Turner White CommunicationsAbout TWCSubscribeContact TWCHomeSearch
Hospital PhysicianJCOMSMPBRMsCart
Current Contents
Where We Are Indexed
Past Issue Archives
Clinical Communication
In Review
Editorial Board
Information for Authors
Author Form

Reprints, Permissions, & Copyright
Site Map
BACK ISSUE articles are $15 each.
International credit cards NOT accepted.

JCOM Paid Subscribers
user name:
Forgot password?

JCOM Abstract

J Clin Outcomes Manage 
2008 Sep;15(9):435-440
Optimizing telemetry utilization in an academic medical center
Lee JC, Lamb P, Rand E, Ryan C, Rubal BJ

Abstract Objective: To evaluate the impact of a telemetry bed management policy on utilization and hospital closure patterns. Methods: Patients admitted to non–intensive care telemetry units in an academic tertiary care medical center were studied. Baseline telemetry utilization was prospectively assessed in 167 consecutive telemetry admissions using prespecified endpoints. After a new telemetry policy was implemented, utilization was assessed in the next 1025 consecutive telemetry admissions for quality of use, safety, and impact on hospital closure. Results: Following implementation of the new policy, there was a significant improvement in telemetry utilization as measured by proper order writing (78.4% vs. 90%; P < 0.001), proper indication (76% vs. 92%; P < 0.001), and appropriate duration of monitoring (67% vs. 81%; P < 0.001). There was an increase in the 50% hospital closure threshold from 16 intensive care unit/telemetry admissions per day to 18.5, a 16% increase in admission capacity. No deaths or adverse events related to lack of telemetry use occurred. Conclusion: A multispecialty telemetry policy with dedicated enforcement by a cardiologist/nurse team improved telemetry bed utilization and decreased hospital closures without increasing beds, personnel, or sacrificing patient care and safety.

Original Research

Search the Turner White index to find abstracts of articles published in JCOM.

New issues are posted one month following publication of the printed journal.

View past issue archives:    2013    2012    2011    2010    2009    2008    2007
   2006    2005    2004    2003     2002     2001     2000     1999

Hospital Physician     JCOM     Seminars in Medical Practice
Hospital Physician Board Review Manuals
About TWC    Subscribe    Contact TWC    Home    Search   Site Map

Copyright © 2018, Turner White Communications
Updated 1/20/14 • jdw