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Brieger D, Cullen L, Briffa T, Zaman S, Scott I, Papendick C, Bardsley K, Baumann A, Bennett AS, Clark RA, Edelman JJ, Inglis SC, Kuhn L, Livori A, Redfern J, Schneider H, Stewart J, Thomas L, Wing-Lun E, Zhang L, Ho E, Matthews S. National Heart Foundation of Australia & Cardiac Society of Australia and New Zealand: Comprehensive Australian Clinical Guideline for Diagnosing and Managing Acute Coronary Syndromes 2025. Heart Lung Circ 2025; 34:309-397. [PMID: 40180468 DOI: 10.1016/j.hlc.2025.02.102] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/17/2025] [Accepted: 02/17/2025] [Indexed: 04/05/2025]
Affiliation(s)
- David Brieger
- Department of Cardiology, Concord Repatriation General Hospital, Sydney, NSW, Australia; Faculty of Medicine and Health, The University of Sydney, Sydney, NSW, Australia
| | - Louise Cullen
- Emergency and Trauma Centre, Royal Brisbane and Woman's Hospital Health Service District, Metro North Health, Herston, Qld, Australia; School of Medicine, Faculty of Health, Queensland University of Technology, Brisbane, Qld, Australia
| | - Tom Briffa
- School of Population and Global Health, The University of Western Australia, Nedlands, WA, Australia
| | - Sarah Zaman
- Department of Cardiology, Westmead Hospital, Westmead, NSW, Australia; Westmead Applied Research Centre, The University of Sydney, Sydney, NSW, Australia
| | - Ian Scott
- Metro South Digital Health and Informatics, Qld, Australia; Centre for Health Services Research, The University of Queensland, Brisbane, Qld, Australia
| | - Cynthia Papendick
- Department of Emergency Medicine, The Royal Adelaide Hospital, Adelaide, SA, Australia
| | | | - Angus Baumann
- Department of Cardio-respiratory Medicine, Alice Springs Hospital, The Gap, NT, Australia
| | - Alexandra Sasha Bennett
- Faculty of Medicine and Health, The University of Sydney, Sydney, NSW, Australia; NSW Therapeutic Advisory Group, Sydney, NSW, Australia
| | - Robyn A Clark
- Caring Futures Institute, Flinders University, Bedford Park, SA, Australia
| | - J James Edelman
- Department of Cardiothoracic Surgery and Transplantation, Fiona Stanley Hospital, The University of Western Australia, Perth, WA, Australia
| | - Sally C Inglis
- Improving Palliative, Aged and Chronic Care through Clinical Research and Translation (IMPACCT), Faculty of Health, University of Technology Sydney, Sydney, NSW, Australia
| | - Lisa Kuhn
- School of Nursing, Midwifery and Paramedicine, Australian Catholic University, Fitzroy, Vic, Australia; Monash Emergency Research Collaborative, Monash Health, Clayton, Vic, Australia
| | - Adam Livori
- Grampians Health, Ballarat, Vic, Australia; Centre for Medicine Use and Safety, Faculty of Pharmacy and Pharmaceutical Sciences, Monash University, Melbourne, Vic, Australia
| | - Julie Redfern
- Institute for Evidence-Based Healthcare, Bond University, Gold Coast, Qld, Australia
| | - Hans Schneider
- Department of Pathology, Alfred Health, Melbourne, Vic, Australia; School of Public Health and Preventative Medicine, Monash University, Melbourne, Vic, Australia
| | - Jeanine Stewart
- The Prince Charles Hospital, Brisbane, Qld, Australia; School of Nursing and Midwifery, Griffith University, Qld, Australia
| | - Liza Thomas
- Department of Cardiology, Westmead Hospital, Westmead, NSW, Australia; Westmead Applied Research Centre, The University of Sydney, Sydney, NSW, Australia; Westmead Clinical School, The University of Sydney, Sydney, NSW, Australia; South West Sydney School of Clinical Medicine, University of New South Wales, Sydney, NSW, Australia
| | - Edwina Wing-Lun
- Department of Cardiology, Royal Darwin Hospital, Darwin, NT, Australia
| | - Ling Zhang
- Faculty of Medicine and Health, The University of Sydney, Sydney, NSW, Australia
| | - Elaine Ho
- National Heart Foundation of Australia
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Wax DB, Villar J, Neustein S, Rhee AJ. A System to Improve Compliance with Electrocardiography Electrode Expiration Tracking. Jt Comm J Qual Patient Saf 2023; 49:223-225. [PMID: 36737265 DOI: 10.1016/j.jcjq.2023.01.004] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/18/2022] [Revised: 01/05/2023] [Accepted: 01/06/2023] [Indexed: 01/13/2023]
Abstract
BACKGROUND Electrocardiography (ECG) electrodes require special expiration tracking after the manufacturer's packaging is opened. Compliance with this requirement, however, can be inconsistent. The authors tested the efficacy of a device that provides for expiration tracking of bulk-packaged electrodes to improve compliance. METHODS The device tested is a bin with an automated countdown timer that could be used for storing and dispensing open ECG electrodes. Seven operating rooms were inspected three times each before and after implementation of the device. Compliance with expiration dating of open electrodes was recorded for each inspection. RESULTS Compliance was found in 3 of the 21 (14.3%) baseline inspections. Following implementation of the devices, compliance was found in 20 of 21 (95.2%) inspections. This increase in compliance was statistically significant (p < 0.01). CONCLUSION A storage and dispensing device with automated countdown timer significantly improved compliance with expiration dating regulations for bulk-packaged ECG electrodes. It also has the potential to reduce supply cost, packaging waste, and inconvenience compared with individually wrapped electrodes.
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Karapas ET, Bobay K. Reducing Cardiac Telemetry Nuisance Alarms Through Evidence-Based Interventions. J Nurs Care Qual 2021; 36:355-360. [PMID: 33734186 DOI: 10.1097/ncq.0000000000000556] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Abstract
BACKGROUND Cardiac telemetry nuisance alarms due to leads off and poor signal increase staff workflow interruptions, decrease staff trust in technology, and can compromise patient safety. LOCAL PROBLEM Interventions were directed at reducing nuisance alarms on a 32-bed, non-intensive care - a cardiac telemetry unit. METHODS A nursing staff education module with evidence-based practices for reducing nuisance alarms, a daily care protocol for patients on cardiac telemetry monitoring, and daily audits of protocol adherence were implemented. RESULTS Staff pre- and posttest comparisons on their knowledge relating to nuisance alarms and the evidence-based protocol demonstrated a significant mean increase of 3.02 (95% CI, 2.55-3.48). Daily audits for 7 weeks demonstrated an average of 58.46% staff adherence. Telemetry technician call volume reduction was 16% postimplementation, while nuisance alarms were not reduced significantly. CONCLUSIONS This rapid-cycle, quality improvement process resulted in minimal reduction in nuisance alarms but improved staff awareness of the issue and reduced workflow interruptions.
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Affiliation(s)
- Eleftheria T Karapas
- College of Nursing and Health Sciences, Lewis University, Romeoville, Illinois (Dr Karapas); and Niehoff School of Nursing, Loyola University, Chicago, Illinois (Dr Bobay)
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