Preview

monitor alarm fatigue

Better Essays
Open Document
Open Document
1244 Words
Grammar
Grammar
Plagiarism
Plagiarism
Writing
Writing
Score
Score
monitor alarm fatigue
Strategies to Reduce Monitor Alarm Fatigue
Courtney Conner
University of South Alabama
Strategies to Reduce Monitor Alarm Fatigue
Monitor alarms are designed to alert caregivers to changes in a patient’s condition and can save lives, but majority of the alarms do not require clinical intervention. However, as the number of alarms encountered by clinicians on a daily basis rises, it has become difficult for caregivers to distinguish between clinically significant alarms and nuisance alarms. As a result, alarm fatigue has become a serious issue, which puts patients at risk. The purpose of this paper is to discuss the research findings of two articles to explore more efficient and effective methods to reduce nurse desensitization to clinical alarms.
Topics of Interest
In Christensen, Dodds, Sauer and Watts (2014) article gathered information on nurses’ perceptions while working in a regional critical care unit (ICU, CCU, HDU) in Australia. Cvach’s (2012) article reviewed seminal research to find effective ways to decrease monitor alarm fatigue. The articles were found in the PubMed database using the keywords "alarm fatigue" and "clinical alarms". The articles were chosen to provide effective information on ways to minimize monitor alarm fatigue. The two articles discussed can help clinicians understand alarm fatigue and the adverse effects it has on nurses and patient safety. With education and proactive measures provided by the research articles, healthcare staff can assist in decreasing the excessive alarms and the undesirable outcomes that often accompany them.
Methods and Purpose
In Christensen et al. (2014) article, a descriptive pilot survey consisting of a 10 piece open-ended multiple choice questionnaire was conducted. The sample population consisted of 48 well trained, bachelor degrees and a few with master degrees, nurses on a 13 bed unit. The questionnaire was developed by the researchers' observations on problem areas associated with alarm fatigue. The



References: Christensen, M., Dodds, A., Sauer, J., & Watts, N. (2014). Alarm setting for the critically ill patient: A descriptive pilot survey of nurses ' perceptions of current practice in an Australian Regional Critical Care Unit. Intensive & Critical Care Nursing, 30(4), 204-210. doi:10.1016/j.iccn.2014.02.003. Cvach, M. (2012). Monitor alarm fatigue: an integrative review. Biomedical Instrumentation & Technology, 46(4), 268-277. Eccles, M., Grimshaw, J., Shekelle, P.G., & Woolf, S.H. (1999). Developing clinical guidelines. West J Med, 170(6), 348-351. www.guidelines.gov

You May Also Find These Documents Helpful

  • Powerful Essays

    Nurses need to be effective with their critical thinking skills and utilize the resources at hand. Using base knowledge to prevent catastrophic events from occurring, such as the potentiation effect of medication. Knowing ,when we as nurses, have met our ability to perform effectively and need assistance is not only important for our well being but the well being of the patient and the organization as a whole. Integrating teamwork in the patient care effort not only builds a solid foundation for the organization but also for the positive outcome of the patient being treated. If for some unfortunate reason an adverse event does occur nurses must remember they “provide valuable insights into care processes when working with patient safety leaders as part of a root cause analysis team. Nurses ' unique knowledge of the care provided is essential for designing the best improvements in care processes” (Hall, Moore, & Barnsteiner, 2008). Probably among the most import ways a nurse can improve quality of care is his/her own self care. This can be done in many ways. Meditation for stress reduction, continuing education for confidence in patient care, are just a few examples. Having a rested, positive, confident attitude when preparing and performing patient care can make difference and help her do no harm and give the utmost quality of care to each patient she/he comes in contact…

