Session Type
Meeting
Search Results for Telemetry
Abstract Number: 242
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: Telemetry is utilized on high risk cardiac patients for monitoring of arrthymias. Guidelines providing clear monitoring indications have been published by AHA to reduce overuse of this resource, which can lead to increased care costs and false positive alerting. Despite the above evidence, our hospital has a high volume of patients on telemetry causing […]
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: 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 2020, Virtual Competition
Background: The most recent guidelines regarding telemetry monitoring use and indications was published by the American Heart Association (AHA) in 2017.(1) However, most institutions lack evidence-based protocols to guide telemetry usage which could improve overuse. Telemetry monitoring overuse in non-critical patients has been recognized as a contributing factor to healthcare cost, length of stay and […]
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: 273
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Prolonged intensive care unit (ICU) length of stay (LOS) has been shown to delay patients’ recovery, increase their exposure to the risk of infections, upsurge healthcare costs, and reduce care availability to other critically ill patients. ICU LOS is directly influenced by both medical and institutional factors. The aim of the project is to […]
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: 298
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: Over the past fifty years, remote cardiac monitoring (“telemetry”) has become routine for many patients admitted to the hospital. Telemetry has many clinical benefits and is recommended by the American Heart Association for a limited set of indications, but is often inappropriately used. Overutilization of telemetry can lead to unnecessary tests and procedures, may […]