Challenges in managing a remote monitoring device clinic

Harvey, Margaret; Seiler, Amber

doi:10.1016/j.hroo.2021.12.002

Cited by 16 publications

(18 citation statements)

References 9 publications

(6 reference statements)

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“… 4 , 5 , 6 , 7 A large volume of alerts, loss of device connectivity, and staffing issues, including burnout, have consequently created challenges for device clinics. 8 …”

Section: Introductionmentioning

confidence: 99%

“…Chief among them have been high percentages of false positives, suboptimal signal‐to‐noise ratios, and poor ability to detect arrhythmias with regular R–R intervals, particularly if rates are relatively low 4–7 . A large volume of alerts, loss of device connectivity, and staffing issues, including burnout, have consequently created challenges for device clinics 8 …”

Section: Introductionmentioning

confidence: 99%

“…[4][5][6][7] A large volume of alerts, loss of device connectivity, and staffing issues, including burnout, have consequently created challenges for device clinics. 8 We have recently published the in silico experience with a new ICM, the LUX-Dx. 7 Highlights include improved signal quality, marked reductions in false positives using a two-step detect-and-verify algorithm, an AT algorithm that allows for the detection of regular arrhythmias such as atrial flutter, and the ability to reprogram the device remotely.…”

Section: Introductionmentioning

confidence: 99%

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Preliminary results from the LUX‐Dx insertable cardiac monitor remote programming and performance (LUX‐Dx PERFORM) study

Stolen

Rosman

Manyam

et al. 2022

Clinical Cardiology

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Despite the wide adoption of insertable cardiac monitors (ICMs), high false‐positive rates, suboptimal signal quality, limited ability to detect atrial flutter, and lack of remote programming remain challenging. The LUX‐Dx PERFORM study was designed to evaluate novel technologies engineered to address these issues. Here, we present preliminary results from the trial focusing on the safety of ICM insertion, remote monitoring rates, and the feasibility of remote programming. LUX‐Dx PERFORM is a multicenter, prospective, single‐arm, post‐market, observational study with planned enrollment of up to 827 patients from 35 sites in North America. A preliminary cohort consisting of the first 369 patients who were enrolled between March and October 2021 was selected for analysis. Three hundred sixty‐three (363) patients had ICM insertions across inpatient and outpatient settings. The mean time followed was 103.4 ± 61.8 days per patient. The total infection rate was 0.8% (3/363). Interim results show high levels of remote monitoring with a median 94% of days with data transmission (interquartile range: 82–99). Thirteen (13) in‐clinic and 24 remote programming sessions were reported in 34 subjects. Reprogramming examples are presented to highlight signal quality, the ability to detect atrial flutter, and the positive impact of remote programming on patient management. Interim results from LUX‐Dx PERFORM study demonstrate the safety of insertion, high data transmission rates, the ability to detect atrial flutter, and the feasibility of remote programming to optimize arrhythmia detection and improve clinical workflow. Future results from LUX‐Dx PERFORM will further characterize improvements in signal quality and arrhythmia detection.

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“… 4 , 5 , 6 , 7 A large volume of alerts, loss of device connectivity, and staffing issues, including burnout, have consequently created challenges for device clinics. 8 …”

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Preliminary results from the LUX‐Dx insertable cardiac monitor remote programming and performance (LUX‐Dx PERFORM) study

Stolen

Rosman

Manyam

et al. 2022

Clinical Cardiology

View full text Add to dashboard Cite

show abstract

“…However, the phrases used in the closed-ended questions, such as connectivity, technology, staffing, and education, have been well described in the related literature and were validated by content experts, as noted in the study. [1][2][3][4] The major themes for the openended questions related to the biggest challenge perceived in managing a remote monitoring were connectivity, transmissions, and staffing. When asked what was the greatest barrier to optimal staffing, staff training and administrative/ financial issues were identified as major themes.…”

mentioning

confidence: 99%

“…We read with interest the paper by Harvey and Seiler 1 that successfully carried out a study to identify the challenges in managing a remote monitoring device clinic using a 27-item mixed-methods survey. The study highlighted connectivity, staffing, and technological education to be the major challenges.…”

mentioning

confidence: 99%