Get the beep out: A QI project to decrease nuisance physiological alarms in a medical ICU
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Background: Upwards of 99% of physiological alarms may not require intervention and make monitoring devices unreliable. Over time, the unreliability of monitoring devices creates desensitization and can lead to patient deaths. Alarm management is now a Joint Commission National Patient Safety Goal and ECRI Institute has named alarm hazards as the number one of the top 10 health technology hazards.
Objectives: To reduce the number of nuisance physiological alarms in adult patients on the medical intensive care unit.
Methods: A quality improvement process was used that included eliminating inactionable alarms from the default settings, customizing alarms, changing electrocardiography electrodes daily, and standardizing skin preparation.
Results: In the medical intensive care unit, the mean number of nuisance alarms per patient per day decreased from 13 (baseline) to 3, and 81% reduction.
Conclusion: Use of a bundled approach to managing alarms lessened the mean number of alarm signals in a medical intensive care unit.
The author retains copyright.
This item has not gone through this repository's peer-review process, but has been accepted by the indicated university or college in partial fulfillment of the requirements for the specified degree.
Type | DNP Capstone Project |
Acquisition | Proxy-submission |
Review Type | None: Degree-based Submission |
Format | Text-based Document |
Evidence Level | Quality Improvement |
Research Approach | Translational Research/Evidence-based Practice |
Keywords | Alarms; Fatigue; Nuisance; Systems; Monitoring; Clinical Alarms; Physiological Alarms |
Grantor | Touro University Nevada |
Advisor | Carrion, Judith; Zabriskie, Denise; Haro, Tyah |
Level | DNP |
Year | 2018 |
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All submitting authors or publishers have affirmed that when using material in their work where they do not own copyright, they have obtained permission of the copyright holder prior to submission and the rights holder has been acknowledged as necessary.
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