A System to Improve Compliance with Electrocardiography Electrode Expiration Tracking

David B. Wax, Joshua Villar, Steven Neustein, Amanda J. Rhee

Research output: Contribution to journalArticlepeer-review


Background: Electrocardiography (ECG) electrodes require special expiration tracking after the manufacturer's packaging is opened. Compliance with this requirement, however, can be inconsistent. The authors tested the efficacy of a device that provides for expiration tracking of bulk-packaged electrodes to improve compliance. Methods: The device tested is a bin with an automated countdown timer that could be used for storing and dispensing open ECG electrodes. Seven operating rooms were inspected three times each before and after implementation of the device. Compliance with expiration dating of open electrodes was recorded for each inspection. Results: Compliance was found in 3 of the 21 (14.3%) baseline inspections. Following implementation of the devices, compliance was found in 20 of 21 (95.2%) inspections. This increase in compliance was statistically significant (p < 0.01). Conclusion: A storage and dispensing device with automated countdown timer significantly improved compliance with expiration dating regulations for bulk-packaged ECG electrodes. It also has the potential to reduce supply cost, packaging waste, and inconvenience compared with individually wrapped electrodes.

Original languageEnglish
Pages (from-to)223-225
Number of pages3
JournalJoint Commission Journal on Quality and Patient Safety
Issue number4
StatePublished - Apr 2023


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