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Pulse rhythm refers to the pattern of pulsations within specific intervals, offering valuable insights into the regularity or irregularity of the heart's beats as observed through the pattern of pulsation within specific intervals. A regular pulse exhibits a consistent heart rate with uniform waveforms and pulsation force, variations of which can be classified as normal, weak, or bounding.
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A Systems-Based Morbidity and Mortality Conference Was Associated With a Transient Reduction in ECG Completion Times.

Andrew E Levy1, Melanie D Whittington, Tyler J Anstett

  • 1University of Colorado School of Medicine, Aurora (Drs Levy, Anstett, Simon, Carter, and Ho); Denver Health and Hospital Authority, Denver, Colorado (Dr Levy); University of Colorado Skaggs School of Pharmacy, Aurora (Dr Whittington), and UCHealth, Aurora, Colorado (Mr Wentworth).

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A monthly cardiology conference (MMC) briefly improved electrocardiogram (ECG) completion times for routine and now orders. However, the impact on stat-priority ECGs was minimal, highlighting the need for lasting solutions to sustain improvements in patient care.

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Area of Science:

  • Cardiology
  • Healthcare Quality Improvement
  • Patient Safety

Background:

  • A near-miss patient safety event involving delayed stat-priority electrocardiograms (ECGs) was reviewed.
  • The University of Colorado Division of Cardiology held a morbidity and mortality conference (MMC) to address this issue.

Purpose of the Study:

  • To determine if the MMC was associated with reduced ECG completion times.
  • To analyze the impact of the MMC on ECG completion stratified by priority (Stat, Now, Routine).

Main Methods:

  • An interrupted time series analysis was conducted on in-hospital ECG data from January 2017 to June 2018.
  • Completion times and the percentage of delayed Stat-priority ECGs were analyzed before and after the MMC (February 28, 2018).

Main Results:

  • The proportion of delayed Stat-priority ECGs increased to 20% before the MMC.
  • The MMC was associated with immediate reductions in completion times for Routine (-18.4 min) and Now (-8 min) ECGs.
  • No significant reduction in completion time for Stat ECGs was observed, though the increase in delays stopped.

Conclusions:

  • The MMC led to a temporary improvement in ECG completion times.
  • The study highlights the need for more sustainable interventions to maintain improvements in ECG turnaround times.