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Education, Research, and Quality Improvement: Education, Research, and Quality Improvement |

Quality Improvement Project to Decrease Unnecessary Telemetry Usage

Mohana Krishna Loya, MD; Muhammad Ebrahim Khan, MD; John Pamula, MD
Author and Funding Information

Guthrie Robert Packer Hospital, Sayre, PA


Copyright 2016, American College of Chest Physicians. All Rights Reserved.


Chest. 2016;150(4_S):605A. doi:10.1016/j.chest.2016.08.697
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SESSION TITLE: Education, Research, and Quality Improvement

SESSION TYPE: Original Investigation Poster Discussion

PRESENTED ON: Monday, October 24, 2016 at 12:00 PM - 01:30 PM

PURPOSE: To decrease unnecessary telemetry usage at Guthrie Robert Packer Hospital, Sayre, Pennsylvania.

METHODS: After obtaining approval from Guthrie Robert Packer Hospital Institutional Review Board; patients from Cardiology, General Medicine, Hospitalist, Pulmonology, Nephrology and Hematology/Oncology teaching services at Guthrie Robert Packer Hospital were followed for five days to determine telemetry usage. A total of 129 patients were on telemetry monitoring for five days and 63 (48.83%) out of 129 patients did not require telemetry monitoring based on American Heart Association (AHA) guidelines (2). Guthrie Robert Packer Hospital internal medicine residents were given education about the Choosing Wisely goal of avoiding unnecessary medical tests and about AHA telemetry monitoring indications through a power point presentation and informational materials. Patients from teaching services were followed for five days after residents completed the educational sessions. Meetings were held with the senior resident in each service every day during the transition of care (evening time sign outs to on-call resident), briefly discussing the necessity of telemetry monitoring based on AHA guidelines and discontinuing unnecessary telemetry monitoring. Communicated with nursing team about discontinuing telemetry monitoring.

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