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Clinical Trial
. 2003 Nov;97(5):1483-1487.
doi: 10.1213/01.ANE.0000081720.49358.53.

The use and effectiveness of electrocardiographic telemetry monitoring in a community hospital general care setting

J Paul Curry  1 , C William Hanson 3rd, Michael W Russell, Cheryl Hanna, Gayle Devine, E Andrew Ochroch
Affiliations
Clinical Trial

The use and effectiveness of electrocardiographic telemetry monitoring in a community hospital general care setting

J Paul Curry et al. Anesth Analg. 2003 Nov.

Abstract

The purpose of this study was to determine if rates of telemetry events differ between patients whose monitoring is appropriately "indicated" versus "not indicated" by systematically applying rigorous criteria for appropriateness of electrocardiogram (ECG) telemetry usage. We performed a retrospective cohort study on 1097 telemetry admissions between January 1, 2000 and March 31, 2000. A convenience sample of 218 patients generated 236 telemetry admissions. One-hundred-sixty-two arrhythmic events were detected during 400 "indicated" telemetry days. Nine arrhythmic events were detected during 345 "not indicated" telemetry days. The relative rate for arrhythmic events was significantly different, at P < 0.0001, with the incidence rate ratio of 15 indicating a very large effect size. Consequently, current use of ECG telemetry may not be optimal, and a prospective analysis of the application of rigorous indications for ECG telemetry needs to be undertaken.

Implications: The application of standard criteria to electrocardiogram telemetry admissions found that the majority of abnormal heart rhythms were found when patients met appropriate criteria.

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References

    1. Brennan TA. The Institute of Medicine report on medical errors: could it do harm? N Engl J Med 2000; 342: 1123–5.
    1. IOM Quality of Health Care in America Committee. The Institute of Medicine report on medical errors: misunderstanding can do harm. MedGenMed 2000; 2: 1–5.
    1. McDonald CJ, Weiner MW, Hui SL. Deaths due to medical errors are exaggerated in the Institute of Medicine report. JAMA 2000; 284: 93–5.
    1. Leape LL. Institute of Medicine medical error figures are not exaggerated. JAMA 2000; 284: 95–7.
    1. Hayward RA, Hofer TP. Estimating hospital deaths due to medical errors: preventability is in the eye of the reviewer. JAMA 2001; 286: 415–20.

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