Evaluation of Telemetry Utilization on Medical-Surgical Units.

Autor: Phillips J; Virtua Health System, 303 Lippincott Drive, Suite 200, Marlton, NJ 08053, USA. Electronic address: jphillips3@virtua.org., Polomano RC; University of Pennsylvania School of Nursing, University of Pennsylvania Perelman School of Medicine, 418 Curie Boulevard, Philadelphia, PA 19104, USA., Leming-Lee T'; Vanderbilt University School of Nursing, 461 21st Avenue South, 226 Godchaux Hall, Nashville, TN 37240, USA., Crutcher TD; Vanderbilt University School of Nursing, 222 Godchaux Hall, 461 21st Avenue South, Nashville, TN 37240, USA.
Jazyk: angličtina
Zdroj: The Nursing clinics of North America [Nurs Clin North Am] 2019 Mar; Vol. 54 (1), pp. 97-114. Date of Electronic Publication: 2018 Dec 17.
DOI: 10.1016/j.cnur.2018.10.001
Abstrakt: Alarm fatigue is the most common contributing factor in alarm-related sentinel events. Researchers have demonstrated a 35% overuse of telemetry, a key factor in alarm fatigue. This project evaluates practice patterns for the ordering and discontinuation of telemetry on medical-surgical units. Practice patterns were reviewed to determine if they aligned with the American Heart Association evidence-based practice guidelines for telemetry monitoring and whether the order indication was congruent with the patient's clinical status. Nurse's attitudes and practices related to alarm safety were evaluated.
(Copyright © 2018 Elsevier Inc. All rights reserved.)
Databáze: MEDLINE