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Effect of a Nurse-Managed Telemetry Discontinuation Protocol on Monitoring Duration, Alarm Frequency, and Adverse Patient Events

Perrin, Keisha BSN, RN; Ernst, Neysa MSN, RN; Nelson, Terry MSN, RN, NEA-BC; Sawyer, Melinda MSN, RN, CNS-BC; Pfoh, Elizabeth PhD, MPH; Cvach, Maria DNP, RN, FAAN

doi: 10.1097/NCQ.0000000000000230

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.

Correspondence: Maria Cvach, DNP, RN, FAAN, Johns Hopkins Health System, Room 631, 1830 E. Monument St, Baltimore, MD 21287 (

The authors acknowledge Y.-J. Chang, C. Denver-Fowler, MPH, BSN, RN; S. Desai, MD, FACP; and R. Hasan, MD, MHS, for their consultation on the conduct of this project.

The authors declare no conflict of interest.

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Accepted for publication: June 16, 2016

Published ahead of print: September 8, 2016

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