远程重症监护

Tele-intensive care

远程重症监护（tele—intensivecare）在解决重症监护专业人员不足，提高社区及偏远地区ICU诊疗水平，降低ICU病死率，缩短ICU住院时间，促进ICU最佳医疗实践的实施，提高用药安全等方面有明显优势。但远程ICU的效益、运营模式还有许多不明晰之处，有待深入研究。远程ICU成功的基本要素包括：数据安全、法律与制度保障、专业人员的认同、管理与质量改进、患者、家庭和公众的理解。上述环节不断改进，必使远程ICU发展更快、应用更广泛。

The tele-intensive care has obvious advantages for settling the shortage of intensivists, significantly improving patient care in under-served and under-resourced ICUs, decreasing ICU mortality, shortening length of stays in the ICU and hospital, increasing staff adherence to best practices. But the tele-ICU＇ cost-effectiveness and practice models have a lot of confusions. Further studies are needed in the areas. For successfully implementing tele-ICU, some elements such as data security, legal and institutional guarantee, staff acceptance, management and quality improvement, patient and family understanding are basic. More better above-mentioned, more widely used of tele-ICU and globalizing of tele-critical care.