Aligning cardiac monitoring with American Heart Association Guidelines: Impact on utilization, hemodynamic monitoring, and outcomes
An EHR tool to align care with continuous cardiac monitoring practice standards safely reduced overall continuous cardiac monitoring utilization. Use outside of practice standards persisted and was primarily focused on monitoring for potential hemodynamic instability. We found no evidence that continuous cardiac monitoring was associated with improved outcomes in unstable patients. Continuous cardiac monitoring for potentially unstable patients can likely be replaced for non-cardiac indications with continuous heart rate monitoring.
Authors
- James B. Grace (ORCID: https://orcid.org/0000-0001-6374-4726)
- Timothy J. Beebe (ORCID: https://orcid.org/0000-0003-4700-2436)
- Joseph S. Koopmeiners (ORCID: https://orcid.org/0000-0001-6147-3168)
- Michele Allen (ORCID: https://orcid.org/0000-0002-8783-7182)
- Deborah L. Pestka (ORCID: https://orcid.org/0000-0001-5096-1991)
- Brian Hilliard (ORCID: https://orcid.org/0000-0002-4901-6594)
- Tanvi Mehta (ORCID: https://orcid.org/0000-0002-3239-3246)
- Genevieve B. Melton
- Nicholas E. Ingraham
- Nathan Shippee
- Christopher Tignanelli
Institutions
- University of Minnesota (US)
- University of Minnesota System (US)
- University of Minnesota Medical Center (US)
- Minnesota Department of Health (US)
Publication Details
- Journal
- PLoS ONE
- Published
- 2026-01-30
- DOI
- https://doi.org/10.1371/journal.pone.0338943
- Primary Topic
- Healthcare Technology and Patient Monitoring
- Type
- article
- Field-Weighted Citation Impact
- 0.00