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"Alarm Fatigue"

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https://www.readbyqxmd.com/read/29783270/reducing-alarm-fatigue-in-two-neonatal-intensive-care-units-through-a-quality-improvement-collaboration
#1
Kendall R Johnson, James I Hagadorn, David W Sink
OBJECTIVE:  To reduce nonactionable oximeter alarms by 80% without increasing time infants were hypoxemic (oxygen saturation [SpO2 ] ≤ 80%) or hyperoxemic (SpO2  > 95% while on supplemental oxygen). STUDY DESIGN:  In 2015, a multidisciplinary team at Connecticut Children's Medical Center initiated a quality improvement project to reduce nonactionable oximeter alarms in two referral neonatal intensive care units (NICUs). Changes made through improvement cycles included reduction of the low oximeter alarm limit for specific populations, increased low alarm delay, development of postmenstrual age-based alarm profiles, and updated bedside visual reminders...
May 21, 2018: American Journal of Perinatology
https://www.readbyqxmd.com/read/29729654/tele-talks-nurse-led-discussions-regarding-need-and-duration-of-cardiac-telemetry-may-impact-alarm-fatigue-empower-nurses-and-reduce-cost
#2
Inga M Zadvinskis, Kelli Schweitzer, Tristan Murry, Teresa Wood
No abstract text is available yet for this article.
May 5, 2018: Worldviews on Evidence-based Nursing
https://www.readbyqxmd.com/read/29724441/human-factors-in-medical-device-design-methods-principles-and-guidelines
#3
REVIEW
Russell J Branaghan
A total of 400,000 to 500,000 patients die in intensive care units (ICUs) each year, largely because ICUs care for the sickest patients. On the other hand, factors such as workload, shift changes, handoffs, alarm fatigue, inadequate team communication, and difficult-to-use medical devices contribute to the problem. This article focuses on the human factors of those medical devices, a significant cause of adverse events in the ICU.
June 2018: Critical Care Nursing Clinics of North America
https://www.readbyqxmd.com/read/29701862/nurses-perceptions-and-practices-related-to-alarm-management-a-quality-improvement-initiative
#4
Hannah L Cameron, Barbara Little
BACKGROUND: The purpose of this quality improvement project was to develop, implement, and assess the effects of an alarm management policy and educational program on nurses' perceptions and practices of alarm management in an acute care hospital. METHOD: Nurses from an acute care hospital in the southeastern United States attended a mandatory alarm management education program. The hospital implemented the evidence-based alarm management education to achieve the NPSG...
May 1, 2018: Journal of Continuing Education in Nursing
https://www.readbyqxmd.com/read/29694462/physiologic-monitor-alarm-rates-at-5-children-s-hospitals
#5
Amanda C Schondelmeyer, Patrick W Brady, Veena V Goel, Maria Cvach, Nancy Blake, Colleen Mangeot, Christopher P Bonafide
Alarm fatigue has been linked to patient morbidity and mortality in hospitals due to delayed or absent responses to monitor alarms. We sought to describe alarm rates at 5 freestanding children's hospitals during a single day and the types of alarms and proportions of patients monitored by using a point-prevalence, cross-sectional study design. We collected audible alarms on all inpatient units and calculated overall alarm rates and rates by alarm type per monitored patient per day. We found a total of 147,213 alarms during the study period, with 3-fold variation in alarm rates across hospitals among similar unit types...
April 25, 2018: Journal of Hospital Medicine: An Official Publication of the Society of Hospital Medicine
https://www.readbyqxmd.com/read/29496767/attitudes-and-practices-related-to-clinical-alarms-a-follow-up-survey
#6
Halley Ruppel, Marjorie Funk, J Tobey Clark, Izabella Gieras, Yadin David, Thomas J Bauld, Paul Coss, Margaret L Holland
BACKGROUND: Alarm fatigue is a widely acknowledged patient safety concern in hospitals. In 2013, The Joint Commission issued a National Patient Safety Goal on Alarm Management, making addressing alarm management a priority. To capture changes in attitudes and practices related to alarms, the Healthcare Technology Foundation conducted and reported findings from national online surveys in 2006 and 2011 and completed a third survey in 2016. OBJECTIVES: The goal of the 2016 survey was to identify how hospital practices and clinicians' perceptions of alarms have changed since 2006...
March 2018: American Journal of Critical Care: An Official Publication, American Association of Critical-Care Nurses
https://www.readbyqxmd.com/read/29218906/addressing-vital-sign-alarm-fatigue-using-personalized-alarm-thresholds
#7
Sarah Poole, Nigam Shah
Alarm fatigue, a condition in which clinical staff become desensitized to alarms due to the high frequency of unnecessary alarms, is a major patient safety concern. Alarm fatigue is particularly prevalent in the pediatric setting, due to the high level of variation in vital signs with patient age. Existing studies have shown that the current default pediatric vital sign alarm thresholds are inappropriate, and lead to a larger than necessary alarm load. This study leverages a large database containing over 190 patient-years of heart rate data to accurately identify the 1st and 99th percentiles of an individual's heart rate on their first day of vital sign monitoring...
