Comparison of Tele-Critical Care Versus Usual Care On ICU Performance (TELESCOPE)

Cluster randomized trial involving ICUs in Brazil. ICU is the unit of randomization. The trial will have two stages: Stage I ‐ Baseline data: ‐ Characterize participant ICUs and quality indicators ‐ Characterize patients from each participant ICU to describe baseline outcomes Stage II ‐ Intervention: This is the main stage for data analysis. ICUs will be randomly assigned to an experimental or control group. The experimental group should use a multidisciplinary rounds with a board certified physician through tele‐critical care and take part in meetings to discuss how to improve local quality indicators, and the control group will follow the local standard of care.