Reductions in Telemetry Order Duration Do Not Reduce Telemetry Utilization.
Journal of hospital medicine(2014)
摘要
The Society of Hospital Medicine’s Adult Choosing Wisely measures include not ordering “continuous telemetry monitoring outside of the ICU [intensive care unit] without using a protocol that governs continuation.” Current guidelines for cardiac monitoring use recommend minimum durations for all adult class I and most class II indications. However, telemetry ordering often fails to include timing or criteria for discontinuation. We determined the impact of a reduction in telemetry order duration within our hospital, hypothesizing this reduction would lead to earlier reassessment of telemetry need and therefore decrease overall utilization.
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