Event Notification Research Articles

Smartphone App-Based Remote Monitoring Challenges in Patients with Cardiac Resynchronization Therapy Defibrillators—A Multicenter Study

Background/Objectives: Remote monitoring (RM) cardiac implantable electronic devices for adults delivers improved patient outcomes. However, previously used bedside transmitters are not optimal due to deficient patient adherence. The goal of this study was to evaluate the efficacy of RM regarding the connectivity of smartphone app-based solutions, adherence to scheduled automatic follow-ups, and prevalence of alert-based events. Methods: We evaluated the adult heart failure (HF) population with an implanted cardiac resynchronization therapy defibrillator (CRT-D) divided into two arms: with app-based RM (abRM) and without app-based RM (control). Results: A total of 81 patients (median age of 69.0) were included in our study. Sixty-five patients received a CRT-D with abRM functionality, and sixteen did not. Twelve patients had no smartphone, and two provided no consent, resulting in their transfer to the control group. Finally, the abRM arm consisted of 51 patients, while 30 patients were in the control group. The median period of follow-up lasted 12 months. Among abRM patients, 98.0% successfully transmitted their first scheduled follow-up, and 80.4% were continuously monitored. Alert-based events were mainly related to arrhythmic events and device functionality with significantly shorter median times to notification (1 day vs. 101 days; p < 0.0001) in the abRM group. Conclusions: Our study showed a high level of compliance with timely initial transmission and adherence to scheduled remote follow-ups. Patient enrollment eligibility was a major challenge due to the limited accessibility of smartphones in the population. App-based RM demonstrated an accurate notification of events and patient-initiated transmissions in emergencies, regardless of location.

Real-Time Ambulatory ECG Does Not Expedite Care.

Ambulatory ECG (AECG) monitoring is pivotal to the diagnosis of arrhythmias and can be performed with near "real-time" notification of abnormalities. There are limited data on the relative benefit of real-time monitoring compared with traditional Holter monitoring. This is a retrospective observational analysis of University of Utah Health patients who underwent ambulatory ECG studies from 2010 to 2022. The study cohort was stratified by patients with an ambulatory ECG that provides real-time event notification (non-Holter) versus those who do not (Holter). The outcomes were cardiac implantable electronic device procedure, ablation procedure, emergency department/hospitalization visit, and initiation of anticoagulation out to 6 months. We identified 20 259 patients, 16 650 with non-Holter studies and 3609 with Holter studies. Holter patients were younger (mean 52 versus 55, P<0.001), more often women (60.2% versus 57%, P<0.001), and had lower mean CHADS2-VA2Sc scores (1.7 versus 2.1, P<0.001). The median time to ablation procedure was 74 versus 72 (P=0.5), for Holter versus non-Holter, respectively. Median days to new cardiac implantable electronic device implantation was 54 days versus 52 (P=0.6); initiation of anticoagulation among patients not already treated was 42 versus 31 days (P=0.03). Time to first emergency department visit or hospitalization was 63 versus 57 (P=0.6). In multivariable models, there were no significant differences in time to intervention between Holter and non-Holter for each outcome. Real-time monitoring demonstrates mixed results in terms of reducing time to intervention, with the significant benefit limited to oral anticoagulation initiation. It is time to revisit clinical scenarios where real-time ambulatory monitoring may not improve health care efficiency.

Administration management in patient safety culture and barriers to adverse event reporting in the nursing profession

Patient safety is very important in the health field, and for this, parameters such as having quality in the service provided and guaranteeing primary care in an effective manner must be considered. The objective of this article is to know the aspects of the patient safety culture and the safety climate perceived by the nursing staff who work in the participating hospital. The methodology used is a descriptive, cross-sectional observational type; It will be observational because it is a specific type of study that is defined by having a statistical or demographic nature, where 46 health professionals were surveyed. In this investigation, it was identified that there is disagreement with the actions that are implemented, lack of supervision, lack of monitoring, strategies, reports, and high frequency of communication between professionals where the purpose is to provide patient safety and demonstrate all the notifications of adverse events and incidents.

