Reducing Unnecessary Telemetry Monitoring: An SHM Choosing Wisely Quality Improvement Implementation Module
Mounting evidence shows that the American healthcare system costs too much for the results it achieves in terms of patient outcomes and access. Many different parts of this system need attention, and it can be difficult to know where to begin. However, the inpatient / hospital environment is a “high intensity” healthcare delivery setting, and the “Choosing Wisely” initiative of the American Board of Internal Medicine Foundation (ABIMF) offers a list of low value healthcare practices which make great targets for improvement efforts. In this activity, we will tackle one of the top five practices chosen for Choosing Wisely by the Society of Hospital Medicine: continuous telemetry monitoring.This activity will review the guideline recommendations and the literature supporting the harms, benefits, and proper utilization of telemetry monitoring.
Availability
On-Demand
Expires on Sep 30, 2027
Cost
$0.00
Credit Offered
1 CME Credit
1 Participation Credit
  • Overview
  • Faculty
  • Accreditation
  • Recommended
Learning Objectives
After completing this activity, learners should be able to:
  1. Review the guideline recommendations and the literature supporting the harms, benefits, and proper utilization of telemetry monitoring.
  2. Understand why Choosing Wisely recommends not ordering telemetry outside the ICU without using a protocol to govern continuation.
  3. Why successful projects like this must target not only physician ordering behavior, but also hospital processes and departments that influence the targeted measure.
  4. That physicians will choose wisely when you make it easy to do the right thing.
  5. Why a successful project must be a multidisciplinary effort.
  6. Telemetry is not a proxy for closely monitoring a patient.
  7. Inappropriate telemetry use can contribute to well recognized patient harms.
  8. Overuse of telemetry can increase costs, and length of stay and decrease patient satisfaction.
  9. Hospitalists are in a unique position to improve this quality of care issue.
Faculty
  • Sheryl Williams, MD, FACP, SFHM, MS-HQSM
    • Dr. Williams reports receiving honoraria from Pfizer Inc.
  • Ian Jenkins, MD, SFHM
Faculty Disclosures
The individuals in control of content for this activity have no relevant relationships with ACCME-defined ineligible companies to disclose unless listed here. Any relevant relationships were mitigated prior to the start of this activity.

 
Accreditation Statement
The Society of Hospital Medicine is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

CME Credit Statement
The Society of Hospital Medicine designates this enduring material for a maximum of 1.00 AMA PRA Category 1 Credit(s)TM. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

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