Research indicates that cardiologist-read ECG over-reads are critical in preventing errors.  Computer-based ECG interpretations may not be accurate.

Misdiagnosis of atrial fibrillation and its clinical consequences.

Diagnostic performance of a computer-based ECG rhythm algorithm.

Common errors in computer electrocardiogram interpretation.

"Computer-based interpretation of the ECG is an adjunct to the electrocardiographer, and all computer-based reports require physician overreading"

Recommendations for the Standardization and Interpretation of the Electrocardiogram:

Part I: The Electrocardiogram and Its Technology

Part II: Electrocardiography Diagnostic Statement List