Adverse Event Management Tool for Hospitals: A Game-Changer for Patient Safety

As medical technology continues to advance, concerns about associated risks to both patients and healthcare providers arise. Ensuring high-quality healthcare delivery stands as a paramount objective for every healthcare institution. Among the essential attributes required to meet this goal is the safety of all stakeholders. Nevertheless, numerous instances arise wherein unintended incidents occur involving healthcare personnel during the delivery of patient care. This study utilized a mixed-methods approach incorporating interviews, observations, and statistical analysis to investigate the occurrence of adverse events related to medical equipment in hospitals. The findings reveal that, despite 84% of surveyed nursing personnel indicating no experience with adverse events caused by medical equipment, factors such as inadequate preventive maintenance, lack of training, budget constraints, and staff shortages support the need for the development of patient safety support tools, as all the aforementioned factors increase the likelihood of unintentional errors during patient care. Based on these findings, a tailored reporting tool was developed to streamline the documentation of equipment failures and adverse events within hospitals. Designed based on identified needs and characteristics, this tool aims to facilitate timely notification of critical events, especially those with the potential to impact patient safety.

Analysis of Adverse Event Notifications Within the Scope of Patient and Employee Safety: An Example of a Public Hospital

This study aimed to analyze the adverse events reported in a public hospital within the scope of patient and employee safety, to develop studies aimed at learning from errors and to increase the awareness of healthcare professionals and to increase the quality of healthcare service provision. The research was designed as a descriptive, cross-sectional, and retrospective quantitative research design. Data were obtained from the Hospital Information Management System and written records with the data collection form created by the researcher. Data were obtained from the adverse events reported between 01.01.2022 and 30.12.2023. According to the findings of the research; A total of 3447 patient safety adverse event reports were made in 2022, and it was determined that 19 of them were falls, 8 were medication safety, 5 were transfusion safety, and 3415 were laboratory safety. A total of 4788 patient safety adverse event reports were made in 2023, and it was determined that 37 of them were falls, 20 were medication safety, 2 were transfusion safety, and 4729 were laboratory safety. In 2022, a total of 111 employee safety undesirable incidents were reported, of which 59 were sharp-edged injuries, 9 were blood and body fluid splashes, and 45 were legal incidents. In 2023, a total of 120 employee safety undesirable incidents were reported, of which 63 were sharp-edged injuries, 6 were blood and body fluid splashes, and 51 were legal incidents. When the 2022-2023 undesirable incident reports are compared, it is seen that the number of reports has increased over the years, which indicates that a reporting culture has been formed in the institution. As a result of the research; It was determined that the most reported undesirable incidents were laboratory safety and sharp-edged injuries.

Risk of Suicide, Hair Loss, and Aspiration with GLP1-Receptor Agonists and Other Diabetic Agents: A Real-World Pharmacovigilance Study.

