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Search Results for Monitoring
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: 295
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: Implantable cardiac monitors (ICM) have continued to gain acceptance since its introduction into clinical practice to help physician accurately detect cardiac causes of syncope that may need further intervention. Their cost-effectiveness in the evaluation of syncope has continued to receive positive reviews as recent guidelines have encouraged early use of this device.However, the question […]
Abstract Number: 297
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: Cardiac telemetry was originally designed to help detect and provide early intervention in arrhythmic complications of myocardial infarction. Today, however, telemetry use continues to expand beyond the critical and coronary care units, despite adequate research displaying questionable benefit. Our study seeks to assess the utility of telemetry in identifying decompensation in patients with documented […]
Abstract Number: 300
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Background: Inappropriate telemetry use has been associated with increased health care cost and unnecessary diagnostic procedures. For these reasons, the Society of Hospital Medicine’s Choosing Wisely campaign promoted use of both American Heart Association (AHA) telemetry guidelines and protocol-driven discontinuation of telemetry. Despite these measures, an estimated 59% of patients are placed on telemetry due […]
Abstract Number: 308
SHM Converge 2024
Background: Guidelines for inpatient diabetes management recommend insulin therapy for persistent hyperglycemia >180 mg/dL with a target glucose range of 140 – 180 mg/dL.1,2 Although guidelines recommend glucose monitoring for insulin administration, there is no standard monitoring approach for patients without evidence of persistent hyperglycemia. As such, hospitalized patients are frequently started on 3 – […]
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: 362
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: Cardiac monitoring (CM) is often overused, hindering patient mobility, triggering unnecessary cardiac testing, delaying appropriate discharge, and expending resources. Purpose: To reduce the days that medical and surgical ward patients spend on CM without an indication specified in the 2004 American Heart Association (AHA) guidelines for CM. Description: At Cedars-Sinai, only 59% of patients […]
Abstract Number: 372
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Case Presentation: A 68-year-old man presented to the Emergency Department complaining of diaphoresis with concomitant alerts on his Apple Watch which reported his heart rate was irregular. He has a known history of CAD with previous stent placement but did not report any chest pain, shortness of breath, palpitations, or recent medication changes. He did […]
Abstract Number: 377
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: Telemetry is overused in hospitals and continues to be a source of health system waste. Although there have been studies on the cause as well as efforts to reduce telemetry overuse, the extent to which physicians are aware that their patients are on telemetry has not been studied. Unawareness of telemetry status has both […]
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 […]