    • 2481 Words
    • 10 Pages
    Powerful Essays
  • Satisfactory Essays

    According to Critical Care Nurse’s (CCN) instructions for authors, the review article is to be uploaded to the CCN online manuscript submission and review system using Microsoft Word (American Association of Critical-Care Nurses [AACCN], 2015). All components of the submission package must be completed in English (AACCN, 2015). The review article is intended to be a feature article, and therefore must meet the feature article criteria delineated by the instructions for authors. The review article will not exceed 15 double-spaced pages, excluding abstract, references and visual elements (AACCN, 2015). The review article will be formatted using the American Medical Association (AMA) Manual of Style, 10th edition guidelines…

    • 151 Words
    • 1 Page
    Satisfactory Essays
  • Powerful Essays

    Horkan, A. M. (2014). Exploring the Evidence Alarm Fatigue and Patient Safety. Nephrology Nursing Journal, 41(1), 83-85.…

    • 2515 Words
    • 8 Pages
    Powerful Essays
  • Better Essays

    Perrin, K. (2009). Understanding the Essentials of Critical Care Nursing. Upper Saddle River, NJ: Pearson Prentice Hall.…

    • 7625 Words
    • 31 Pages
    Better Essays
  • Better Essays

    “In today’s economy compassion fatigue can be very costly personally and professionally for nurses, and financially for institutions” (Lombardo & Eyre, 2011, para. 31). The patients that are being cared for are not receiving the best care from their disengaged nurse. This leads to decreased patient satisfaction scores and possibly an increase in mistakes. But most of all the patient will not have had the optimal care they deserve. The institution suffers as well. There is the cost of increased rate of turn overs, the decrease in employee satisfaction scores, and the decrease in patient satisfaction scores. Hospitals must now report out on quality indicators such as nursing satisfaction. Just this past year the scores at hour facility dropped on the yearly survey, nurses are getting tired. Patient satisfaction scores are also a huge player now, related to the changes in health insurance. With reimbursements now depending heavily on quality care this should be an area of concern and great work to come for…

    • 1363 Words
    • 6 Pages
    Better Essays
  • Good Essays

    Congestive Heart Failure

    • 335 Words
    • 2 Pages

    Fatigue simply defined as imbalance between energy demands to supply available. It is usually perceived as a pervasive personal problem that accompanies most illnesses. Knowing this thought, it is very important to consider verbal and non-verbal cues that signify that the patient is experiencing fatigue. As a nurse, it is our role to assist our patient to return to homeostasis otherwise, to maintain it in the form of adaptation. The study shows that patients that are included in the study do not correlate objective data in relation to fatigue experience to the subjective cues.…

    • 335 Words
    • 2 Pages
    Good Essays
  • Good Essays

    Restorative Nap Break

    • 707 Words
    • 3 Pages

    Advantages: Researchers from many articles and different countries have agreed that fatigue has damaging effects on night nurses’ health, work performance, and job satisfaction.…

    • 707 Words
    • 3 Pages
    Good Essays
  • Powerful Essays

    Tideiksaar, R., Friner, C., & Maby, J. (1993). Fall prevention: the efficacy of a bed alarm system in an acute-care setting. The Mount Sinai Journal of Medicine, 60(6), 522-527.…

    • 5696 Words
    • 23 Pages
    Powerful Essays
  • Powerful Essays

    The nursing profession requires an individual to be alert, watchful, and prepared. They must monitor patients closely. Concentration and attentiveness declines when a nurse is overloaded with work. Nurses who become fatigued from the work overload can become a danger to themselves and their patients. Medication errors and pressure ulcers are common results from fatigued nurses. Medication errors happen a lot when a nurse loses the ability to concentrate and focus. Pressure ulcers are a result of poor nursing care which can be caused by fatigue. A nurse may be so fatigued by the end of her shift that she does not properly position a patient. Basic care is sometimes put on the back burner, or is delegated to less qualified staff. As well as providing basic nursing care, a nurse must also give report, check patients orders, medications, and labs, all in one shift! This leaves little time to create or maintain a relationship with a patient. Often times, nurses are assigned five or more patients to take care of in one shift. Nurses become stressed from the pressures of the job, and decide to leave the profession all…

