Multiple studies have documented an inappropriate and excessive use of telemetry during hospitalization. In this IRB approved study, we report the impact of a focused residents led intervention program on reducing inappropriate telemetry use. The study included two groups. The house-staff covered patients (the intervention group) received the intervention. The non-house-staff covered patients did not receive the intervention and served as the control group. The intervention included the implementation of American Heart Association cardiac monitoring guidelines, daily tele-census and indication evaluation, and discussion around telemetry status during multidisciplinary rounds. Data were collected from the pre- (90 day) and post intervention (90 day) periods for both groups. The intervention resulted in a 49% relative decrease in the average telemetry days in the intervention group (pre-intervention=5.7 days vs. post-intervention=2.9 days; p<0.001). The number of patients maintained on telemetry for >48 hours also decreased by 56% in the intervention group. Overall, there were 9 less tele patients/day during the post intervention phase occupying a high cost tele-bed in the intervention group ($8,141 saved/day) and there were 810 less tele patients for the duration of the study. A resident led intervention program reduced inappropriate use of telemetry and minimized costs without compromising patient safety.
| Published in | American Journal of Internal Medicine (Volume 7, Issue 5) |
| DOI | 10.11648/j.ajim.20190705.16 |
| Page(s) | 136-140 |
| Creative Commons |
This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited. |
| Copyright |
Copyright © The Author(s), 2019. Published by Science Publishing Group |
Telemetry, Cardiac Monitoring, Quality Improvement
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APA Style
Swapnil Patel, Mohammed Shariff, Jay Shah, Natasha Campbell, Shreya Gor, et al. (2019). Resident Led Tele-intervention Program: An Impactful Strategy to Reduce Inappropriate Use. American Journal of Internal Medicine, 7(5), 136-140. https://doi.org/10.11648/j.ajim.20190705.16
ACS Style
Swapnil Patel; Mohammed Shariff; Jay Shah; Natasha Campbell; Shreya Gor, et al. Resident Led Tele-intervention Program: An Impactful Strategy to Reduce Inappropriate Use. Am. J. Intern. Med. 2019, 7(5), 136-140. doi: 10.11648/j.ajim.20190705.16
AMA Style
Swapnil Patel, Mohammed Shariff, Jay Shah, Natasha Campbell, Shreya Gor, et al. Resident Led Tele-intervention Program: An Impactful Strategy to Reduce Inappropriate Use. Am J Intern Med. 2019;7(5):136-140. doi: 10.11648/j.ajim.20190705.16
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author = {Swapnil Patel and Mohammed Shariff and Jay Shah and Natasha Campbell and Shreya Gor and Anas Alrefaee and Ijaz Khan and Arman Mushtaq and Mohamed Bakr and Christian Kaunzinger and Michael Carson and Elliot Frank and Mohammad Amir Hossain and Kim Carpenter and David Kountz and Kenneth Sable and Tushar Vachharajani and Arif Asif and Adam Kaplan},
title = {Resident Led Tele-intervention Program: An Impactful Strategy to Reduce Inappropriate Use},
journal = {American Journal of Internal Medicine},
volume = {7},
number = {5},
pages = {136-140},
doi = {10.11648/j.ajim.20190705.16},
url = {https://doi.org/10.11648/j.ajim.20190705.16},
eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajim.20190705.16},
abstract = {Multiple studies have documented an inappropriate and excessive use of telemetry during hospitalization. In this IRB approved study, we report the impact of a focused residents led intervention program on reducing inappropriate telemetry use. The study included two groups. The house-staff covered patients (the intervention group) received the intervention. The non-house-staff covered patients did not receive the intervention and served as the control group. The intervention included the implementation of American Heart Association cardiac monitoring guidelines, daily tele-census and indication evaluation, and discussion around telemetry status during multidisciplinary rounds. Data were collected from the pre- (90 day) and post intervention (90 day) periods for both groups. The intervention resulted in a 49% relative decrease in the average telemetry days in the intervention group (pre-intervention=5.7 days vs. post-intervention=2.9 days; p48 hours also decreased by 56% in the intervention group. Overall, there were 9 less tele patients/day during the post intervention phase occupying a high cost tele-bed in the intervention group ($8,141 saved/day) and there were 810 less tele patients for the duration of the study. A resident led intervention program reduced inappropriate use of telemetry and minimized costs without compromising patient safety.},
year = {2019}
}
TY - JOUR T1 - Resident Led Tele-intervention Program: An Impactful Strategy to Reduce Inappropriate Use AU - Swapnil Patel AU - Mohammed Shariff AU - Jay Shah AU - Natasha Campbell AU - Shreya Gor AU - Anas Alrefaee AU - Ijaz Khan AU - Arman Mushtaq AU - Mohamed Bakr AU - Christian Kaunzinger AU - Michael Carson AU - Elliot Frank AU - Mohammad Amir Hossain AU - Kim Carpenter AU - David Kountz AU - Kenneth Sable AU - Tushar Vachharajani AU - Arif Asif AU - Adam Kaplan Y1 - 2019/10/16 PY - 2019 N1 - https://doi.org/10.11648/j.ajim.20190705.16 DO - 10.11648/j.ajim.20190705.16 T2 - American Journal of Internal Medicine JF - American Journal of Internal Medicine JO - American Journal of Internal Medicine SP - 136 EP - 140 PB - Science Publishing Group SN - 2330-4324 UR - https://doi.org/10.11648/j.ajim.20190705.16 AB - Multiple studies have documented an inappropriate and excessive use of telemetry during hospitalization. In this IRB approved study, we report the impact of a focused residents led intervention program on reducing inappropriate telemetry use. The study included two groups. The house-staff covered patients (the intervention group) received the intervention. The non-house-staff covered patients did not receive the intervention and served as the control group. The intervention included the implementation of American Heart Association cardiac monitoring guidelines, daily tele-census and indication evaluation, and discussion around telemetry status during multidisciplinary rounds. Data were collected from the pre- (90 day) and post intervention (90 day) periods for both groups. The intervention resulted in a 49% relative decrease in the average telemetry days in the intervention group (pre-intervention=5.7 days vs. post-intervention=2.9 days; p48 hours also decreased by 56% in the intervention group. Overall, there were 9 less tele patients/day during the post intervention phase occupying a high cost tele-bed in the intervention group ($8,141 saved/day) and there were 810 less tele patients for the duration of the study. A resident led intervention program reduced inappropriate use of telemetry and minimized costs without compromising patient safety. VL - 7 IS - 5 ER -
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