J Clin Outcomes Manage
Inpatient cardiac telemetry monitoring: are we overdoing it?
Kanwar M, Fares R, Minnick S, Rosman HS, Saravolatz L
Abstract Background: To evaluate the effect of educational tools in improving compliance with telemetry monitoring guidelines. Methods: Retrospective data collection was performed for all inpatients on telemetry in May 2006. Educational interventions to improve physician awareness were performed over the next 4 months and follow-up data were collected. Results: 416 of 972 patients (43%) admitted in May 2006 were placed on telemetry, of whom only 238 (57%) had a class I/II (appropriate) indication. After interventions, data collection in September 2006 showed a reduction in utilization to 37% (316 of 856 patients; p = 0.03) and an increase in appropriate class I/II indication to 71% (p < 0.001). Average duration of telemetry trended down from 4.3 ± 4 days in May to 3.8 ± 3 days in September (p = 0.18). Patients did not differ with regard to average age, sex, and average length of stay. Conclusion: Improving physician awareness for standard telemetry guidelines promotes compliance, eases the burden of limited telemetry bed availability, and may lead to health care cost savings.
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