Alarm Safety and Alarm Fatigue

被引：82

作者：

Johnson, Kendall R. ^{[1
,2
]}

Hagadorn, James I. ^{[1
,2
]}

Sink, David W. ^{[1
,2
]}

机构：

[1] Univ Connecticut, Dept Pediat, Sch Med, 263 Farmington Ave, Farmington, CT 06030 USA

[2] Connecticut Childrens Med Ctr, Div Neonatol, 282 Washington St, Hartford, CT 06106 USA

来源：

CLINICS IN PERINATOLOGY | 2017年 / 44卷 / 03期

关键词：

Clinical alarms; Alarm fatigue; Alarm safety; Quality improvement; Neonatal intensive care; INTENSIVE-CARE-UNIT; EXTREMELY PRETERM INFANTS; CARDIAC MONITOR ALARMS; QUALITY IMPROVEMENT; RESPONSE-TIME; NUISANCE ALARMS; FALSE ALARMS; LIMITS; COLLABORATION; ASSOCIATION;

D O I：

10.1016/j.clp.2017.05.005

中图分类号：

R71 [妇产科学];

学科分类号：

100211 ;

摘要：

The proliferation of alarming devices in neonatal intensive care (NICU) has created significant risk of patient harm due to alarm desensitization and missed alarms. A large proportion of clinical alarms in NICUs are nonactionable, creating a cry wolf phenomenon that promotes alarm fatigue. Safe alarm practices require attention to device functionality, alarm settings, staff operating the devices, patient Condition; and environment of care. Sound quality improvement methods can significantly reduce clinical alarm burden and : enhance alarm safety.

引用

页码：713 / +

页数：17

共 50 条

[1]

[Anonymous], 2006, 60601182006 IEC

[2] Nurses' compliance with alarm limits for pulse oximetry: qualitative study [J].

Armbruster, J. ;

Schmidt, B. ;

Poets, C. F. ;

Bassler, D. .

JOURNAL OF PERINATOLOGY, 2010, 30 (08) :531-534

[3]

Association for the Advancement of Medical Instrumentation, 2011, AL POS CHALL HEALTHC

[4]

Bitan Y., 2004, COGN TECHNOL WORK, V6, P239, DOI DOI 10.1007/S10111-004-0162-2

[5] HUMAN PROBABILITY MATCHING BEHAVIOR IN RESPONSE TO ALARMS OF VARYING RELIABILITY [J].

BLISS, JP ;

GILSON, RD ;

DEATON, JE .

ERGONOMICS, 1995, 38 (11) :2300-2312

[6] Dual-task performance as a function of individual alarm validity and alarm system reliability information [J].

Bliss, JP ;

Jeans, SM ;

Prioux, HJ .

PROCEEDINGS OF THE HUMAN FACTORS AND ERGONOMICS SOCIETY - 40TH ANNUAL MEETING, VOLS 1 AND 2: HUMAN CENTERED TECHNOLOGY - KEY TO THE FUTURE, 1996, :1237-1241

[7] Behavioural implications of alarm mistrust as a function of task workload [J].

Bliss, JP ;

Dunn, MC .

ERGONOMICS, 2000, 43 (09) :1283-1300

[8] Association between exposure to nonactionable physiologic monitor alarms and response time in a children's hospital [J].

Bonafide, Christopher P. ;

Lin, Richard ;

Zander, Miriam ;

Graham, Christian Sarkis ;

Paine, Christine W. ;

Rock, Whitney ;

Rich, Andrew ;

Roberts, Kathryn E. ;

Fortino, Margaret ;

Nadkarni, Vinay M. ;

Localio, A. Russell ;

Keren, Ron .

JOURNAL OF HOSPITAL MEDICINE, 2015, 10 (06) :345-351

[9] Clinical Trial of an Educational Program to Decrease Monitor Alarms in a Medical Intensive Care Unit [J].

Brantley, Arian ;

Collins-Brown, Sandra ;

Kirkland, Jasmine ;

Knapp, Meghan ;

Pressley, Jackie ;

Higgins, Melinda ;

Mcmurtry, James P. .

AACN ADVANCED CRITICAL CARE, 2016, 27 (03) :283-289

[10]

Brown MS, 2003, PEDIATRICS, V111

← 1 2 3 4 5 →