Effect of a Nurse-Managed Telemetry Discontinuation Protocol on Monitoring Duration, Alarm Frequency, and Adverse Patient Events.
Telemetry monitoring is a limited resource. This quality improvement project describes a nurse-managed telemetry discontinuation protocol aimed at stopping telemetry monitoring when it is no longer indicated. After implementing the protocol, data were collected for 6 months and compared with a preintervention time frame. There was a mean decrease in telemetry monitor usage and a decreased likelihood of remaining on a telemetry monitor until discharge. A nurse-managed telemetry discontinuation protocol was effective in decreasing overmonitoring and ensuring telemetry availability.
The Johns Hopkins Hospital (Mss Perrin, Ernst, and Nelson), Johns Hopkins, Armstrong Institute for Patient Safety and Quality (Ms Sawyer and Dr Cvach), Division of General Internal Medicine, Johns Hopkins University (Dr Pfoh), and Johns Hopkins Health System (Dr Cvach), Baltimore, Maryland.
Keisha
K
Perrin
Neysa
N
Ernst
Terry
T
Nelson
Melinda
M
Sawyer
Elizabeth
E
Pfoh
Maria
M
Cvach
D017408:Guidelines as Topic / Q000592:standards*; D006801:Humans; D007902:Length of Stay / Q000706:statistics & numerical data; D008991:Monitoring, Physiologic / Q000379:methods / Q000592:standards / Q000706:statistics & numerical data; D024802:Nurse's Role; D015403:Nursing Evaluation Research / Q000706:statistics & numerical data; D058996:Quality Improvement; D013686:Telemetry / Q000379:methods* / Q000451:nursing* / Q000706:statistics & numerical data; D013997:Time Factors