Abstract 10337: Initiative for Timely Acquisition of ECGs in Non-ICU Hospital Areas
| Autor: | Arjun S Patel, Jensen GALVIS, James Ruggero, Olivia Schanz, Truong-An Ho, Deepanjali Jain, Sara Peterson, Isha Mehta |
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| Rok vydání: | 2021 |
| Předmět: | |
| Zdroj: | Circulation. 144 |
| ISSN: | 1524-4539 0009-7322 |
| Popis: | Introduction: In-hospital patients are a unique patient population with numerous co-morbidities and often atypical presentations for common cardiac problems. Delay in obtaining STAT ECGs on non-ICU (Intensive Care Unit) floors can have consequences ranging from delays in patient care to catastrophic morbidity and mortality for delayed diagnosis and treatment. Hypothesis: We hypothesize that there is high variability in the timely acquisition of obtaining inpatient EKGs in non-ICU areas regardless of whether there is a STAT or routine indication. Methods: We retrospectively reviewed 75 randomly selected non-ICU inpatient encounters for ECGs between January 2020 and March 2021. Of the 75 cases, 46 encounters met the criteria as non-ICU ECG encounters. The final data set included 24 routine ECG orders and 22 STAT ECG orders. Data gathered included time stamps for time of order, intended time for order to be completed, completion time and upload time in the EMR (electronic medical record). Results: STAT ECGs took a median of 1 hour and 42 minutes with times from the first and third quartiles ranging from 36 minutes to 2 hours and 58 minutes. Routine ECGs took a median of 3 hours and 17 minutes with times from the first and third quartiles ranging from 1 hour and 17 minutes to 4 hours and 30 minutes (Graph 1). Conclusion: Our results confirm that the acquisition of inpatient EKGs is highly variable and often delayed. Inpatient acquisition of ECGs should be standardized for patient safety and optimal outcomes. A protocol driven and multidisciplinary approach should be implemented to improve timely ECG acquisition. |
| Databáze: | OpenAIRE |
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