2018: Pacific Symposium on Biocomputing
https://www.readbyqxmd.com/read/29176776/understanding-heart-rate-alarm-adjustment-in-the-intensive-care-units-through-an-analytical-approach
#8
Richard L Fidler, Michele M Pelter, Barbara J Drew, Jorge Arroyo Palacios, Yong Bai, Daphne Stannard, J Matt Aldrich, Xiao Hu
BACKGROUND: Heart rate (HR) alarms are prevalent in ICU, and these parameters are configurable. Not much is known about nursing behavior associated with tailoring HR alarm parameters to individual patients to reduce clinical alarm fatigue. OBJECTIVES: To understand the relationship between heart rate (HR) alarms and adjustments to reduce unnecessary heart rate alarms. METHODS: Retrospective, quantitative analysis of an adjudicated database using analytical approaches to understand behaviors surrounding parameter HR alarm adjustments...
2017: PloS One
https://www.readbyqxmd.com/read/29160481/stimulus-response-time-to-alarms-of-the-intra-aortic-balloon-pump-safe-care-practices
#9
Andrezza Serpa Franco, Adriana Carla Bridi, Monica de Almeida Karam, Ana Paula Amorim Moreira, Karla Biancha Silva de Andrade, Roberto Carlos Lyra da Silva
OBJECTIVE: To characterize the sound alarms of the Intra-Aortic Balloon Pump (IABP) during aortic counterpulsation therapy; to measure the stimulus-response time of the team to these; and to discuss the implications of increasing this time for patient safety from the alarm fatigue perspective. METHOD: This is an observational and descriptive study with quantitative and qualitative approach, case study type, carried out in a Cardiac Surgical Intensive Care Unit. RESULTS: The most audible IABP alarm was the one of high priority increased-reduced diastolic blood pressure...
November 2017: Revista Brasileira de Enfermagem
https://www.readbyqxmd.com/read/29129350/evaluation-of-ecg-algorithms-designed-to-improve-detect-of-transient-myocardial-ischemia-to-minimize-false-alarms-in-patients-with-suspected-acute-coronary-syndrome
#10
Michele M Pelter, Yuan Xu, Richard Fidler, Ran Xiao, David W Mortara, Hu Xiao
BACKGROUND: Patients hospitalized for suspected acute coronary syndrome (ACS) are at risk for transient myocardial ischemia. During the "rule-out" phase, continuous ECG ST-segment monitoring can identify transient myocardial ischemia, even when asymptomatic. However, current ST-segment monitoring software is vastly underutilized due to false positive alarms, with resultant alarm fatigue. Current ST algorithms may contribute to alarm fatigue because; (1) they are not designed with a delay (minutes), rather alarm to brief spikes (i...
March 2018: Journal of Electrocardiology
https://www.readbyqxmd.com/read/29112077/technological-distractions-part-2-a-summary-of-approaches-to-manage-clinical-alarms-with-intent-to-reduce-alarm-fatigue
#11
REVIEW
Bradford D Winters, Maria M Cvach, Christopher P Bonafide, Xiao Hu, Avinash Konkani, Michael F O'Connor, Jeffrey M Rothschild, Nicholas M Selby, Michele M Pelter, Barbara McLean, Sandra L Kane-Gill
OBJECTIVE: Alarm fatigue is a widely recognized safety and quality problem where exposure to high rates of clinical alarms results in desensitization leading to dismissal of or slowed response to alarms. Nonactionable alarms are thought to be especially problematic. Despite these concerns, the number of clinical alarm signals has been increasing as an everincreasing number of medical technologies are added to the clinical care environment. DATA SOURCES: PubMed, SCOPUS, Embase, and CINAHL...
January 2018: Critical Care Medicine
https://www.readbyqxmd.com/read/29079651/frequency-duration-and-cause-of-ventilator-alarms-on-a-neonatal-intensive-care-unit
#12
Gusztav Belteki, Colin J Morley
OBJECTIVE: To investigate the frequency and cause of neonatal ventilator alarms. Neonatal ventilators frequently alarm and also disturb babies, parents and nurses. If frequent they may cause alarm fatigue and be ignored. The number, frequency and details of neonatal ventilator alarms are unreported. METHODS: We developed programs for retrieving and analysing ventilator data each second on alarms and ventilation parameters from 46 babies ventilated with Dräger Babylog VN500 ventilators using various modes...
October 27, 2017: Archives of Disease in Childhood. Fetal and Neonatal Edition
https://www.readbyqxmd.com/read/29072311/modifications-of-the-national-early-warning-score-for-patients-with-chronic-respiratory-disease
#13
N E Pedersen, L S Rasmussen, J A Petersen, T A Gerds, D Østergaard, A Lippert
BACKGROUND: The National Early Warning Score (NEWS) uses physiological variables to detect deterioration in hospitalized patients. However, patients with chronic respiratory disease may have abnormal variables not requiring interventions. We studied how the Capital Region of Denmark NEWS Override System (CROS), the Chronic Respiratory Early Warning Score (CREWS) and the Salford NEWS (S-NEWS) affected NEWS total scores and NEWS performance. METHODS: In an observational study, we included patients with chronic respiratory disease...