With the increasing popularity of glucagon-like peptide 1 receptor agonists (GLP1-RAs), numerous safety concerns arose pertaining to suicide, hair loss, and aspiration risks. We attempted to validate these concerns. We queried four pharmacovigilance databases to compare GLP1-RAs to sodium-glucose transporter 2 inhibitors (SGLT2is) with respect to these adverse events (AE): the FDA Adverse Event Reporting System (FAERS), the Australian Database of Adverse Event Notifications (DAEN), the European Medicines Agency's (EudraVigilance), and the World Health Organization-Vigibase. OpenVigil 2.1 was utilized to perform a disproportionality analysis for GLP1-RAs, SGLT2is, dipeptidyl peptidase 4 inhibitors (DPP4is), sulfonylureas, metformin, and insulin. The following indices were extracted from the FAERS database from Q4/2003 until Q3/2023: relative reporting ratio (RRR), proportional reporting ratio (PRR), reporting odds ratio (ROR), and chi-squared (χ2). A positive signal was detected if PRR > 2 and χ2 > 4 for any drug-event pair. No positive signals were observed between GLP1-RAs and either suicide, hair loss, or aspiration risks. Semaglutide [ROR = 0.60 (0.51-0.71)] and liraglutide [ROR = 0.28 (0.23-0.35)] had higher suicidal events than DPP4is and SGLT2is. GLP1-RAs were the most reported class with hair loss [ROR = 0.61 (0.60-0.64)], and semaglutide, liraglutide, and dulaglutide were the three leading medications. GLP1-RAs ranked lower with aspiration events, which were led by sitagliptin and DPP4is as a group. GLP1-RAs exhibit higher reporting of suicide, hair loss, and aspiration events when compared to several other antidiabetic medications despite not meeting the criteria for positive signals yet. This warrants intensive monitoring and reporting.

RETROSPECTİVE INVESTİGATİON OF PATİENT FALLS IN A UNİVERSITY HOSPİTAL WİTHİN THE SCOPE OF PATİENT SAFETY

This study was designed to investigate patient falls in a university hospital within the scope of patient safety according to variables such as age, gender, time interval when the fall occurred, clinic/polyclinic etc. where the fall occurred and the scene of the fall. Our study is a descriptive type restrospective study. The population of the study consisted of 280 inpatient/outpatient fall event notification records reported between 01.01.2020-31.12.2023 in a university hospital in Izmir. No sample selection was made in the study and the entire population was included in the sample. Institutional permission and ethics committee approval were obtained before the research. Analyses were performed with the SPSS Statistics 29 program. Data were analysed by descriptive statistics (number, percentage, mean, standard deviation), correlation test and Pearson chi-square test. The mean age of the patients who fell was 60.07±22.81 years, the majority were male (58.2%), and the age range of 65 years and older was the age group with the highest number of falls (52.5%). Among the patients, 91.1% were in the adult group and 8.9% were in the paediatric group. It was determined that patients fell most frequently while getting out of bed (45.4%) and in the patient room (54.6%). It was found that 78.9% of the patients had no damage as a result of the fall, 20.7% had mild injury, and 0.4% had severe injury. The fall rates of the patients according to years varied between 0.02% and 0.07%, and the highest number of falls occurred in the adult emergency department. It was determined that 22.1% of the falls occurred between 00:01-04:00. When the fall rates by branches were examined, it was observed that paediatrics and emergency department were lower than other branches (8.6%, 8.9%, respectively). It was observed that 54.3% of the patients who fell had a high pre-fall risk assessment. We determined that patients most frequently fell in the patient room while trying to get out of bed. Incident reporting systems that contain all the information needed about patient falls may provide the opportunity for corrective action for incidents that may occur due to falls. Educational interventions to increase the competence of healthcare professionals and preventive interventions to prevent inpatient falls should be prioritised in medical specialities with high fall rates.

Marked increase in cryptosporidiosis cases, Spain, 2023.

BackgroundBy mid-September 2023, several event notifications related to cryptosporidiosis had been identified from different regions in Spain. Therefore, a request for urgent notification of cryptosporidiosis cases to the National Surveillance Network was launched.AimWe aimed at assessing the extent of the increase in cases, the epidemiological characteristics and the transmission modes and compared to previous years.MethodsWe analysed data on case notifications, outbreak reports and genotypes focusing on June-October 2023 and compared the results to 2016-2022.ResultsIn 2023, 4,061 cryptosporidiosis cases were notified in Spain, which is an increase compared to 2016-2022. The cumulative incidence was 8.3 cases per 100,000 inhabitants in 2023, sixfold higher than the median of 1.4 cases per 100,000 inhabitants 2016-2022. Almost 80% of the cases were notified between June and October. The largest outbreaks were related to contaminated drinking water or swimming pools. Cryptosporidium hominis was the most common species in the characterised samples (115/122), and the C. hominis IfA12G1R5 subtype, previously unusual in Spain, was detected from 76 (62.3%) of the 122 characterised samples.ConclusionsA substantial increase in cryptosporidiosis cases was observed in 2023. Strengthening surveillance of Cryptosporidium is essential for prevention of cases, to better understand trends and subtypes circulating and the impact of adverse meteorological events.

