Table 1.
Data charting results: interventions and context.
| Domain and category | Definition | Studies (N=25), n (%) | ||||||
| Implementation context | ||||||||
|
|
Clinical focus | |||||||
|
|
|
General | No specific clinical focus identified (MICUa, SICUb) | 21 (84) | ||||
|
|
|
Specialized | Specific clinical focus (ie, sepsis, cardiology, neurocritical) | 4 (16) | ||||
|
|
ICUc type | |||||||
|
|
|
Open | Primary physician has full-time responsibility for patient care | 10 (40) | ||||
|
|
|
Open/closed | Features of both open and closed models | 9 (36) | ||||
|
|
|
Closed | Intensivists available with full responsibility for patient care | 6 (24) | ||||
|
|
Hospital type | |||||||
|
|
|
Tertiary | Tertiary care institutions or teaching hospitals | 11 (44) | ||||
|
|
|
Mixed | Care organization spanning tertiary and community settings | 4 (16) | ||||
|
|
|
Community | Community hospitals or small medical facility | 9 (36) | ||||
|
|
|
Not available | N/Ad | 1 (4) | ||||
| System configuration | ||||||||
|
|
Continuous | Continuous patient critical care monitoring | 5 (20) | |||||
|
|
Mixed | Continuous monitoring including scheduled rounds | 9 (36) | |||||
|
|
Scheduled | Scheduled consultation at regular interval. Virtual rounds. | 9 (36) | |||||
|
|
Not available | Insufficient information provided | 2 (8) | |||||
|
|
Centralized | Tele-ICU Command Center or Hub centralizing patient care | 19 (76) | |||||
|
|
Decentralized | Distributed architecture without centralized hub | 5 (20) | |||||
|
|
Not available | N/A | 1 (4) | |||||
|
|
Direct access | Direct staff remote access to patient data | 18 (72) | |||||
|
|
Limited access | Limited staff remote access (screen sharing) to patient data | 4 (16) | |||||
|
|
Not available | N/A | 3 (12) | |||||
| Implementation rationale | ||||||||
|
|
Coverage | Intensivist shortage, provision of extended coverage | 13 (52) | |||||
|
|
Compliance | Adherence and compliance to critical care guidelines | 10 (40) | |||||
|
|
Transfer | Patients screening or triage for transfers to or from ICU | 2 (8) | |||||
aMICU: medical intensive care unit.
bSICU: surgical intensive care unit.
cICU: intensive care unit.
dN/A: not applicable.