The influence of cardiograph design and automated algorithms on the incidence and detection of electrode cable reversals in an academic electrocardiogram laboratory

Journal of Electrocardiology
Kent R NilssonGalen S Wagner

Abstract

Medical errors have been increasingly identified as a major source of morbidity and mortality in both outpatient and acute care settings. Central to the evaluation of many medical problems, the 12-lead electrocardiogram (ECG) is susceptible to both technical and interpretative errors. Proper interpretation, however, is dependent on the quality and accuracy of the acquired ECG. We evaluated the impact of both a newly designed electrocardiograph and a newly developed automated computer algorithm on the incidence and detection of electrode cable reversals (lead reversals). The study tested the association of the incidence of electrode cable reversals and the design of the connection terminal. The study was performed during a 7-month period preceding (53,875 ECGs) and after (53,344 ECGs) the implementation of the new system. Electrode cable reversals occurring in various sites of the medical center were tabulated and compared. We then sought to determine if computer detection algorithms could increase point-of-care detection of electrode cable reversals and, thereby, offset the influence of cardiograph design changes. Two commercially available automated detection algorithms were compared for their abilities to identify electrode c...Continue Reading

References

May 1, 1995·The American Journal of Cardiology·B HedénC Peterson
Sep 1, 1996·The American Journal of Cardiology·B HedénL Edenbrandt
Nov 14, 1997·The American Journal of Cardiology·H Abdollah, J A Milliken
Mar 29, 2000·Journal of Pediatric Health Care : Official Publication of National Association of Pediatric Nurse Associates & Practitioners·D H Havens, L Boroughs
Sep 8, 2001·The American Journal of Cardiology·J A Kors, G van Herpen
Feb 28, 2003·The Annals of Thoracic Surgery·Justin B DimickPamela A Lipsett
Apr 12, 2006·Pacing and Clinical Electrophysiology : PACE·Reginald T HoG Thomas Evans
Dec 19, 2006·Journal of Critical Care·Peter J PronovostLaura L Morlock
Sep 12, 2007·Circulation·Robert A Kloner, Shereif H Rezkalla

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Citations

Aug 30, 2008·Journal of Electrocardiology·Olle Pahlm, Stephen C Hammill
Dec 20, 2008·Journal of Electrocardiology·Joseph C Greenfield, Judith C Rembert
Jan 7, 2011·Journal of Clinical Pharmacology·Vaibhav SalviDhiraj Narula
Sep 10, 2014·Journal of Electrocardiology·Chengzong HanSaeed Babaeizadeh
May 16, 2020·International Journal of Telemedicine and Applications·Jocelyne Fayn, Paul Rubel

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