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Search Results for Monitoring
Abstract Number: 170
SHM Converge 2021
Background: Proper hand hygiene is a cornerstone of infection control [1,2]. Despite this, compliance remains a challenge, averaging only 50% across healthcare systems nationwide [1].Several interventions have been trialed to improve compliance, including audit and feedback [3]. Traditionally, hand hygiene audits have occurred through direct observation. Unfortunately, this approach can capture fewer than 1-3% of […]
Abstract Number: 181
Hospital Medicine 2020, Virtual Competition
Background: Despite the introduction of Early Warning Scores (EWSs), clinical deterioration (CD) remains an actual problem on the general ward. A next step to counter CD would be to intensify measurement from intermittent 8 hours to continuous measurements. This leads to big data sets of patient monitoring data with great potential. Use of advanced predictive […]
Abstract Number: 254
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: During 2016, the total billed cost of cardiac monitoring neared 4 million dollars at our institution and many patients were observed on the monitor without approved indication as published by the American Heart Association’s (AHA) guidelines published in 2014. The overutilization of cardiac monitoring constitutes a misappropriation of resources which results in undue health […]
Abstract Number: 255
SHM Converge 2024
Background: Heart failure (HF) hospital readmissions are a leading cause of US 30-day hospital readmissions. Factors related to clinical complexity and unmet social needs are among the key drivers associated with HF negative clinical outcomes. Digital platforms have shown promise in improving HF outcomes but limitations like patient lack of familiarity with technology and unmet […]
Abstract Number: 257
SHM Converge 2024
Background: Respiratory failure is the most common organ failure syndrome in US hospitals (1). Hospitalists strive to detect the earliest signs of respiratory instability. Measurement of respiratory vital signs (like respiratory rate & oximetry) is a necessary aspect of risk stratification, but it is not sufficient. In one study, 46% of hospitalized patients had no […]
Abstract Number: 257
Hospital Medicine 2020, Virtual Competition
Background: Overuse of non-ICU continuous adult cardiac (telemetry) monitoring is a well-documented problem that can lead to increase hospital cost, alarm desensitization, nursing time loss, and patient discomfort 1,2. Previous studies assessing reduction of inappropriate telemetry use have employed a combination of electronic health record (EHR) order, nursing protocol changes, intensive educational, and/or feedback initiatives […]
Abstract Number: 258
Hospital Medicine 2020, Virtual Competition
Background: In order to reduce overuse, many hospitals have conducted studies and implemented protocols with the goal of reducing non-indicated telemetry monitoring. A common tool that institutions utilize for these changes are the clinical decision support systems (CDSS). In this report, we will present the telemetry protocol utilized by our hospital and review its effects […]
Abstract Number: 261
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: Telemetry is an often overused and expensive medical monitoring device designed to measure cardiac disease, arrhythmias or suspected heart abnormalities. In an effort to describe appropriate electrocardiographic monitoring in the hospital setting, the American Heart Association (AHA) put forth guidelines for appropriate telemetry usage. Despite these well-defined recommendations, many patients are monitored on telemetry […]
Abstract Number: 263
Hospital Medicine 2020, Virtual Competition
Background: Telemetry over utilization increases wasted spending, increases alarm fatigue, and creates patient safety risks. Despite the presence of American Heart Association (AHA) practice guidelines, patients are often placed on telemetry for inappropriate reasons at the discretion of the medical provider and are monitored for longer than anticipated. The goal of this quality improvement project […]
Abstract Number: 270
SHM Converge 2023
Background: To address bed capacity concerns related to the COVID-19 pandemic, the Centers for Medicare and Medicaid Services (CMS) waived the certificate of medical necessity for oxygen claims, allowing for reimbursement for oxygen prescribed for patients upon hospital discharge with COVID-19 respiratory illness. This reimbursement allows providers to discharge patients with COVID-19 respiratory illness still […]