Facilitate Driving with Geographical Proximity

Abstract: This research paper describes the development of a website based on remote computing with the aim of improving the connection between driving schools and automobile students. The primary purpose of this web application is to provide administrators, parents, and students with actual vehicle information, including clutch usage, speed, braking patterns, and vehicle location. This is achieved through the integration of remote data processing installed in the vehicle and sending the relevant data to web applications. This article discusses the importance of these systems in improving driver training and safety by allowing participants to remotely monitor vehicle operation, driving behavior and actions. We completed the literature review to examine existing telematics systems and their applications in the automotive industry. The work includes the selection and installation of remote data processing equipment, the development of user- friendly web interfaces using modern programming languages and methods, and scrupulous compliance with technical procedures. The main features of the web application include real-time data tracking, GPS tracking, important event alerts and notifications, and reporting and analysis capability. The implementation process is quite detailed, including hardware integration, front-end and back-end development, data storage and security measures.

BANKS SHORT MESSAGE SERVICE THREATS NOTIFICATION SYSTEM ON ANDROID BASED PHONE

This research is carried out for the development and implementation of an end-to-end encrypted Short Message Service (SMS) App, utilizing a hybrid cipher algorithm, driven by the notable insecurity observed in SMS communications on mobile devices. SMS is a widely used communication method, and the primary goal of this study is to create a system (App) for end-to-end encrypted SMS. Loss of phones is becoming vulnerable for threats, because we store vital records in android and these records are secret such that no other third party is required to see them, such as Bank SMS, Event Notification etc. Also this information can be compromised if android phone is been lost and found by the criminals. Kidnapping activity is serious case happening in northern part of Nigeria, so if a phone is being lost and discovered how financed he is (the device holder), there is any means of bank account compromisation as that would allow the bank to give some information about the account because of the registered SIM card inserted in android devices (phones). This system is aimed to secure Bank SMS by not allowing an unauthorized person to views the banks SMS, but all other SMS can be view. Whenever the Banks SMS is received by the Android phone, the system will encrypt it and can only be viewed if using correct decryption key, a notification will be sent to the owner other phone if more than two attempt to view the message is made, using a Hybrid Cipher...

A Method for the Rapid Propagation of Emergency Event Notifications in a Long Vehicle Convoy

Convoys composed of autonomous vehicles could improve the transportation and freight industries in several ways. One of the avenues of improvement is in fuel efficiency, where the vehicles maintain a close following distance to each other in order to reduce air resistance by way of the draft effect. While close following distances improve fuel efficiency, they also reduce both the margin of safety and the system’s tolerance to disturbances in relative position. The system’s tolerance to disturbances is known as string stability, where the error magnitude either grows or decays as it propagates rearward through the convoy. One of the major factors in a system’s string stability is its delay in sending state updates to other vehicles, the most pertinent being a hard braking maneuver. Both external sensors and vehicle-to-vehicle communication standards have relatively long delays between peer vehicle state changes and the information being actionable by the ego vehicle. The system presented here, called the Convoy Vehicular Ad Hoc Network (Convoy VANET), was designed to reliably propagate emergency event messages with low delay while maintaining reasonable channel efficiency. It accomplishes this using a combination of several techniques, notably relative position-based retransmission delays. Our results using Network Simulator 3 (ns3) show the system propagating messages down a 20-vehicle convoy in less than 100 ms even with more than a 35% message loss between vehicles that are not immediately adjacent. These simulation results show the potential for this kind of system in situations where emergency information must be disseminated quickly in low-reliability wireless environments.