February 2018: Acta Anaesthesiologica Scandinavica
https://www.readbyqxmd.com/read/29063544/best-paper-selection
#14
(no author information available yet)
Castro GM, Buczkowski L, Hafner JM. The Contribution of Sociotechnical Factors to Health Information Technology-Related Sentinel Events. Jt Comm J Qual Patient Saf 2016 Feb;42(2):70-6 https://linkinghub.elsevier.com/retrieve/pii/S1553-7250(16)42008-8 Horsky J, Ramelson HZ. Development of a cognitive framework of patient record summary review in the formative phase of user-centered design. J Biomed Inform 2016 Dec;64:147-57 http://www.sciencedirect.com/science/article/pii/S153204641630137X?via%3Dihub Kobayashi L, Gosbee JW, Merck DL...
August 2017: Yearbook of Medical Informatics
https://www.readbyqxmd.com/read/29055898/night-time-communication-at-stanford-university-hospital-perceptions-reality-and-solutions
#15
Andrew Jordan Sun, Libo Wang, Minjoung Go, Zac Eggers, Raymond Deng, Paul Maggio, Lisa Shieh
BACKGROUND: Resident work hour restrictions have led to the creation of the 'night float' to care for the patients of multiple primary teams after hours. These residents are often inundated with acute issues in the numerous patients they cover and are less able to address non-urgent issues that arise at night. Further, non-urgent pages may contribute to physician alarm fatigue and negatively impact patient outcomes. OBJECTIVE: To delineate the burden of non-urgent paging at night and propose solutions...
February 2018: BMJ Quality & Safety
https://www.readbyqxmd.com/read/28981515/the-heuristics-of-nurse-responsiveness-to-critical-patient-monitor-and-ventilator-alarms-in-a-private-room-neonatal-intensive-care-unit
#16
Rohan Joshi, Heidi van de Mortel, Loe Feijs, Peter Andriessen, Carola van Pul
AIM: Alarm fatigue is a well-recognized patient safety concern in intensive care settings. Decreased nurse responsiveness and slow response times to alarms are the potentially dangerous consequences of alarm fatigue. The aim of this study was to determine the factors that modulate nurse responsiveness to critical patient monitor and ventilator alarms in the context of a private room neonatal intensive care setting. METHODS: The study design comprised of both a questionnaire and video monitoring of nurse-responsiveness to critical alarms...
2017: PloS One
https://www.readbyqxmd.com/read/28902049/spiritual-alarm-fatigue
#17
Susan A Salladay
No abstract text is available yet for this article.
October 2017: Journal of Christian Nursing: a Quarterly Publication of Nurses Christian Fellowship
https://www.readbyqxmd.com/read/28883181/alarm-fatigue-causes-and-effects
#18
Marc Wilken, Dirk Hüske-Kraus, Andreas Klausen, Christian Koch, Wolfgang Schlauch, Rainer Röhrig
The term "Alarm fatigue" is commonly used to describe the effect which a high number of alarms can have on caregivers: Frequent alarms, many of which are avoidable, can lead to inadequate responses, severely impacting patient safety. In the first step of a long-term effort to address this problem, both the direct and indirect impact of alarms, as well as possible causes of unnecessary alarms were focused. Models of these causes and impacts were developed using a scoping review which included guided interviews with experts from medical informatics, clinicians and medical device manufacturers...
2017: Studies in Health Technology and Informatics
https://www.readbyqxmd.com/read/28809687/sonifeye-sonification-of-visual-information-using-physical-modeling-sound-synthesis
#19
Hessam Roodaki, Navid Navab, Abouzar Eslami, Christopher Stapleton, Nassir Navab
Sonic interaction as a technique for conveying information has advantages over conventional visual augmented reality methods specially when augmenting the visual field with extra information brings distraction. Sonification of knowledge extracted by applying computational methods to sensory data is a well-established concept. However, some aspects of sonic interaction design such as aesthetics, the cognitive effort required for perceiving information, and avoiding alarm fatigue are not well studied in literature...
August 10, 2017: IEEE Transactions on Visualization and Computer Graphics
https://www.readbyqxmd.com/read/28809200/alarm-fatigue-vs-user-expectations-regarding-context-aware-alarm-handling-in-hospital-environments-using-callmesmart
#20
Terje Solvoll, Harald Arntsen, Gunnar Hartvigsen
Surveys and research show that mobile communication systems in hospital settings are old and cause frequent interruptions. In the quest to remedy this, an Android based communication system called CallMeSmart tries to encapsulate most of the frequent communication into one hand held device focusing on reducing interruptions and at the same time make the workday easier for healthcare workers. The objective of CallMeSmart is to use context-awareness techniques to automatically monitor the availability of physicians' and nurses', and use this information to prevent or route phone calls, text messages, pages and alarms that would otherwise compromise patient care...
2017: Studies in Health Technology and Informatics
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