Zusammenfassung
Telemedizin implementiert in der Intensivmedizin zusätzliche ärztliche Expertise und Kompetenz, welche bedarfsgerecht, hochverfügbar und kosteneffizient am jeweils notwendigen Ort vorhanden ist. Telemedizin realisiert in der Intensivmedizin ein digitales Gesundheitsnetzwerk als neue digitale Versorgungsform. Telemedizin ermöglicht damit in der Intensivmedizin eine Strukturinnovation und verbessert messbar und flächendeckend die Behandlungs- und Prozessqualität, sowie die Effizienz der Versorgung relevanter Patientenkollektive.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Similar content being viewed by others
Literatur
Adams GL et al (2006) Effectiveness of prehospital wireless transmission of electrocardiograms to a cardiologist via hand-held device for patients with acute myocardial infarction (from the Timely Intervention in Myocardial Emergency, NorthEast Experience [TIME-NE]). Am J Cardiol 98:1160–1164
Amkreutz J, Lenssen R, Marx G, Deisz R, Eisert A (2018) Medication safety in a German telemedicine centre: implementation of a telepharmaceutical expert consultation in addition to existing tele-intensive care unit services. J Telemed Telecare. https://doi.org/10.1177/1357633X1879979
Audebert HJ, Schenkel J, Heuschmann PU, Bogdahn U, Haberl RL (2006) Effects of the implementation of a telemedical stroke network: the telemedic pilot project for integrative stroke care (TEMPiS) in Bavaria. Germany Lancet Neurol 5:742–748
Beschlussprotokoll 121. Deutscher Ärztetag 8.–11.Mai 2018 Erfurt. https://www.bundesaerztekammer.de/fileadmin/user_upload/downloads/pdf-Ordner/121.DAET/121_Beschlussprotokoll.pdf. Zugegriffen: 7. Jan. 2019
Brokmann J et al (2017) Telemedizin: Potenziale in der Notfallmedizin. Notfallmedizin up2date 12:307–317
Brunetti ND et al (2017) Pre-hospital electrocardiogram triage with telemedicine near halves time to treatment in STEMI: a meta-analysis and meta-regression analysis of non-randomized studies. Int J Cardiol 232:5–11
Chu-Weininger MYL et al (2010) The impact of a tele-ICU on provider attitudes about teamwork and safety climate. Qual Saf Health Care 19:e39
Coletti C, Elliott DJ, Zubrow MT (2010) Resident perceptions of a tele-intensive care unit implementation. Telemed J E Health 16:894–897
Coustasse A, Deslich S, Bailey D, Hairston A, Paul D (2014) A business case for tele-intensive care units. Perm J 18:76–84
Cummings J, Krsek C, Vermoch K, Matuszewski K, University HealthSystem Consortium ICU Telemedicine Task Force (2007) Intensive care unit telemedicine: review and consensus recommendations. Am J Med Qual 22:239–250
Damiani E et al (2015) Effect of performance improvement programs on compliance with sepsis bundles and mortality: a systematic review and meta-analysis of observational studies. PLoS ONE 10:e0125827
de With K et al (2016) Strategies to enhance rational use of antibiotics in hospital: a guideline by the German society for infectious diseases. Infection 44:395–439
Deisz R, Marx G (2016) Telemedizin in der Intensivmedizin – Möglichkeiten und Grenzen einer Innovation. Med Klin Intensivmed Notfmed 111:723–728
Deisz R, Rademacher S, Gilger K et al (2019) Additional telemedicine rounds are a successful performance improvement strategy for sepsis management – an observational multicentre study. J Med Internet Res 21:e11161
Engel C et al (2007) Epidemiology of sepsis in Germany: results from a national prospective multicenter study. Intensive Care Med 33:606–618
Ergebnisse der Ärztestatistik zum 31.12.2014. https://www.bundesaerztekammer.de/ueber-uns/aerztestatistik/aerztestatistik-der-vorjahre/aerztestatistik-2014/. Zugegriffen: 6. Dez. 2018
Forni A et al (2010) Evaluation of the impact of a tele-ICU pharmacist on the management of sedation in critically ill mechanically ventilated patients. Ann Pharmacother 44:432–438
Golembeski S, Willmitch B, Kim SS (2012) Perceptions of the care experience in critical care units enhanced by a tele-ICU. AACN Adv Crit Care 23:323–329
Haas P (2017) Elektronische Patientenakten Einrichtungsübergreifende Elektronische Patientenakten als Basis für integrierte patientenzentrierte Behandlungsmanagement-Plattformen. http://www.dfki.de/MedicalCPS/www/wp-content/uploads/bertelsmann.pdf. Zugegriffen: 7. Jan. 2019
Handschu R et al (2014) Feasibility of certified quality management in a comprehensive stroke care network using telemedicine: STENO project. Int J Stroke 9:1011–1016
Kahn JM (2011) The use and misuse of ICU telemedicine. JAMA 305:2227–2228
Kahn JM et al (2018) Determinants of intensive care unit telemedicine effectiveness: an ethnographic study. Am J Respir Crit Care Med. https://doi.org/10.1164/rccm.201802-0259OC
Kalb T et al (2014) A multicenter population-based effectiveness study of teleintensive care unit-directed ventilator rounds demonstrating improved adherence to a protective lung strategy, decreased ventilator duration, and decreased intensive care unit mortality. J Crit Care 29(691):e7–14
