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Meeting
Search Results for Monitoring
Oral Presentations
Abstract Number: 4
SHM Converge 2024
Background: Remote patient monitoring (RPM) is a promising new tool to monitor patients who have historically required observation visits in a hospital, or would have remained hospitalized longer if initiated at hospital discharge, and was widely used in the COVID-19 pandemic. We report the outcomes of hospital admission and urgent/emergent care service utilization in a […]
Oral Presentations
Abstract Number: OP1
SHM Converge 2022
Background: Hospitalizations to treat SARS-CoV-2 infected patients have strained health systems worldwide. Monitored outpatient management of select low-risk COVID-19 patients with isolated exertional hypoxia could help preserve hospital resources and reduce costs while aiming to maintain a high standard of care. In this retrospective cohort analysis, we aimed to evaluate the safety and effectiveness of […]
Oral Presentations
Abstract Number: 4
SHM Converge 2024
Background: Remote patient monitoring (RPM) is a promising new tool to monitor patients who have historically required observation visits in a hospital, or would have remained hospitalized longer if initiated at hospital discharge, and was widely used in the COVID-19 pandemic. We report the outcomes of hospital admission and urgent/emergent care service utilization in a […]
Abstract Number: 36
SHM Converge 2024
Background: Nationwide, hospitals are experiencing high patient volumes, attributed to medical complexity, hospital length of stay, and hospital readmissions, among other factors. In this context, hospitalists’ roles have been expanding to optimize care during and following hospitalization. Post-discharge care is typically managed by primary care providers, and there is sparse information on programs that leverage […]
Abstract Number: 46
SHM Converge 2023
Background: Continuous cardiac monitoring (telemetry) is a vital but resource intensive component of patient care, allowing providers to quickly respond to signs of cardiovascular instability. Despite its importance, and existence of American Heart Association (AHA) guidelines, overreliance of telemetry is common. Since telemetry is restricted to specific units, over-use creates a bottleneck in patient flow […]
Abstract Number: 109
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: Telemetry is an essential tool for real-time monitoring of the heart rhythm and QRS morphology of a patient. American College of Cardiology and American Heart Association had published their respective practice standards for in-hospital cardiac monitoring for the detection of cardiac arrhythmias. Nonetheless, these recommendations were mostly based on expert opinions which focused almost […]
Abstract Number: 122
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: The ratio of partial pressure of arterial oxygen to the fraction of inspired oxygen (P:F ratio) has known clinical utility. For example, it is a key component of the sequential organ failure assesment (SOFA) score which is a validated mortality predictor and the new operational defintion of sepsis. Yet, its use is limited because […]
Abstract Number: 143
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: Alarm fatigue is a serious patient safety issue and represents a 2015 National Patient Safety Goal. False alarms can mask true alarms, and may contribute to suboptimal patient care practices. Cardiac telemetry monitoring in particular has been a focus in the Choosing Wisely campaign and at our institution. Purpose: A comprehensive, multidisciplinary approach was […]
Abstract Number: 151
SHM Converge 2023
Background: A priority of bedside electrocardiographic (ECG) monitoring is identification of ventricular tachycardia (VT), a lethal arrhythmia associated with morbidity and mortality. However, up to 87% of VT alarms could be false. In addition, little is known about the rate of mortality associated with VT. We assessed the rate of 30-day in-hospital mortality associated with […]
Abstract Number: 158
SHM Converge 2024
Background: Continuous multiparameter, physiologic monitoring may improve patient outcomes in the medical-surgical wards by identifying patients who need clinical evaluation and or intervention. Alarms may be actionable or non-actionable dependent on whether the alarm is technical in nature or represents a substantive change in patient condition. Alarms will enhance patient care when followed by provider […]