{"id":{"repo_id":"ku","oai_identifier":"oai:kuscholarworks.ku.edu:1808/29515"},"canonical_url":"https://search.dev.ndltd.org/etd/ku/oai:kuscholarworks.ku.edu:1808/29515","repository":{"repo_id":"ku","name":"University of Kansas","base_url":"https://kuscholarworks.ku.edu/server/oai/request"},"display":{"title":"Evaluating the Process of Ambulatory Electrocardiographic Monitor Application and Completion Rates","abstract":"Abstract Outpatient ambulatory electrocardiographic monitoring (AEM) is often used by practitioners to diagnose an arrhythmia. AEM devices can be mailed to the patient’s home or applied in the office setting. A common barrier that decreases the diagnostic utility is failure to successfully complete the monitoring. Objective: The purpose of this study is to compare the AEM completion rates between patients who self-apply the monitor at home and those who have the monitor applied in the office by clinical staff. Methods: A cross-sectional retrospective chart review was used. The electronic health records were reviewed for billable codes before and after April 2018 when a new office policy of mailing monitors to patients was implemented. A random sample of 50 patients was obtained from each timeframe. Results: The sample included the electronic medical records of adult patients (n=100) seen in the Cardiology clinic. Over half 63 (63%) were female, and the majority 88 (88%) were Caucasian, with 10 (10%) Black or African American, and 1 (1%) reporting Asian race. The average age was 59 (range 20-100). Most patients 98 (98%) had health insurance. The office application group had a significantly higher rate of successful completion 62 (62%) compared to the mail group 38 (38%). The average number of days that the AEM was worn was 18 days (range 7-30 days). Conclusion: The results of this study indicate that professional support and application of AEM in the clinic setting may lead to an increase in completion rates.","abstract_html":"Abstract Outpatient ambulatory electrocardiographic monitoring (AEM) is often used by practitioners to diagnose an arrhythmia. AEM devices can be mailed to the patient’s home or applied in the office setting. A common barrier that decreases the diagnostic utility is failure to successfully complete the monitoring. Objective: The purpose of this study is to compare the AEM completion rates between patients who self-apply the monitor at home and those who have the monitor applied in the office by clinical staff. Methods: A cross-sectional retrospective chart review was used. The electronic health records were reviewed for billable codes before and after April 2018 when a new office policy of mailing monitors to patients was implemented. A random sample of 50 patients was obtained from each timeframe. Results: The sample included the electronic medical records of adult patients (n=100) seen in the Cardiology clinic. Over half 63 (63%) were female, and the majority 88 (88%) were Caucasian, with 10 (10%) Black or African American, and 1 (1%) reporting Asian race. The average age was 59 (range 20-100). Most patients 98 (98%) had health insurance. The office application group had a significantly higher rate of successful completion 62 (62%) compared to the mail group 38 (38%). The average number of days that the AEM was worn was 18 days (range 7-30 days). Conclusion: The results of this study indicate that professional support and application of AEM in the clinic setting may lead to an increase in completion rates.","abstract_has_math":false,"creators":["Bhatnagar, Anna Sushila"],"institution":"University of Kansas","degree_name":null,"degree_level":null,"degree_discipline":null,"degree_department":null,"school":null,"contributors":[],"advisors":["Bosak, Kelly"],"committee_chairs":[],"committee_members":[],"year":2019,"date_issued":"2019-05-31","date_published":"2019-05-31","updated_at":"2026-07-24T02:47:03Z","subjects":["Nursing","Ambulatory","Cardiac","Electrocardiographic","Event","Monitor","Monitoring"],"languages":["en"],"rights":["Copyright held by the author."],"rights_urls":[],"identifier_entries":[{"key":"dc:identifier.other","label":"Dc Identifier Other","values":["http://dissertations.umi.com/ku:16390"],"render_values":[{"text":"http://dissertations.umi.com/ku:16390","href":"http://dissertations.umi.com/ku:16390","code":true}]}]},"links":{"outbound_url":"http://hdl.handle.net/1808/29515","outbound_label":"Handle","outbound_source":"dc:identifier.uri"},"metadata_groups":[{"id":"people","label":"People","entries":[{"key":"dc:contributor.advisor","label":"Advisor","values":["Bosak, Kelly"]},{"key":"dc:creator","label":"Author","values":["Bhatnagar, Anna Sushila"]}]},{"id":"academic_context","label":"Academic Context","entries":[{"key":"dc:date.accessioned","label":"Dc Date Accessioned","values":["2019-09-04T21:55:11Z"]},{"key":"dc:date.available","label":"Dc Date Available","values":["2019-09-04T21:55:11Z"]},{"key":"dc:date.issued","label":"Date","values":["2019-05-31"]},{"key":"dc:publisher","label":"Institution","values":["University of Kansas"]},{"key":"dc:type","label":"Dc Type","values":["Dissertation"]}]},{"id":"subjects_keywords","label":"Subjects and Keywords","entries":[{"key":"dc:subject","label":"Dc Subject","values":["Nursing","Ambulatory","Cardiac","Electrocardiographic","Event","Monitor","Monitoring"]}]},{"id":"language_rights","label":"Language and Rights","entries":[{"key":"dc:language.iso","label":"Language (ISO)","values":["en"]},{"key":"dc:rights","label":"Dc Rights","values":["Copyright held by the author."]