Another key element: using telemedicine to enable multidisciplinary rounds to help busy doctors and nurses talk to each other at the right times, Lilly says. "That ability to communicate with one another and do decision-making in a multidisciplinary way is also a form of decision support," he adds.
When asked if telemedicine alone would have the same benefits as adding decision support, Lilly says "the more of those things you did, the better you got."
While a paper and pencil is still better than nothing in clinical care, "having an offsite team that double-checks to make sure that the order's right, that the nurse is doing it right, and that the patient actually got what they needed to get, makes a difference," Lilly says.
The American College of Chest Physicians, which publishes CHEST Journal Online First, consists predominantly of pulmonologists and pulmonary care doctors, thoracic surgeons, anesthesiologists, and cardiologists. Philips officials say their eICU product currently supports approximately 12% to 13% of all adult ICU beds in the United States.