Comparison of the Performance of the Fast Healthcare Interoperability Resources (FHIR) Subscription Channels.

The Fast Health Interoperability Resources (FHIR) standard was proposed and released to solve the interoperability problems of the electronic health records. The FHIR Subscription resources are used to establish real-time event notifications from the FHIR server to another system. There are several communication channels such as rest-hook and websocket. The objective of our work is to compare the performance of the FHIR subscription using the rest-hook and websocket channels. HAPI FHIR server, python websocket clients and HTTP endpoints were used to measure the processor and memory usage of the two subscription channels. Tests were performed with 5, 10, 15, 20, 30, 40, 50, 60, 70 and 80 clients. The performance was logged using windows performance monitor. The rest-hook subscription showed near six-fold increase in resource utilization when increasing the clients from 5 to 80. On the contrary, the websocket subscription channel did not reach a two-fold increase. The type of the subscription channel should be carefully selected and load distribution should be considered when the number of clients grows.

A REVIEW ON HEALTHCARE QUALITY INDICATORS AND UNEXPECTED EVENTS APPROACHES IN GERMANY AND TURKEY

Evaluation of quality studies in order to ensure patient safety is possible by measuring quality. "Quality Indicators" are used for this. In order to determine indicators and for realistic measurements, detecting and reporting unexpected events that have arisen on the basis of these indicators reveal invaluable results for the development of health systems.Germany, which is a developed country and a member of the European Union, and Turkey, which is a developing country on the way to the European Union, were compared in the focus of quality indicators and unexpected events in focus of “Quality Practices in Healthcare” in study.It is aimed to recognize the Quality of Health Care as a result of comparative evaluation, to discuss the positive and negative aspects of the two countries' quality indicators and their approaches to unexpected events, and to suggest alternative methods for application updates.In conclusion; In Germany, the Quality Program can be defined as a "Data-Based Quality Program with Wide Participation". Hospitals are encouraged for Unexpected Event Notifications in Germany, they are directed towards quality, and quality competition which created in healthcare services. However, when the payments and financial concerns are taken into consideration, it is felt that this competition cannot be achieved only by publishing the quality indicators to the public. Although a very good level has been achieved in the system that will enable the use of quality indicators in Turkey, there are problems in unexpected event notification, use of quality indicators and sharing of results.

App Crafting for An Educational Institution

In the modern world, internet tools like Google Classroom, Gmail, Google Forms, WhatsApp, and others have become more and more important for teacher-student communication and information exchange. We created an app that works with all platforms, including tablets, computers, and mobile phones, to meet the various needs of educational institutions. All devices are easily supported by the Android app for websites optimized for mobile and tablets. This app satisfies all of the standards of the school by offering extensive information on attendance, exam schedules, lecture notes, cost data, event notifications, and online assessments. The newest technologies, such as Flutter and Dart with Firebase integration, were used in the development of this application. We also developed a desktop-friendly web application. Both the app and this website are linked to the same

Foam Segmentation in Wastewater Treatment Plants

The excessive accumulation of foam in wastewater treatment plant (WWTP) tanks can impede proper aeration, hindering the effective removal of organic matter from the water. This study proposes a novel technique to monitor in real time the presence of foams in WWTP tanks by using texture segmentation models trained with centralized and federated approaches. These models are designed to segment the foam and quantify the percentage of foam coverage across the entire tank surface. This data provides plant operators with crucial information for identifying the optimal time for foam removal. The proposed methodology is integrated into an image processing pipeline that involves acquiring images using a PTZ camera, ensuring the absence of anomalies in the captured images, and implementing a real-time communication method for event notifications to plant operators. The models exhibit noteworthy performance, achieving an 86% Dice score in foam segmentation, with comparable results obtained through both centralized and federated training. Implemented in a wastewater treatment plant, this integrated pipeline enhances operational efficiency while concurrently reducing costs.