    • 1504 Words
    • 7 Pages
    Powerful Essays
  • Good Essays

    Alarms In Nursing

    • 864 Words
    • 4 Pages

    Automatic alerts and/or alarms are a system that converts information on the progress of a monitored process or the condition of a monitored system into a signal suitable for human perception. Generally light or sound signals are used, for example, the flashing of a lamp, the ringing of a bell, or the sounding of a siren. Use of alarms has made a significant impact on nursing as we know it, by alerting clinicians that something wrong with patients or alarming nurses that something is in need of our attention. Alarms are found on most medical devices used at the bedside. These alarms sound every hour of every day. An analysis of alarms at The John Hopkins Hospital, Baltimore, Maryland, revealed a total of more than 59,000 alarm conditions over…

    • 864 Words
    • 4 Pages
    Good Essays
  • Satisfactory Essays

    Patient Safety Essay

    • 539 Words
    • 3 Pages

    Alarms have their advantages and disadvantages. However, we could not thrive in nursing without alarms because they save lives. Are they annoying at times, yes they do. In the ICU, alarms are never shut off or turned down; they are set specifically to the patients’ parameters. (Hebda & Czar, 2013, p. 14) stated that “Patient safety is a priority for the health systems, professionals, and consumers around the world.” In the scenario given regarding working in a sterile environment and having my cell phone ringing; I would be truthful and tell my patient that I am doing a sterile procedure and cannot touch the phone at this time. For example, there are several times when doctors and I are doing a sterile procedure and his or her phone or beeper rings, what do they do? In reality, the doctors ask another nurse who is in the sterile environment, but is not a part of the procedure to answer the phone or beeper.…

    • 539 Words
    • 3 Pages
    Satisfactory Essays
  • Good Essays

    Lidan, I appreciate you bring out key underlying issues within your practice demonstrating evidence practice in the situation, identifying your example of patient falls. Patient falls are often due more than one barrier. Staffing ratios (CNA’s, LPN’s, RN’s), nurse to patient acuity, and leadership support directly affect patient outcomes. When I was a float nurse, I had worked night shift and on the cardiac floor I worked on we were not given CNA’s either and occasionally patients with heart monitors, oxygen, chest tubes, external pacers, foley’s and IV’s running would wake up in the middle of the night trying to get up to use the bathroom forgetting all the equipment attached to them. I had up to seven patients on night shift. The safety in…

    • 237 Words
    • 1 Page
    Good Essays
  • Powerful Essays

    Woolf, S. H., Grol, R., Hutchinson, A., Eccles, M., & Grimshaw, J. (1999). Clinical guidelines: Potential benefits, limitations and harms of clinical guidelines. [Online]. Available: http://www.bmj.com/cgi/content/full/318/7182/527?…

    • 1356 Words
    • 6 Pages
    Powerful Essays
  • Best Essays

    Nurse Staffing

    • 3282 Words
    • 14 Pages

    Many studies have been done to point out the problem, with a pile of evidence to support the need to alleviate the burden on the nurses but to no avail. A study conducted in the Chinese hospital by Zhu, You, et al. (2012). Nurse Staffing Levels Make a Difference on Patient Outcomes: A Multisite Study in Chinese Hospitals proved, “more nursing staff per patient had statistically significant positive effects on all necessary nursing care, nurses’ reports of quality of care, their confidence on patients’ self-care ability on discharge from hospital, patient adverse events, as well as patients’ report of satisfaction (Zhu, You, et al, 2012, p.266)”. The study was composed of 181 hospitals across mainland China. The sample that was used was 31provinces, municipalities and autonomous regions with level 3 hospitals. To show the strength of the study, the researchers applied statistics to prove their results.…

    • 3282 Words
    • 14 Pages
    Best Essays
  • Good Essays

    Fault-Tolerant Observers

    • 6020 Words
    • 25 Pages

    Additional consideration to take note of is the presence of faults occurring at the output of…

    • 6020 Words
    • 25 Pages
    Good Essays