}]},{"id":"identifiers","label":"Identifiers","entries":[{"key":"dc:identifier.other","label":"Dc Identifier Other","values":["http://dissertations.umi.com/ku:16390"]},{"key":"dc:identifier.uri","label":"Identifier URI","values":["http://hdl.handle.net/1808/29515"]}]},{"id":"additional","label":"Additional Metadata","entries":[{"key":"dc:description.abstract","label":"Abstract","values":["Abstract Outpatient ambulatory electrocardiographic monitoring (AEM) is often used by practitioners to diagnose an arrhythmia. AEM devices can be mailed to the patient’s home or applied in the office setting. A common barrier that decreases the diagnostic utility is failure to successfully complete the monitoring. Objective: The purpose of this study is to compare the AEM completion rates between patients who self-apply the monitor at home and those who have the monitor applied in the office by clinical staff. Methods: A cross-sectional retrospective chart review was used. The electronic health records were reviewed for billable codes before and after April 2018 when a new office policy of mailing monitors to patients was implemented. A random sample of 50 patients was obtained from each timeframe. Results: The sample included the electronic medical records of adult patients (n=100) seen in the Cardiology clinic. Over half 63 (63%) were female, and the majority 88 (88%) were Caucasian, with 10 (10%) Black or African American, and 1 (1%) reporting Asian race. The average age was 59 (range 20-100). Most patients 98 (98%) had health insurance. The office application group had a significantly higher rate of successful completion 62 (62%) compared to the mail group 38 (38%). The average number of days that the AEM was worn was 18 days (range 7-30 days). Conclusion: The results of this study indicate that professional support and application of AEM in the clinic setting may lead to an increase in completion rates."]},{"key":"dc:title","label":"Title","values":["Evaluating the Process of Ambulatory Electrocardiographic Monitor Application and Completion Rates"]}]}],"canonical_facts":{"dc:contributor.advisor":["Bosak, Kelly"],"dc:creator":["Bhatnagar, Anna Sushila"],"dc:date.accessioned":["2019-09-04T21:55:11Z"],"dc:date.available":["2019-09-04T21:55:11Z"],"dc:date.issued":["2019-05-31"],"dc:description.abstract":["Abstract Outpatient ambulatory electrocardiographic monitoring (AEM) is often used by practitioners to diagnose an arrhythmia. AEM devices can be mailed to the patient’s home or applied in the office setting. A common barrier that decreases the diagnostic utility is failure to successfully complete the monitoring. Objective: The purpose of this study is to compare the AEM completion rates between patients who self-apply the monitor at home and those who have the monitor applied in the office by clinical staff. Methods: A cross-sectional retrospective chart review was used. The electronic health records were reviewed for billable codes before and after April 2018 when a new office policy of mailing monitors to patients was implemented. A random sample of 50 patients was obtained from each timeframe. Results: The sample included the electronic medical records of adult patients (n=100) seen in the Cardiology clinic. Over half 63 (63%) were female, and the majority 88 (88%) were Caucasian, with 10 (10%) Black or African American, and 1 (1%) reporting Asian race. The average age was 59 (range 20-100). Most patients 98 (98%) had health insurance. The office application group had a significantly higher rate of successful completion 62 (62%) compared to the mail group 38 (38%). The average number of days that the AEM was worn was 18 days (range 7-30 days). Conclusion: The results of this study indicate that professional support and application of AEM in the clinic setting may lead to an increase in completion rates."],"dc:identifier.other":["http://dissertations.umi.com/ku:16390"],"dc:identifier.uri":["http://hdl.handle.net/1808/29515"],"dc:language.iso":["en"],"dc:publisher":["University of Kansas"],"dc:rights":["Copyright held by the author."],"dc:subject":["Nursing","Ambulatory","Cardiac","Electrocardiographic","Event","Monitor","Monitoring"],"dc:title":["Evaluating the Process of Ambulatory Electrocardiographic Monitor Application and Completion Rates"],"dc:type":["Dissertation"]},"updated_at":"2026-07-24T02:47:03Z"}