Use of Pagers With an Alarm Escalation System to Reduce Cardiac Monitor Alarm Signals

被引:41
作者
Cvach, Maria M. [1 ]
Frank, Robert J. [1 ]
Doyle, Pete [1 ]
Stevens, Zeina Khouri [1 ]
机构
[1] Johns Hopkins Univ Hosp, Baltimore, MD 21287 USA
关键词
noise/adverse effects; alarm fatigue; pagers; medical errors/prevention; fatigue/prevention and control; clinical alarms; INTENSIVE-CARE-UNIT; RISK PATIENTS; WOLF; ICU;
D O I
10.1097/NCQ.0b013e3182a61887
中图分类号
R47 [护理学];
学科分类号
1011 ;
摘要
Alarm fatigue desensitizes nurses to alarm signals and presents potential for patient harm. This project describes an innovative method of communicating cardiac monitor alarms to pagers using an alarm escalation algorithm. This innovation was tested on 2 surgical progressive care units over a 6-month period. There was a significant decrease in mean frequency and duration of high-priority monitor alarms and improvement in nurses' perception of alarm response time, using this method of alarm communication.
引用
收藏
页码:9 / 18
页数:10
相关论文
共 27 条
[1]  
ACCE Health Technology Foundation, 2007, J CLIN ENG, V32, P22
[2]   ALARMED: Adverse events in low-risk patients with chest pain receiving continuous electrocardiographic monitoring in the Emergency Department. A pilot study [J].
Atzema, C ;
Schull, MJ ;
Borgundvaag, B ;
Slaughter, GRD ;
Lee, CK .
AMERICAN JOURNAL OF EMERGENCY MEDICINE, 2006, 24 (01) :62-67
[3]   Do we need a systematic activation of alarm soundings for blood pressure monitoring for the safety of ICU patients? [J].
Biot, L ;
Holzapfel, L ;
Becq, G ;
Mélot, C ;
Baconnier, P .
JOURNAL OF CRITICAL CARE, 2003, 18 (04) :212-216
[4]   SPECIFICITY IMPROVEMENT FOR NETWORK DISTRIBUTED PHYSIOLOGIC ALARMS BASED ON A SIMPLE DETERMINISTIC REACTIVE INTELLIGENT AGENT IN THE CRITICAL CARE ENVIRONMENT [J].
Blum, James M. ;
Kruger, Grant H. ;
Sanders, Kathryn L. ;
Gutierrez, Jorge ;
Rosenberg, Andrew L. .
JOURNAL OF CLINICAL MONITORING AND COMPUTING, 2009, 23 (01) :21-30
[5]   Communication Strategies and Timeliness of Response to Life Critical Telemetry Alarms [J].
Bonzheim, Kimberly A. ;
Gebara, Rani I. ;
O'Hare, Bridget M. ;
Ellis, R. Darin ;
Brand, Monique A. ;
Balar, Salil D. ;
Stockman, Rita ;
Sciberras, Annette M. ;
Haines, David E. .
TELEMEDICINE AND E-HEALTH, 2011, 17 (04) :241-246
[6]   Reducing False Alarms of Intensive Care Online-Monitoring Systems: An Evaluation of Two Signal Extraction Algorithms [J].
Borowski, M. ;
Siebig, S. ;
Wrede, C. ;
Imhoff, M. .
COMPUTATIONAL AND MATHEMATICAL METHODS IN MEDICINE, 2011, 2011
[7]   Alarm limit settings for early warning systems to identify at-risk patients [J].
Burgess, Lawrence P. A. ;
Herdman, Tracy Heather ;
Berg, Benjamin W. ;
Feaster, William W. ;
Hebsur, Shashidhar .
JOURNAL OF ADVANCED NURSING, 2009, 65 (09) :1844-1852
[8]   Multicentric study of monitoring alarms in the adult intensive care unit (ICU): a descriptive analysis [J].
Chambrin, MC ;
Ravaux, P ;
Calvelo-Aros, D ;
Jaborska, A ;
Chopin, C ;
Boniface, B .
INTENSIVE CARE MEDICINE, 1999, 25 (12) :1360-1366
[9]  
Clark Tobey, 2005, Biomed Instrum Technol, V39, P357
[10]   Monitor alarm fatigue: An integrative review [J].
Cvach, Maria .
Biomedical Instrumentation and Technology, 2012, 46 (04) :268-277