Contact email

David_Rubins@hms.harvard.edu

Overview

This retrospective, controlled, before-after study demonstrates a significant decrease in telemetry ordering with turning off the default admission telemetry order.

Department

Medicine

Collaborators

David Rubins MD
Robert Boxer MD
Adam Landman MD
Adam Wright PhD

Status/Stage of Development

Planning

Measurement

Telemetry orders on admission and subsequent orders for telemetry were monitored pre- and post-change

Results

In a group of 1,163 patient admitted over 17 months using the residency-customized version of the admission order set:
-there was a significant decrease in telemetry ordering in the post-intervention period (79.1% to 21.3%)
-no significant change in telemetry usage among patients using the two control order sets

Additional details

The study shows that changing the order set settings can significantly affect ordering practices.
It does not measure whether the change in ordering behavior had a significant impact on patient care or safety.

Tech Involved

• Computerized provider order entry

Sources

Rubins D, Boxer R, Landman A, Wright A. Effect of default order set settings on telemetry ordering. J Am Med Inform Assoc. September 2019. doi:10.1093/jamia/ocz137