Assessment of Clinical Alarms Influencing Nurses’ Perceptions of Alarm Fatigue

Petersen, Emalie M.; Costanzo, Cindy

doi:10.1097/dcc.0000000000000220

Cited by 48 publications

(44 citation statements)

References 22 publications

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“…The secondary aim was to compare the new data with data previously collected on clinical alarms in general19–21 to determine whether there are differences. The convenience sample consisted of nurses attending the May 2016 AACN National Teaching Institute (NTI) in New Orleans.…”

Section: Methodsmentioning

confidence: 99%

“…The results then were used as part of a secondary analysis, which consisted of comparing this study's data against cross-sectional information extracted from 3 previous and public surveys (HTF 2011, TCICU 2015, and CCN 2017) 18–21…”

Section: Methodsmentioning

confidence: 99%

“…Subsequently, 2 other quality improvement studies have used adapted versions of the HTF 2011 survey to look at the perceived burden of clinical alarms on smaller samples of caregivers 20,21. Sowan et al,20 referred to as TCICU 2015, adapted the HTF survey to use as a tool to better understand the attitudes and practices related to clinical alarms of 39 full- and part-time nurses (100% of the staff) working on a 20-bed transplant/cardiac intensive care unit (TCICU) with a nurse-to-patient ratio of 1:2.…”

mentioning

confidence: 99%

“…Before its use, it was reviewed for face validity by 4 intensive care unit (ICU) nurses. More recently, Petersen and Costanzo,21 referred to as CCN 2017, used convenience sampling to gather responses from 26 of 31 critical care nurses (CCNs) who worked on an ICU and a progressive care unit with nurse-to-patient ratios of 1:2 and 1:4, respectively. The survey was completed electronically, and no validity or reliability measurements were reported.…”

mentioning

confidence: 99%

“…All 4 surveys16,19–21 have looked at perceptions related to clinical alarms in general, which included physiological monitors (cardiac monitors, pulmonary artery catheter monitoring, and pulse oximeters), mechanical ventilators, and infusion pumps. Most physiological monitor alarms (86%-99%) are clinically nonactionable because they automatically stop and reset when the patient-specific parameters return to within normal range 10,22.…”

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confidence: 99%

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Perceptions of Infusion Pump Alarms

Vitoux

Schuster

Glover

2018

Journal of Infusion Nursing

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Between 1983 and 2011, equipment-related alarms in critical care have increased from 6 to 40 different alarm types. As nurses become overwhelmed, distracted, or desensitized by alarm noise, they may miss critical alarms that could result in patient harm. The findings of an infusion pump alarm survey indicated that nurses overwhelmingly agree that infusion pump nuisance alarms occur frequently and disrupt patient care. But nurses' perceptions of pump alarms are different from those previously reported for clinical alarms in general. It may not be appropriate to broadly apply general alarm management recommendations to infusion pump alarms at this time.

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Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

mentioning

confidence: 99%

mentioning

confidence: 99%

mentioning

confidence: 99%

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Perceptions of Infusion Pump Alarms

Vitoux

Schuster

Glover

2018

Journal of Infusion Nursing

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Safety Culture as a Patient Safety Practice for Alarm Fatigue

Winters

Slota

Bilimoria

2021

JAMA

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Intensive care unit nurses' perceptions and practices regarding clinical alarms: A descriptive study

Wang

Chen

et al. 2023

Nursing Open

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Aim: To describe the frequencies of physiologic monitor clinical alarms and to investigate nurses' perceptions and practices regarding clinical alarms in ICUs.Design: A descriptive study. Methods:A 24-h continuous nonparticipant observation study was conducted in ICU.Observers observed and recorded the occurrence time, detail information when electrocardiogram monitor alarms triggered. And a cross-sectional study was conducted among ICU nurses by convenience sampling, using the general information questionnaire and the Chinese version of clinical alarms survey questionnaire for medical devices. Data analysis was performed using SPSS 23.Results: A total of 13,829 physiologic monitor clinical alarms were recorded in 14-day observation and 1191 ICU nurses responded to the survey. Most nurses agreed or strongly agreed the sensitivity to alarms and responded quickly (81.28%), smart alarm systems (74.56%), alarm notification systems (72.04%) and set up alarm administrators (59.45%) were useful to improve alarm management, while frequent nuisance alarms disrupted patients care (62.47%) and reduced nurses' trust in alarms (49.03%), environmental noise interfered with nurses' recognition of the alarms (49.12%) and not everyone received education of alarm systems (64.65%).Conclusions: Physiological monitor alarms occur frequently in ICU, and it is necessary to formulate or further optimize alarm management measures. It is recommended to use smart medical devices and alarm notification systems, formulate and implement standardized alarm management policies and norms, and strengthen alarm management education and training, so as to improve the nursing quality and patient safety. Patient or Public Contribution:The patients in the observation study included all patients admitted to the ICU during the observation period. The nurses in the survey study were conveniently selected through an online survey.

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Assessment of Clinical Alarms Influencing Nurses’ Perceptions of Alarm Fatigue

Cited by 48 publications

References 22 publications

Perceptions of Infusion Pump Alarms

Perceptions of Infusion Pump Alarms

Safety Culture as a Patient Safety Practice for Alarm Fatigue

Intensive care unit nurses' perceptions and practices regarding clinical alarms: A descriptive study

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