Appropriate use of telemetry in the acute care setting

Flanders, Kim; Hudson, Zachary

doi:10.1097/01.numa.0000659452.24567.3b

Cited by 3 publications

(2 citation statements)

References 7 publications

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“…First, to account for potential variability in telemetry usage and practices between different care units, any patient whose admission spanned more than one ICU was removed. 20 Second, to account for potential confounding effects of variability-reducing factors, such as implanted pacemakers, patients whose automatically recorded data produced an interval with 0 variations were removed. Third, to ensure sufficient data per patient for analysis, patients with the lowest percentage of overlapping charted and waveform data were removed; capturing those at or below the 25th percentile (less than 17 overlapping values).…”

Section: Data Cleaningmentioning

confidence: 99%

“…Broadly, this cleaning represented four distinct steps. First, to account for potential variability in telemetry usage and practices between different care units, any patient whose admission spanned more than one ICU was removed 20 . Second, to account for potential confounding effects of variability-reducing factors, such as implanted pacemakers, patients whose automatically recorded data produced an interval with 0 variations were removed.…”

Section: Preliminary Stepsmentioning

confidence: 99%

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Discrete Heart Rate Values or Continuous Streams? Representation, Variability, and Meaningful Use of Vital Sign Data

Feldman¹,

Rohan²,

Chawla³

2021

CIN: Computers, Informatics, Nursing

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Documentation and review of patient heart rate are a fundamental process across a myriad of clinical settings. While historically recorded manually, bedside monitors now provide for the automated collection of such data. Despite the availability of continuous streaming data, patients' charts continue to reflect only a subset of this information as snapshots recorded throughout a hospitalization. Over the past decade, prominent works have explored the implications of such practices and established fundamental differences in the alignment of discrete charted vitals and steaming data captured by monitoring systems. Limited work has examined the temporal properties of these differences, how they manifest, and their relation to clinical applications. The work presented in this article addresses this disparity, providing evidence that differences between charting techniques extend to measures of variability. Our results demonstrate how variability manifests with respect to temporal elements of charting timing and how it can facilitate personalized care by contextualizing deviations in magnitude. This work also highlights the utility of variability metrics with relation to clinical measures including associations to severity scores and a case study utilizing complex variability metrics derived from the complete set of monitor data.

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Section: Data Cleaningmentioning

confidence: 99%

Section: Preliminary Stepsmentioning

confidence: 99%

Discrete Heart Rate Values or Continuous Streams? Representation, Variability, and Meaningful Use of Vital Sign Data

Feldman¹,

Rohan²,

Chawla³

2021

CIN: Computers, Informatics, Nursing

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The patient experience of in-hospital telemetry monitoring: a qualitative analysis

Holm,

Fålun,

Bendz

et al. 2023

European Journal of Cardiovascular Nursing

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Aim In-hospital telemetry monitoring has been an integrated part of arrhythmia monitoring for decades. A substantial proportion of patients require arrhythmia monitoring during stays in non-intensive care units. However, studies exploring patients’ experiences of telemetry monitoring are scarce. Therefore, the aim was to explore and describe patients’ experiences of in-hospital telemetry monitoring in a non-intensive care setting. Methods and results Twenty face-to-face, semi-structured interviews were conducted. Interviews were conducted before discharge at two university hospitals in Norway. The patients were purposively sampled, resulting in a well-balanced population comprising 11 men and 9 women, mean age 62 years (range, 25–83). Average monitoring time was 9 days (3-14). Data were audiotaped, transcribed verbatim and coded using NVivo software. Qualitative content analysis using an inductive approach was performed. Patients expressed a need for individualised information during telemetry monitoring. Their feelings of safety were related to responses from nurses from the central monitoring station when alarms from the telemetry were triggered. Despite perceived physical restrictions and psychological limitations associated with telemetry monitoring, they found monitoring to be beneficial because it facilitated the diagnosis of arrhythmia. Moreover, they expressed a need for improvements in wearable monitoring equipment. Patients expressed ambivalent feelings about discontinuing the telemetry and their readiness for discharge. Conclusion Patients need individualised information about the results of their telemetry monitoring in order to better understand the arrhythmia management, and to increase their experience of safety after discharge. The limitations patients experienced should be taken into consideration in further upgrades of telemetry monitoring equipment. Registration eProtokoll (ID: 3847)

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Decreasing unnecessary use of continuous cardiac monitoring (telemetry) in hospitalised patients

Silverstein,

Chang,

Sreenivasan

et al. 2024

BMJ

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Appropriate use of telemetry in the acute care setting

Cited by 3 publications

References 7 publications

Discrete Heart Rate Values or Continuous Streams? Representation, Variability, and Meaningful Use of Vital Sign Data

Discrete Heart Rate Values or Continuous Streams? Representation, Variability, and Meaningful Use of Vital Sign Data

The patient experience of in-hospital telemetry monitoring: a qualitative analysis

Decreasing unnecessary use of continuous cardiac monitoring (telemetry) in hospitalised patients

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