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cardiac (ECG) monitor

Indications: - assessment of cardiac arrhythmia Procedure: - continuous survelliance of heart rate & rhythm with electrocardiogram Complications: - overuse of telemetry impairs hospital function, causes alarm fatigue, & potentially leads to patient harm - clinical decision support can reduce telemetry overuse via: - a displayed list of telemetry indications - a prompt that appears after a recommended time period suggesting discontinuation of telemetry [3]

Related

cardiac arrhythmia

Specific

cardiac telemetry monitoring

General

clinical procedure

References

  1. Ortega R, Mazzini M, Xue K, Espaillat D. Videos in clinical medicine. Electrocardiographic monitoring in adults. N Engl J Med. 2015 Feb 19;372(8):e11. PMID: 25693030 http://www.nejm.org/doi/full/10.1056/NEJMvcm1400705
  2. Yeow RY, Strohbehn GW, Kagan CM et al Eliminating Inappropriate Telemetry Monitoring. An Evidence- Based Implementation Guide. JAMA Intern Med. Published online June 4, 2018. PMID: 29868894 https://jamanetwork.com/journals/jamainternalmedicine/fullarticle/2682519
  3. Krouss M et al. Tell-a provider about tele: Reducing overuse of telemetry across 10 hospitals in a safety net system. J Hosp Med 2023 Feb; 18:147. PMID: 36567609 https://shmpublications.onlinelibrary.wiley.com/doi/10.1002/jhm.13030