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Cited by 13Telemedicine and Telehealth ImplementationElectronic Health Records SystemsHealthcare Technology and Patient Monitoring

Identification of tele-ICU system requirements using a content validity assessment

Larinkari, Simo, Liisanantti, Janne H., Ala-Lääkkölä, Timo, Meriläinen, Merja, Kyngäs, Helvi, Ala-Kokko, Tero·2016·International Journal of Medical Informatics
DOI 10.1016/j.ijmedinf.2015.11.012
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Abstract

Objectives Telemedicine in intensive care (tele-ICU) involves the use of information technologies to deliver care instructions from a command center to remote hospitals. To ensure acceptance and usability, clinicians should participate early in the design. This study surveyed clinical professionals to identify and rank important functions for a tele-ICU system.Methods This cross-sectional, prospective, structured, two-round survey included European intensive-care professionals that were not familiar with tele-ICU systems. In the first round, statements of system function specifications were evaluated for validity; in the second round, unclear items were rephrased and new items were added. Item-level content validity indexes (I-CVI) were calculated, and values above a 0.75 threshold were considered relevant. Weighted ranking points (WRP) was calculated from the ranking data.Results A total of 26 responses were received from professionals for four European countries; the majority were intensive-care specialists (77%). A total set of 50 items were selected for the survey. Thirty-six functional specifications were identified with I-CVIs above 0.75, including online access to all patient data (13 items), related risks and alarms (8 items), audio-visual contact for consultations and for monitoring patient beds (5 items), information security (5 items), and resource allocation (5 items). The highest ranking system functions were real time monitoring, alarms, audio-visual connections, and data security.Conclusions Professionals not familiar with tele-ICUs regarded full patient data access, alarms, data security, and audio-visual connections the most important functions in pre-implementation phase.

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  • The most disruptive implementation of ICT in intensive care medicine in the recent past has been the introduction of tele-ICUs, which has been accompanied by several staff acceptance studies.

    “The most disruptive implementation of ICT in intensive care medicine in the recent past has been the introduction of tele-ICUs, which has been accompanied by several staff acceptance studies [21,52,53].”

    From Clinical requirements of future patient monitoring in the intensive care unit: qualitative study (2019) · cites this paper as [53]

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Authors
Larinkari, S., Liisanantti, J. H., Ala-Lääkkölä, T., Meriläinen, M., Kyngäs, H., & Ala-Kokko, T.
Affiliations
  • Oulu University Hospital (FI)
  • University of Oulu (FI)
Corresponding author
Liisanantti, Janne H.
ORCID
Venue
International Journal of Medical Informatics
Publisher
Elsevier BV
Published
2016-02
Volume
86
Pages
30-36
ISSN
1386-5056 (ISSN-L)
DOI
10.1016/j.ijmedinf.2015.11.012
OpenAlex
W2183032926
Cited by
13
References
17
Citations by year
2026: 2 · 2025: 1 · 2024: 1 · 2023: 1 · 2022: 1 · 2021: 3 · 2019: 3 · 2017: 1
FWCI
0.36
Type
journal article
Language
en
Open access
closed
Licence
www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations
  • International Journal of Medical Informatics (publishedVersion)
  • PubMed (publishedVersion)
Funders
Oulun Yliopistollinen Sairaala
Topics
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Telemedicine and Telehealth Implementation
  • Health Sciences › Health Professions › Health Information Management › Electronic Health Records Systems
  • Health Sciences › Medicine › Surgery › Healthcare Technology and Patient Monitoring
Keywords
tele-ICU, telemedicine, intensive care, system requirements, content validity, real-time patient monitoring, clinical alarm systems, audiovisual communication, data security, resource allocation
MeSH terms
Adult, Attitude of Health Personnel, Clinical Competence, Critical Care, Cross-Sectional Studies, Female, Humans, Intensive Care Units, Male, Prospective Studies, Quality of Health Care, Surveys and Questionnaires, Telemedicine, Patient Safety

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