cardiac (ECG) monitor

^[1]^[2]^[3]

Indications

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]

↑ 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. <PubMed> PMID: https://www.ncbi.nlm.nih.gov/pubmed/25693030 <Internet> http://www.nejm.org/doi/full/10.1056/NEJMvcm1400705
↑ 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: https://www.ncbi.nlm.nih.gov/pubmed/29868894 https://jamanetwork.com/journals/jamainternalmedicine/fullarticle/2682519
↑ ^3.0 ^3.1 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: https://www.ncbi.nlm.nih.gov/pubmed/36567609 https://shmpublications.onlinelibrary.wiley.com/doi/10.1002/jhm.13030