Patient safety culture in the Operating Room of an emergency hospital in Amazonas: perspectives from the healthcare team.

The concept of safe care permeates health institutions around the world, however, it is necessary to understand the safety culture of an institution to improve the provision of safety to patients and professionals. Cross-sectional study with a quantitative approach. The sample was made up of 119 health professionals who made up the multidisciplinary team at the surgical center from August to September 2021, where data collection took place. The Hospital Survey on Patient Safety Culture (HSOPSC) instrument was used to evaluate the twelve dimensions that make up patient safety culture. Data analysis was carried out using descriptive statistics, to evaluate the reliability of the responses to the HSOPSC instrument, the Cronbachs Alpha test was used. Of the twelve dimensions evaluated, there was no dimension considered strong for patient safety in the unit. The dimensions with potential for patient safety were "Expectations and actions of the supervisor/manager to promote patient safety"; "Teamwork within units" and "Organizational learning - continuous improvement", while all other dimensions were evaluated as weak for patient safety. 39.50% of participants consider patient safety in the unit to be regular, despite this, 89.91% of participants reported not having made any event notifications in the last 12 months. The study highlighted the need to strengthen all dimensions of the patient safety culture by the team at the hospital studied, as none of them were identified as strong.

Modern complexes of monitoring and alerting of events: ensuring optimum use of resources and functioning of information systems and processes

The article discusses modern monitoring and event notification systems: ensuring optimal use of resources and functioning of information systems and processes. Purpose of the study. Determine the monitoring system available under the GPL license, which would be the least expensive in terms of resources and at the same time would have the greatest configuration flexibility, full functionality and a clear interface. It is noted that effective management of information infrastructure and prompt response to events, such as failures in the operation of servers or network devices, have become key aspects of the successful activities of organizations. An overview of modern monitoring and warning systems is given, which provide continuous monitoring of the IT environment and provide a prompt response to events. Discusses methods for collecting and analyzing data, integration with other systems, and the importance of efficient use of resources. A comparison of the Prometheus + Grafana and Zabbix monitoring systems was carried out in order to analyze the installation and system requirements of each of these systems in order to gain a more complete understanding of their features. The main elements that make up the infrastructure of monitoring systems are listed. An analysis of the potential functions of monitoring systems was carried out, which helped determine which of them are most important for an organization or project. Several popular and most suitable monitoring systems have been selected to meet the requirements and needs. An empirical study was conducted that provided practical insight into which monitoring systems are most suitable for specific tasks and conditions. It is concluded that Prometheus and Grafana have the lowest resource load and high configuration flexibility, especially for containerized and highly dynamic environments. Zabbix is suitable for organizations with larger and more complex infrastructures where extensive monitoring functionality is important. However, the choice between these systems must be consistent with the specific needs and resources of the organization, as well as the level of technical expertise available to install and configure the monitoring system.

Analysis of event notifications related to nutritional therapy

Analysis of event notifications related to nutritional therapy

Systematic Violence Monitoring to Reduce Underreporting and to Better Inform Workplace Violence Prevention Among Health Care Workers: Before-and-After Prospective Study.

