
Memorial
Hermann Healthcare System
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Robin Androlake, RN, who works in Memorial
Hermann Healthcare System’s eICU Advantage
command center, monitors ICU patients in three
hospitals.
Not only is the eICU considered as a lifesaver,
but also a potential cost benefit for units that
are stressed from the shortage of critical care
nurses and intensivists.
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A postoperative patient at Memorial Hermann Southwest
Hospital in Houston may owe his life to bedside experts
who were on duty that night — two miles away
at the hospital’s corporate headquarters.
The 54-year-old man was being monitored in the intensive
care unit for an arrhythmia problem that had developed
after his neck surgery. As closely as ICU floor personnel
watched him, a team of critical care physicians and
nurses was observing him in more detail through a bank
of “mission control”-type flat-panel computer
systems that displayed vital signs and a live video
feed.
When the man began developing ventricular tachycardia — a
sudden doubling or tripling of the heart rate that
cripples the adequate flow of blood — the off-site
physician immediately ordered bedside nurses to administer
drugs and oxygen through a constant two-way audio link.
The 3 AM crisis ended within two minutes.
Without the immediate intervention, “that might
have developed into a code,” which itself could
have taken an extra five minutes to set up, said Lisa
Weavind, MD, the medical director for Memorial Hermann’s
new “eICU Advantage” team. “When
these patients do get compromised, they deteriorate
pretty rapidly.”
Last month, Memorial Hermann Healthcare System joined
a short list of 15 hospital organizations nationwide
to adopt the “virtual ICU” concept, which
supplements critical care units with computerized monitoring
equipment that allows for nonstop oversight of multiple
ICU patients. Memorial Hermann’s eICU is connected
to 28 ICU beds at two of its hospitals in Houston.
Plans call for all 200 ICU beds across its 11-hospital
system to be eICU-monitored.
Not only is the eICU considered as a lifesaver, but
also a potential cost benefit for units that are stressed
from the shortage of critical care nurses and intensivists.
“This is tremendously exciting because of its
potential benefit to patients,” Hugh Gilmore,
MD, vice president and chief quality officer for Memorial
Hermann, said in a statement. “It has the established
potential to significantly reduce mortality and ICU
length of stay, and increase nursing satisfaction and
retention.”
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