Internal medicine journal
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Internal medicine journal · Oct 2013
Observational StudyImpact of a decision rule on duration of continuous cardiac monitoring of patients with suspected acute coronary syndrome in an emergency department.
To determine the effect of introducing a decision rule on the duration of continuous cardiac monitoring (CCM) for patients with suspected acute coronary syndrome in an adult emergency department (ED). ⋯ Introduction of this decision rule did not decrease the median CCMED. All adverse events after the intervention occurred in appropriately monitored patients, including patients with initially negative high-sensitivity troponin T, suggesting that the decision rule would not compromise patient safety.