Healthcare Inspection: Telemetry Monitoring Issues VA Eastern Colorado Health Care System Denver, Colorado

摘要

The purpose of this review was to determine the validity of allegations regarding inadequate telemetry heart monitoring practices and lack of staff training that related to two patient deaths at the VA Eastern Colorado Health Care System (the system), Denver, Colorado. The complainant specifically alleged that despite notifying system management of concerns regarding the telemetry program, including incompetency and lack of training of telemetry staff, no action was taken to improve processes until patient deaths occurred. Our report addresses the complainants allegations regarding processes at the time of the patients deaths.