Monitoring workplace violence (WPV) against health care workers (HCWs) through incident reporting is crucial to drive prevention, but the actual implementation is spotty and experiences underreporting. This study aims to introduce a systematic WPV surveillance in 2 public referral hospitals in Italy and assess underreporting, WPV annual rates, and attributes "before" (2016-2020) and "after" its implementation (November 2021 to 2022). During 2016-2020, incident reporting was based on procedures and data collection forms that were neither standardized between hospitals nor specific for aggressions. We planned and implemented a standardized WPV surveillance based on (1) an incident report form for immediate and systematic event notification, adopting international standards for violence definitions; (2) second-level root cause analysis with a dedicated psychologist, assessing violence determinants and impacts and offering psychological counseling; (3) a web-based platform for centralized data collection; and (4) periodic training for workforce coordinators and newly hired workers. We used data from incident reports to estimate underreporting, defined as an observed-to-expected (from literature and the "before" period) WPV ratio less than 1, and the 12-month WPV rates (per 100 HCWs) in the "before" and "after" periods. During the latter period, we separately estimated WPV rates for first and recurrent events. In the "before" period, the yearly observed-to-expected ratios were consistently below 1 and as low as 0.27, suggesting substantial violence underreporting of up to 73%. WPV annual rates declined in 1 hospital (from 1.92 in 2016 to 0.57 in 2020) and rose in the other (from 0.52 to 1.0), with the divergence being attributable to trends in underreporting. Available data were poorly informative to identify at-risk HCW subgroups. In the "after" period, the observed-to-expected ratio rose to 1.14 compared to literature and 1.91 compared to the "before" period, consistently in both hospitals. The 12-month WPV rate was 2.08 (95% CI 1.79-2.42; 1.52 and 2.35 in the 2 hospitals); one-fifth (0.41/2.08, 19.7%) was due to recurrences. Among HCWs, the youngest group (3.79; P<.001), nurses (3.19; P<.001), and male HCWs (2.62; P=.008) reported the highest rates. Emergency departments and psychiatric wards were the 2 areas at increased risk. Physical assaults were more likely in male than female HWCs (45/67, 67.2% vs 62/130, 47.7%; P=.01), but the latter experienced more mental health consequences (46/130, 35.4% vs 13/67, 19.4%; P=.02). Overall, 40.8% (53/130) of female HWCs recognized sociocultural (eg, linguistic or cultural) barriers as contributing factors for the aggression, and 30.8% (40/130) of WPV against female HCWs involved visitors as perpetrators. A systematic WPV surveillance reduced underreporting. The identification of high-risk workers and characterization of violence patterns and attributes can better inform priorities and contents of preventive policies. Our evaluation provides useful information for the large-scale implementation of standardized WPV-monitoring programs.

Abstract 12912: Effect of Real-Time Ambulatory Electrocardiography on Time-to-Intervention

Background: Mobile cardiac telemetry (MCT) and event monitors are ambulatory electrocardiography (AECG) monitors to aid in the detection/diagnosis of arrhythmias. They are unique in their real-time alerts to clinicians. This contrasts with Holter monitoring, which is continuous but where results are not available until after completion of the exam, uploading, and clinician over-read. There is limited data on relative benefit for time to electrophysiology procedure and interventions. Hypothesis: Does real-time monitoring of AECG reduce the time to cardiac implantable electronic device procedure, ablation procedure, or healthcare encounter when compared to AECG without real-time monitoring? Methods: This is a retrospective observational analysis of University of Utah Health patients who underwent AECG studies from 2010-2022. The study cohort was stratified by patients with an ambulatory ECG that provides real-time event notification (CEM and MCT; hereafter Non-holter) versus those that do not (Holter). The outcomes of interest were cardiac device implantation, ablation procedure, and ER/hospitalization within 12 months, analyzed based on time-to-event using log-rank tests. Results: We identified 50 patients in the Holter group and 137 for the Non-holter group. The groups had similar baseline characteristics in terms of age, gender, and co-morbidities. The mean number of days to device implant was 68.1 and 66.36, to ablation procedure was 77.68 and 67.77, and to ER/hospital visit was 61.12 and 55.38 in the Holter and Non-holter groups respectively (Figure). Conclusion: There was not a statistically significant difference between AECG monitoring in real-time (Non-holter) and those without (Holter), however, there was a trend toward decreased time to intervention in the Non-holter group for each of the three outcomes. Future, larger cohorts may provide adequate power to determine if real-time monitoring does reduce time to the studied interventions.