Session Type
Meeting
Search Results for Telemetry
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: 301
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Background: Cardiac telemetry is frequently overused in the hospital. Our institution requires telemetry while patients are on the Clinical Institute Withdrawal Assessment (CIWA) protocol, regardless of the presence or severity of alcohol withdrawal (AW). Telemetry use in this population has not been studied or incorporated into guidelines, however some patients may need monitoring for co-existing indications. […]
Abstract Number: 318
Hospital Medicine 2020, Virtual Competition
Background: Telemetry beyond 48 hours is indicated for a select patient population and when used inappropriately has risk. This includes increased cost of care, skin irritation, delirium contribution, and more likely to have false positives resulting in errors or extending length of stay.To encourage care that is truly necessary, free of harm, not duplicative, and […]
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: 334
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Telemetry utilization for a long time has been dependent on individual physician experiences, preference as there were no good randomized controlled trails or guidelines from any scientific organization. American Heart Association has released the guidelines for appropriate use of telemetry in Oct 2004. Even more than a decade of these guidelines been available there […]
Abstract Number: 348
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: Cardiac telemetry monitoring in hospitalized patients is an often overused resource. In a chart review at our institution, 30% of inpatient days on general medicine services involved telemetry use outside of American Heart Association guidelines. Telemetry overuse is driven both by use outside of accepted indications and by continuing telemetry monitoring longer than clinically […]
Abstract Number: 360
SHM Converge 2023
Background: Excess alarms cause a phenomenon, known as alarm fatigue, in which medical providers become desensitized to constant noise emitted from monitors & fail to notice or react to alarms which can lead to patient safety concerns. With the acceleration of remote monitoring & monitoring hubs, it is critical to minimize unactionable alarms and prevent […]
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: 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 […]