SHM Converge Scientific Abstract ePoster Gallery-Impact of Resident - Driven Multimodal Intervention on Telemetry Utilization and Length of Stay in Acute Care Community Hospital

Impact of Resident - Driven Multimodal Intervention on Telemetry Utilization and Length of Stay in Acute Care Community Hospital

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This study evaluated whether a multimodal quality-improvement intervention could reduce inappropriate telemetry use and shorten hospital length of stay (LOS) in an acute care community hospital. The project was motivated by concerns that telemetry is often overused, contributing to higher costs, alarm fatigue, reduced patient mobility, and longer emergency department boarding times.<br /><br />Using a Plan-Do-Study-Act (PDSA) design, the team compared two 2-month cohorts before and after the intervention, with 150 patients in each group. The cohorts had similar acuity based on average case mix index (CMI) values of 1.67 and 1.68. The intervention included resident and hospitalist education on the 2017 American Heart Association telemetry guidelines, a structured daily telemetry checklist, and electronic health record (EHR) modifications to prompt review of telemetry necessity. Statistical analyses included Pearson correlation, simple linear regression, and Welch’s t-tests to assess relationships between telemetry days and LOS and compare pre- versus post-intervention outcomes.<br /><br />The intervention was associated with a reduction in telemetry duration and LOS. The authors conclude that a resident- and hospitalist-driven, multipronged approach can improve guideline-based telemetry utilization and may reduce patient financial burden after hospitalization. They recommend further PDSA cycles, periodic education, cost analysis, and larger multicenter studies to confirm the findings.

Asset Subtitle

Shiksha Joshi

Meta Tag

Author List Jessica Veulens, Riya Bhattacharya, Ruby Ruby Sahoo, Shiksha Joshi

Category Research

Concept Continuous ECG Monitoring

Concept AHA 2017 Telemetry Guidelines

Concept Multimodal PDSA Intervention

Concept Continuous Monitoring Duration

Concept Length of Stay

Concept Telemetry Improvement Initiative

Distinguished Non-Finalist

Presenter Organization St.Vincent Hospital

Presenting Author Shiksha Joshi

Track Quality Improvement

Keywords

telemetry utilization

quality improvement

hospital length of stay

PDSA cycle

acute care hospital

alarm fatigue

electronic health record

telemetry guidelines

multimodal intervention

patient outcomes

Continuous ECG Monitoring

AHA 2017 Telemetry Guidelines

Multimodal PDSA Intervention

Continuous Monitoring Duration

Length of Stay

Telemetry Improvement Initiative