Physicians Are Often Incorrect About the Telemetry Status of Their Patients

Patel, Sajan; Silva, Sayumi De; Dowling, Erin P

doi:10.1002/jhm.2677

Cited by 1 publication

(3 citation statements)

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“…These are all desirable outcomes as reduction in total duration of telemetry has been shown to improve patient flow and decrease length of stay [9]. In their report, Patel et al have raised serious concerns that resident teams and their attending physicians might not be aware of telemetry indications and current telemetry status of patients [5]. Our study demonstrates that by creating resident led teams and interventions that raise awareness (Table 1), these concerns can be successfully addressed to decrease the inappropriate use of scarce hospital resources.…”

Section: Discussionmentioning

confidence: 99%

“…In this context, care delivery is emphasizing the right type of care, for the right reasons, delivered in a timely fashion to the right type of medical condition. Multiple studies have documented the inappropriate use of telemetry during hospitalization [2][3][4][5][6][7]. Because the use of telemetry requires staff and equipment, its inappropriate use is associated with increased hospital costs and a longer length of stay without a demonstrable improvement in patient care or safety [6].…”

Section: Introductionmentioning

confidence: 99%

“…A number of factors have been documented to result in the inappropriate utilization of telemetry [2][3][4][5][6][7][8]. Insufficient knowledge of the American Heart Association (AHA) guidelines for telemetry, lack of optimal awareness and ownership of telemetry implementation, duration of ongoing monitoring and the timing of its discontinuation remain the most important elements [2][3][4][5][6]. Taken together, these factors alone or in combination drive the inappropriate use of telemetry.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Resident Led Tele-intervention Program: An Impactful Strategy to Reduce Inappropriate Use

Patel¹,

Shariff²,

Shah³

et al. 2019

AJIM

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Multiple studies have documented an inappropriate and excessive use of telemetry during hospitalization. In this IRB approved study, we report the impact of a focused residents led intervention program on reducing inappropriate telemetry use. The study included two groups. The house-staff covered patients (the intervention group) received the intervention. The non-house-staff covered patients did not receive the intervention and served as the control group. The intervention included the implementation of American Heart Association cardiac monitoring guidelines, daily tele-census and indication evaluation, and discussion around telemetry status during multidisciplinary rounds. Data were collected from the pre-(90 day) and post intervention (90 day) periods for both groups. The intervention resulted in a 49% relative decrease in the average telemetry days in the intervention group (pre-intervention=5.7 days vs. post-intervention=2.9 days; p<0.001). The number of patients maintained on telemetry for >48 hours also decreased by 56% in the intervention group. Overall, there were 9 less tele patients/day during the post intervention phase occupying a high cost tele-bed in the intervention group ($8,141 saved/day) and there were 810 less tele patients for the duration of the study. A resident led intervention program reduced inappropriate use of telemetry and minimized costs without compromising patient safety.

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Section: Discussionmentioning

confidence: 99%