (Flodgren 2016) and Cochrane qualitative evidence synthesis protocol (Odendaal 2015)
Healthcare stakeholders’ perceptions and experiences of factors affecting the implementation of critical care telemedicine (CCT): lines, variation in staffing levels and clinical outcomes, higher rates of medication errors and adverse drug events (Pronovost 2004; Rothchild 2005); all of which are accentuated by the unpredictable nature of patient conditions, the urgent nature of many admissions to critical care and the need for out of hours decision making
In the context of this review, we define critical care as the concentration of healthcare staff and equipment in a distinct area of the hospital in order to care for patients whose conditions are life-threatening and who need constant and close monitoring and support

Summary

Introduction

The context of critical care International interest in the benefits and implementation of telemedicine in a variety of settings and for different conditions is growing fast, as evidenced by the recently published Cochrane intervention review (Flodgren 2016) and Cochrane qualitative evidence synthesis protocol (Odendaal 2015). This is especially the case in the care of critically ill patients. In the context of this review, we define critical care as the concentration of healthcare staff and equipment in a distinct area of the hospital in order to care for patients whose conditions are life-threatening and who need constant and close monitoring and support

Objectives

Methods

Findings

Conclusion