Volume 7, Issue 5, September 2019, Page: 136-140
Resident Led Tele-intervention Program: An Impactful Strategy to Reduce Inappropriate Use
Swapnil Patel, Department of Medicine and Hospital Medicine, Jersey Shore University Medical Center Hackensack Meridian Health, Neptune, USA
Mohammed Shariff, Department of Medicine and Hospital Medicine, Jersey Shore University Medical Center Hackensack Meridian Health, Neptune, USA
Jay Shah, Department of Medicine and Hospital Medicine, Jersey Shore University Medical Center Hackensack Meridian Health, Neptune, USA
Natasha Campbell, Department of Medicine and Hospital Medicine, Jersey Shore University Medical Center Hackensack Meridian Health, Neptune, USA
Shreya Gor, Department of Medicine and Hospital Medicine, Jersey Shore University Medical Center Hackensack Meridian Health, Neptune, USA
Anas Alrefaee, Department of Medicine and Hospital Medicine, Jersey Shore University Medical Center Hackensack Meridian Health, Neptune, USA
Ijaz Khan, Department of Medicine and Hospital Medicine, Jersey Shore University Medical Center Hackensack Meridian Health, Neptune, USA
Arman Mushtaq, Department of Medicine and Hospital Medicine, Jersey Shore University Medical Center Hackensack Meridian Health, Neptune, USA
Mohamed Bakr, Department of Medicine and Hospital Medicine, Jersey Shore University Medical Center Hackensack Meridian Health, Neptune, USA
Christian Kaunzinger, Department of Medicine and Hospital Medicine, Jersey Shore University Medical Center Hackensack Meridian Health, Neptune, USA
Michael Carson, Department of Medicine and Hospital Medicine, Jersey Shore University Medical Center Hackensack Meridian Health, Neptune, USA
Elliot Frank, Department of Quality and Performance Improvement, Jersey Shore University Medical Center Hackensack Meridian Health, Neptune, USA
Mohammad Amir Hossain, Department of Medicine and Hospital Medicine, Jersey Shore University Medical Center Hackensack Meridian Health, Neptune, USA
Kim Carpenter, Department of Quality and Performance Improvement, Jersey Shore University Medical Center Hackensack Meridian Health, Neptune, USA
David Kountz, Department of Medicine and Hospital Medicine, Jersey Shore University Medical Center Hackensack Meridian Health, Neptune, USA
Kenneth Sable, Department of Quality and Performance Improvement, Jersey Shore University Medical Center Hackensack Meridian Health, Neptune, USA
Tushar Vachharajani, Glickman Urological & Kidney Institute, Cleveland Clinic, Cleveland, USA
Arif Asif, Department of Medicine and Hospital Medicine, Jersey Shore University Medical Center Hackensack Meridian Health, Neptune, USA
Adam Kaplan, Department of Medicine and Hospital Medicine, Jersey Shore University Medical Center Hackensack Meridian Health, Neptune, USA
Received: Sep. 12, 2019;       Accepted: Oct. 4, 2019;       Published: Oct. 16, 2019
DOI: 10.11648/j.ajim.20190705.16      View  66      Downloads  21
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; 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.
Keywords
Telemetry, Cardiac Monitoring, Quality Improvement
To cite this article
Swapnil Patel, Mohammed Shariff, Jay Shah, Natasha Campbell, Shreya Gor, Anas Alrefaee, Ijaz Khan, Arman Mushtaq, Mohamed Bakr, Christian Kaunzinger, Michael Carson, Elliot Frank, Mohammad Amir Hossain, Kim Carpenter, David Kountz, Kenneth Sable, Tushar Vachharajani, Arif Asif, Adam Kaplan, Resident Led Tele-intervention Program: An Impactful Strategy to Reduce Inappropriate Use, American Journal of Internal Medicine. Vol. 7, No. 5, 2019, pp. 136-140. doi: 10.11648/j.ajim.20190705.16
Copyright
Copyright © 2019 Authors retain the copyright of this article.
This article is an open access article distributed under the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
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