Alarm of monitoring invasive of blood pressure: are we giving the attention required?

Abstract

Objective: To identify the cause of the invasive blood pressure alarms (PAI) have sounded and the staff response time; to describe the conduct set out to address them. Method: Descriptive study of quantitative/qualitative approach. The observation occurred in an adult ICU of a military hospital in Rio de Janeiro. The Research Ethics Committee of the Federal University of Rio de Janeiro (CAAE 03284612.4.3001.5250) approved it. We considered as fatigued the alarms that had not been attended in 10 minutes or stop pedringing before they are attended. Results: Were corded 76-PAI alarms; 21 (28%) were seen on average at 2.45 min. 55 (72%) were considered alarms fatigued. Conclusion: The high number of outworn alarms that represent risk. It is a challenge to respond to all alarms considering the relation between the nurse/patient imposed by ANVISA

Assessment of Alarm Fatigue Risk Among Oncology Nurses in Jordan

“…A high score of alarm fatigue was found among Jordanian nurses working at the oncology center. The result showed the highest scores of alarm fatigue recorded in the ICU, which is supported by many previous studies that showed a high score of alarm fatigue in ICUs ( Drew et al, 2014 ; Pergher & Da Silva, 2015 ; Sowan et al, 2016 ). However, this finding can delay timely care or desensitize health personnel, threatening patient safety and potentially leading to fatal outcomes ( Andrade-Méndez et al, 2020 ).…”

“…Pergher and da Silva (2015) conducted a mixed-method study of 14 beds of adult ICU in a military hospital in Rio de Janeiro, Brazil. The study investigated the cause of the invasive blood pressure alarms and nurses’ response time.…”

“…In comparison, 72% of alarm the time response was 10 min and considered alarm fatigue. The author defined alarm fatigue according to response time as every alarm that didn't respond within 10 min will be alarm fatigue ( Pergher & Da Silva, 2015 ).…”

“…In comparison, 72% of alarm the time response was 10 min and considered alarm fatigue. The author defined alarm fatigue according to response time as every alarm that didn't respond within 10 min will be alarm fatigue (Pergher & Da Silva, 2015). Sowan et al (2016) implemented a quality improvement project to inspect the effectiveness of changing alarm default settings and educational interventions for nursing staff in reducing alarm fatigue.…”

The influence of nursing activities score on clinical alarms service

“…Published studies have shown the significant number of fatigued alarms triggered (over 50%) from multiparameter monitors leaving exposed care patients exposed to serious risks. This may compromise patient safety dependent on this technological apparatus (5)(6) .…”