Session Type
Meeting
Search Results for Fatigue
Abstract Number: 242
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: Critical lab values are those results that require rapid notification to clinical staff so that urgent interventions can be made to avoid morbidity or mortality. The Joint Commission requires that hospitals have an effective critical lab value process in place. The process is a time-consuming multi-step progression of phone calls with associated documentation. The […]
Abstract Number: 284
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: Previous studies examining continuous patient monitoring in the ICU and emergency department suggest that substantial telemetry alarm burden combined with a high proportion of false positive alerts may jeopardize patient outcomes. Currently, little is known about the burden and value of specific alarms on the general wards. Methods: As part of a quality improvement […]
Abstract Number: 333
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Overuse of non-ICU continuous cardiac (telemetry) monitoring is a well-documented problem that leads to increased hospital cost, alarm fatigue, nursing time loss, and patient discomfort. It is often ordered for detection of clinical deterioration or higher level of nursing care, without corroborating evidence. Several studies have looked at different interventions to reduce inappropriate telemetry […]
Abstract Number: 338
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Best-Practice Alerts (BPAs), utilized to reduce the number of adverse events in medical settings, have limited efficacy partly due to alert fatigue and user desensitization. Alert fatigue often stems from inaccurate alerts firing too often as well as poor physician perception of the efficacy of the alerts, both of which lead to reduced physician […]
Abstract Number: 378
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: In 2004, the American Heart Association (AHA) published recommendations on the use of cardiac monitoring in the hospital setting. It provided a rating system for its indications (Class I-III), which stratify the likelihood of benefit. In June 2013, The Joint Commission approved NPSG.06.01.01, a patient safety goal on clinical alarm use in the hospital […]
Abstract Number: 549
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Case Presentation: A 71-year-old male with no known past medical history presented with chief complaint of fatigue associated with generalized weakness, malaise, slurring of speech and body aches specifically upper and lower back pain for 3 weeks. He reported working in the woods. Vital signs were unremarkable. Physical exam was remarkable for a faint erythematous […]
Abstract Number: K14
SHM Converge 2022
Background: Telemetry overuse contributes to excess healthcare costs, unnecessary workup of incidentalomas, and alarm fatigue. To curb overuse, guidelines such as the 2017 AHA/ACC continuous ECG monitoring practice standards have outlined appropriate telemetry use standards. The aim of this study was to perform a rapid “plan-do-study-act” (PDSA) cycle and assess whether a nursing (RN)-driven checklist […]