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Keywords

Telemetry Monitors, Cardiac Progressive Care

Disciplines

Nursing

Description

Implementing this change is important because an incident occurred on CPCU where the wrong box was connected to the wrong patient in a shared room. This error led to inaccurate rhythm interpretation placing both patients at risk for delayed or inappropriate interventions. By evaluating whether separating TMS boxes and adding color coded stickers reduces false rhythm readings, improve monitoring accuracy, prevent adverse patient safety, and strengthen trust within our telemetry system. Currently, the boxes are stored together in centralized locations in shared rooms with yellow color sticker labels on all. When a new patient is admitted or when telemetry needs to be reapplied, staff retrieve a box from the shared TMS doc location and connect it to the patient. Because patients are frequently placed in shared rooms, there is an increased risk of mistakenly assigning the wrong monitor box to the wrong patient.

Publication Date

5-6-2026

Comments

Nurses Week at Corewell Health Beaumont Troy Hospital; 2026 May 6-12; Troy, MI.

Separation and Color-Coding labels of Telemetry Monitors: -Exemplary Professional Practice A Strategy to Reduce False Rhythm Events in Cardiac Progressive Care

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