The constant monitoring and collaborative coordination between providers ensures 24/7 intensivist
oversight of the hospital's ICU patients.
Udy described how his ICU employed a fulltime intensivist
for virtual consultations--via computer link--in remote areas, and suggested New Zealand might also benefit from virtual "ward rounds" in rural intensive care.
The PICU is staffed by an internationally trained team of paediatric intensivist
hospitalists, paediatric sub-specialists such as a paediatric cardiologist and paediatric infectious disease specialist.
This team--usually comprised of an intensivist
and several highly trained nurses--has access to electronic medical records, laboratory, and real-time patient data.
It included demographic characteristics and professional profiles and a survey of intensivist
perceptions of what influences their decision to admit patients to ICU.
Yet even with a full-time intensivist
on board, the hospital faced significant staffing costs, relying on locum tenens physicians, at considerable expense.
Decreased hospital staffing, access to diagnostic services, intensivist
coverage, and the reluctance of patients to seek care on weekends have been described in this article as possible causal factors.
A 2010 report by the Massachusetts Technology Collaborative and the New England Healthcare Institute concludes that a well-constructed tele-ICU program not only provides the sought-after intensivist
coverage, but also improves outcomes, shortens lengths of stay and reduces costs.
Our analysis shows that having an intensivist
at the donor's bedside who aids and advises the organ procurement coordinator can result in greater likelihood of recovering organs that are deemed successful for transplant, which could mean that each donor could help us save more lives," said Kai Singbarti, MD, lead author of the study and assistant professor of critical care medicine at the University of Pittsburgh School of Medicine and an intensivist
Any abnormality in a patient's vital signs is instantly sent over the eICU secure, high-speed data lines, prompting the intensivist
to examine the situation closely.
This finding of our study may be secondary to intensivists
' interest in the clinical presentation of delirium, but also suggests that the initial clinical diagnosis of delirium could be made by an intensivist
without the eventual delay due to obtaining a consultation from a psychiatric liaison team.
A few days later, as Mom's septic shock is successfully treated, the intensivist
applies pressure again.