Reducing Unnecessary Telemetry Monitoring: An SHM Choosing Wisely Quality Improvement Implementation Module-References

References

Pdf Summary

The provided references encompass a comprehensive body of literature focused on the optimization, appropriate use, and implications of telemetry monitoring in adult hospital medicine. Key themes include identification of overuse and unnecessary telemetry orders, efforts to improve healthcare value, reduction in telemetry-related costs, and enhancement of patient safety.<br /><br />Bulger et al. (2013) and the Choosing Wisely campaign emphasize opportunities to limit nonessential telemetry to improve healthcare value. Studies by Chen et al. (2015) and Palchaudhuri et al. (2017) highlight issues such as alarm fatigue caused by excessive nonactionable telemetry alarms, which can harm patients and increase nurse workload. The need for better guidelines and interventions to curb inappropriate telemetry use is echoed in research by Svec et al. (2015), Lee et al. (2008), and Najafi et al. (2018), who demonstrate that targeted hospitalist interventions and electronic health record adjustments can reduce telemetry duration, length of stay, and costs.<br /><br />American Heart Association practice standards (Drew et al., 2004; Sandau et al., 2017) provide evidence-based recommendations for cardiac monitoring, guiding appropriate application in hospital settings. Historical guidelines (Emergency Cardiac Care Committee, 1991) and contemporary updates reinforce standardized criteria to avoid over-monitoring.<br /><br />Case studies, such as the one reported by Kowalczyk (2010), underline patient safety concerns and the necessity for vigilant monitoring practices. Hospitals like Christiana Care have achieved national recognition for reducing unnecessary telemetry, saving millions (Christiana Care, 2014).<br /><br />Overall, these references collectively advocate for judicious telemetry use aligned with established guidelines to enhance patient outcomes, reduce alarm fatigue, and optimize resource utilization within hospital medicine.

Keywords

telemetry monitoring

hospital medicine

overuse of telemetry

Choosing Wisely campaign

alarm fatigue

patient safety

healthcare value

electronic health record interventions

American Heart Association guidelines

resource optimization