Koehler F et al (2018) Efficacy of telemedical interventional management in patients with heart failure (TIM-HF2): a randomised, controlled, parallel-group, unmasked trial. Lancet 392:1047–1057
Kruklitis RJ, Tracy JA, McCambridge MM (2014) Clinical and financial considerations for implementing an ICU telemedicine program. Chest 145:1392–1396
Kumar G et al (2013) The costs of critical care telemedicine programs: a systematic review and analysis. Chest 143:19–29
Lazzara EH et al (2015) Utilizing telemedicine in the trauma intensive care unit: does it impact teamwork? Telemed J E Health 21:670–676
Lehmann C et al (2017) The ‚Choosing Wisely‘ initiative in infectious diseases. Infection 45:263–268
Lilly CM et al (2011) Hospital mortality, length of stay, and preventable complications among critically ill patients before and after tele-ICU reengineering of critical care processes. JAMA 305:2175–2183
Lilly CM et al (2014) A multicenter study of ICU telemedicine reengineering of adult critical care. Chest 145:500–507
Lockerung des Fernbehandlungsverbots – Hintergrundgespräch mit den Ärztekammern in Nordrhein-Westfalen – ZTG Zentrum für Telematik und Telemedizin GmbH. ZTG Zentrum für Telematik und Telemedizin GmbH (2018) https://www.ztg-nrw.de/2018/05/lockerung-des-fernbehandlungsverbots-hintergrundgespraech-mit-den-aerztekammern-in-nordrhein-westfalen/. Zugegriffen: 7. Jan. 2019
Marx G, Koch T (2015) Telemedizin in der Intensivmedizin: Strukturempfehlungen der DGAI. https://www.bda.de/docman/alle-dokumente-fuer-suchindex/oeffentlich/empfehlungen/1231-telemedizin-in-der-intensivmedizin-strukturempfehlungen-der-dgai/file.html. Zugegriffen: 7. Jan. 2019
Marx G, Beckers R, Brokmann JC, Deisz R, Pape H-C (2015) Telekooperation für die innovative Versorgung am Beispiel des Universitätsklinikums Aachen. Bundesgesundheitsblatt – Gesundheitsforschung – Gesundheitsschutz 58:1056–1061
McCambridge M et al (2010) Association of health information technology and teleintensivist coverage with decreased mortality and ventilator use in critically ill patients. Arch Intern Med 170:648–653
Nassar BS et al (2014) Impact of an intensive care unit telemedicine program on patient outcomes in an integrated health care system. JAMA Intern Med 174:1160
O’Neill J (2016) The review on antimicrobial resistance (May 19, 2016) Tackling drug-resistant infections globally. https://amr-review.org/sites/default/files/160518_Final%20paper_with%20cover.pdf. Zugegriffen: 6. Dez. 2018
Rawal G, Yadav S, Kumar R (2017) Post-intensive care syndrome: an overview. J Transl Int Med 5:90–92
Reinhart K et al (2010) Prevention, diagnosis, therapy and follow-up care of sepsis: 1st revision of S-2k guidelines of the German sepsis society (Deutsche Sepsis-Gesellschaft e. V. (DSG)) and the German interdisciplinary association of intensive care and emergency medicine (Deutsche Interdisziplinäre Vereinigung für Intensiv- und Notfallmedizin (DIVI)). Ger Med Sci 8:Doc14
Romig MC, Latif A, Gill RS, Pronovost PJ, Sapirstein A (2012) Perceived benefit of a telemedicine consultative service in a highly staffed intensive care unit. J Crit Care 27(426):e9–16
Sadaka F et al (2013) Telemedicine intervention improves ICU outcomes. Crit Care Res Pract 2013:456389
Thomas EJ, Lucke JF, Wueste L, Weavind L, Patel B (2009) Association of telemedicine for remote monitoring of intensive care patients with mortality, complications, and length of stay. JAMA 302:2671–2678
Whitten P, Love B (2005) Patient and provider satisfaction with the use of telemedicine: overview and rationale for cautious enthusiasm. J Postgrad Med 51:294–300
Whitten PS, Mair F (2000) Telemedicine and patient satisfaction: current status and future directions. Telemed J E Health 6:417–423
Wilcox ME, Adhikari NKJ (2012) The effect of telemedicine in critically ill patients: systematic review and meta-analysis. Crit Care 16:R127
Winter A et al (2018) Smart medical information technology for healthcare (SMITH). Methods Inf Med 57:e92–e105
Young LB et al (2011a) Impact of telemedicine intensive care unit coverage on patient outcomes: a systematic review and meta-analysis. Arch Intern Med 171:498–506
Young LB, Chan PS, Cram P (2011b) Staff acceptance of tele-ICU coverage: a systematic review. Chest 139:279–288
Zawada ET Jr et al (2009) Impact of an intensive care unit telemedicine program on a rural health care system. Postgrad Med 121:160–170
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2021 Springer-Verlag GmbH Deutschland, ein Teil von Springer Nature
About this chapter
Cite this chapter
Marx, G. (2021). Telemedizin in der Intensivmedizin. In: Marx, G., Rossaint, R., Marx, N. (eds) Telemedizin. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-60611-7_6
Download citation
DOI: https://doi.org/10.1007/978-3-662-60611-7_6
Published:
Publisher Name: Springer, Berlin, Heidelberg
Print ISBN: 978-3-662-60610-0
Online ISBN: 978-3-662-60611-7
eBook Packages: Medicine (German Language)