Ten Years Later, Alarm Fatigue Is Still a Safety Concern.


Journal

AACN advanced critical care
ISSN: 1559-7776
Titre abrégé: AACN Adv Crit Care
Pays: United States
ID NLM: 101269322

Informations de publication

Date de publication:
15 Sep 2023
Historique:
medline: 31 8 2023
pubmed: 30 8 2023
entrez: 29 8 2023
Statut: ppublish

Résumé

Ten years after the publication of a landmark article in AACN Advanced Critical Care, alarm fatigue continues to be an issue that researchers, clinicians, and organizations aim to remediate. Alarm fatigue contributes to missed alarms and medical errors that result in patient death, increased clinical workload and burnout, and interference with patient recovery. Led by the American Association of Critical-Care Nurses, national patient safety organizations continue to prioritize efforts to battle alarm fatigue and have proposed alarm management strategies to mitigate the effects of alarm fatigue. Similarly, clinical efforts now use simulation studies, individualized alarm thresholds, and interdisciplinary teams to optimize alarm use. Finally, engineering research efforts have innovated the standard alarm to convey information more effectively for medical users. By focusing on patient and provider safety, clinical workflow, and alarm technology, efforts to reduce alarm fatigue over the past 10 years have been grounded in an evidence-based and personnel-focused approach.

Identifiants

pubmed: 37644627
pii: 32176
doi: 10.4037/aacnacc2023662
doi:

Types de publication

Journal Article

Langues

eng

Pagination

189-197

Informations de copyright

©2023 American Association of Critical-Care Nurses.

Auteurs

Kimberly Albanowski (K)

Kimberly Albanowski is Clinical Research Coordinator II, Section of Hospital Medicine, Department of Pediatrics, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania.

Kendall J Burdick (KJ)

Kendall J. Burdick is Pediatric Resident, Boston Children's Hospital, 300 Longwood Ave, Boston, MA 02215 (kendall.burdick@childrens.harvard.edu).

Christopher P Bonafide (CP)

Christopher P. Bonafide is Academic Pediatric Hospitalist, Section of Hospital Medicine, Department of Pediatrics, Children's Hospital of Philadelphia; Director of Pediatric Implementation Research, Penn Implementation Science Center at the Leonard Davis Institute for Health Economics (PISCE@LDI); and Associate Professor, University of Pennsylvania, Philadelphia, Pennsylvania.

Ruth Kleinpell (R)

Ruth Kleinpell is Associate Dean for Clinical Scholarship, Independence Foundation Chair in Nursing Education, and Professor, Vanderbilt University School of Nursing, Nashville, Tennessee.

Joseph J Schlesinger (JJ)

Joseph J. Schlesinger is Associate Professor, Department of Anesthesiology, Division of Critical Care Medicine, Vanderbilt University Medical Center, Nashville, Tennessee, and Adjunct Professor of Electrical and Computer Engineering, McGill University, Montreal, Quebec, Canada.

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