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• W3100236145 abstract "Introduction: The overuse of hospital resources is a pervasive issue. Out of the $3.5 trillion, the United States spent on health care in 2017, 30 % was considered excess cost in complications and ancillary orders. Even with established guidelines and revisions over the past few years, overzealous use of telemetry is rampant. Methods: The study included observation and admitted patients in September and October of 2018 and 2019. Patients in 2018 constituted baseline cohort (BC) and patients in 2019 were intervention cohort (IC). Both observation and inpatient admissions were analyzed separately. In August 2019, a series of presentations regarding AHA telemetry guidelines and group training for the use of telemetry monitor and software was undertaken. A template was used to document telemetry which consisted of reason for telemetry and day of telemetry in daily progress notes. Daily report of telemetry was shared on secured messaging group for residents. A comparison was made between the cohorts. Results: 516 patients were included in the study, 335 observation patients and 181 admitted patients. The number of patients on telemetry in combined IC (2019 patients) reduced by 31 % (34.32 % in observation group & 24.86 % in admission group). Taking an average of $ 272 per patient on telemetry (based on hospital billing data), the burden of cost reduced by $ 43,520 in the two months of 2019. “To rule out ACS” and “monitor for arrythmias” were the most common reason for telemetry use in observation and admitted inpatients in both cohorts. There was an increase of 14.59 % patients exceeding 48 hours on telemetry in inpatient admissions of IC. Telemetry triggers in notes (reasoning and justification) increased from 4.04 % to 37.08 %. All changes in IC occurred without any adverse outcome. The comparison is shown in Figure 1. Conclusions: Strict adherence to AHA guidelines improves the quality of care and is an effective means to reduce cost for hospitals without significant adverse events." @default.
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• W3100236145 date "2020-11-17" @default.
• W3100236145 modified "2023-09-26" @default.
• W3100236145 title "Abstract 13939: Optimizing Telemetry Usage in Non-intensive Care Unit Patients Based on American Heart Association Guidelines: A Quality Improvement Initiative" @default.
• W3100236145 doi "https://doi.org/10.1161/circ.142.suppl_3.13939" @default.
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