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Choosing Telemetry Wisely: a Survey of Awareness and Physician Decision-Making Regarding AHA Telemetry Practice Standards

  • Aaron M. Brug
  • Kayla M. Hudson
  • Rebecca Moore
  • Chayan ChakrabortiEmail author
Concise Research Reports

INTRODUCTION

In 2013, the American Board of Internal Medicine’s (ABIM) Choosing Wisely campaign evaluated resource utilization and recommended avoidance of ordering “continuous telemetry monitoring outside of the intensive care unit without using a protocol that governs continuation”.1 One such protocol was revised twice by the American Heart Association (AHA) in 2004 and 2017 and has been found to predict cardiac events and change patient management.2, 3, 4 No prior studies have assessed the decision-making process physicians use regarding telemetry. This study aims to assess that decision-making process in relationship to the AHA practice standards, thus having the potential to inform implementation of ABIM’s recommendation.

METHODS

In spring 2017, a web-based survey was distributed to internal medicine residents and faculty at an urban academic medical center. The survey included 14 patient scenarios (Table 1) taken directly from the 2004 AHA Practice Standards. Participants were...

KEY WORDS

telemetry cardiac monitoring choosing wisely decision-making 

Notes

Compliance with Ethical Standards

Conflict of Interest

All authors have no conflicts of interest to disclose. They, nor their institutions, have received commercial support for the submitted work.

References

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    Bulger J, Nickel W, Messler J, et al. Choosing wisely in adult hospital medicine: five opportunities for improved healthcare value. J Hosp Med. 2013;8(9):486–92.CrossRefGoogle Scholar
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Copyright information

© Society of General Internal Medicine 2018

Authors and Affiliations

  • Aaron M. Brug
    • 1
  • Kayla M. Hudson
    • 1
  • Rebecca Moore
    • 1
    • 2
  • Chayan Chakraborti
    • 1
    Email author
  1. 1.Department of Internal MedicineTulane UniversityNew OrleansUSA
  2. 2.Departments of Internal Medicine and Pediatrics, 230Brown UniversityProvidenceUSA

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