Unnecessary arrhythmia monitoring and underutilization of ischemia and QT interval monitoring in current clinical practice: baseline results of the Practical Use of the Latest Standards for Electrocardiography trial.

摘要: Abstract Purpose The purpose of the study was to examine appropriate use arrhythmia, ischemia, and QTc interval monitoring in acute care setting. Methods We analyzed baseline data Practical Use Latest Standards for Electrocardiography (PULSE) trial, a multisite randomized clinical trial evaluating effect implementing electrocardiographic practice standards. Research nurses reviewed medical records indications observed if QT being done on 1816 patients 17 hospitals. Results Almost all (99%) with an indication arrhythmia were monitored, but 85% no monitored. Of ischemia monitoring, 35% monitored; 26% monitored ST-segment changes. Only 21% had documented, 18% documented. Conclusion Our show evidence inappropriate monitoring: undermonitoring prolongation overmonitoring 3 types especially monitoring.