Using Telehealth to Improve the Accuracy of Delirium Screening by Bedside Critical Care Nurses

Liron Sinvani, MD; Craig Hertz, DO; Saurabh Chandra, MD; Anum Ilyas, BS; Suzanne Ardito, MA; Negin Hajizadeh, MD


Am J Crit Care. 2022;31(1):73-76. 

In This Article


This study demonstrates that the tele-ICU platform can be used to deliver education, training, and oversight of bedside nurses, which in turn can affect clinical outcomes for patients across ICUs and hospitals. This platform has the potential to affect assessment, diagnosis, and management of ICU delirium. During the COVID-19 pandemic, in which ICUs had rapid turnover in nursing care and were staffed by nurses not trained in critical care, our study demonstrated that the tele-ICU platform can be used efficiently.

Although the tele-ICU modality was feasible and acceptable, future studies are needed to further evaluate efficacy in improving delirium detection. In addition, the number of sessions needed to establish competency must be investigated. This platform can be expanded to include other assessments and to settings outside the ICU.