Team-Based Intervention to Reduce the Impact of Nonactionable Alarms in an Adult Intensive Care Unit

Justin Yeh, Ruth Wilson, Lufei Young, Lisa Pahl, Steven Whitney, Kevin C. Dellsperger, Pascha E. Schafer

Research output: Contribution to journalArticlepeer-review

Abstract

Background: Nonactionable alarms comprise over 70% of alarms and contribute a threat to patient safety. Few studies have reported approaches to translate and sustain these interventions in clinical settings. Purpose: This study tested whether an interprofessional team-based approach can translate and implement effective alarm reduction interventions in the adult intensive care unit. Methods: The study was a prospective, cohort, pre- and postdesign with repeated measures at baseline (preintervention) and post-phase I and II intervention periods. The settings for the most prevalent nonactionable arrhythmia and bedside parameter alarms were adjusted during phases I and II, respectively. Results: The number of total alarms was reduced by 40% over a 14-day period after both intervention phases were implemented. The most prevalent nonactionable parameter alarms decreased by 47% and arrhythmia alarms decreased by 46%. Conclusions: It is feasible to translate and sustain system-level alarm management interventions addressing alarm fatigue using an interprofessional team-based approach.

Original languageEnglish (US)
Pages (from-to)115-122
Number of pages8
JournalJournal of Nursing Care Quality
Volume35
Issue number2
DOIs
StatePublished - Apr 1 2020

Keywords

  • adult intensive care unit
  • alarm burden
  • alarm fatigue
  • alarm management
  • nonactionable alarms

ASJC Scopus subject areas

  • Nursing(all)

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