Nurses' Perceptions and Practices Toward Clinical Alarms in a Transplant Cardiac Intensive Care Unit: Exploring Key Issues Leading to Alarm Fatigue
| Autor: | Charles Reed, Azizeh K. Sowan, Kami Marie Rapp, Tiffany Michelle Gomez, Albert Tarriela |
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| Jazyk: | angličtina |
| Rok vydání: | 2015 |
| Předmět: |
Original Paper
Quality management physiologic monitors business.industry Health technology Health Informatics Human Factors and Ergonomics medicine.disease critical care ALARM Patient safety Nursing nursing Intensive care Health care Alarm management Medical technology Coronary care unit Medicine survey Medical emergency clinical alarms R855-855.5 business alarm fatigue |
| Zdroj: | JMIR Human Factors JMIR Human Factors, Vol 2, Iss 1, p e3 (2015) |
| ISSN: | 2292-9495 |
| Popis: | BackgroundIntensive care units (ICUs) are complex work environments where false alarms occur more frequently than on non-critical care units. The Joint Commission National Patient Safety Goal .06.01.01 targeted improving the safety of clinical alarm systems and required health care facilities to establish alarm systems safety as a hospital priority by July 2014. An important initial step toward this requirement is identifying ICU nurses’ perceptions and common clinical practices toward clinical alarms, where little information is available. ObjectiveOur aim was to determine perceptions and practices of transplant/cardiac ICU (TCICU) nurses toward clinical alarms and benchmark the results against the 2011 Healthcare Technology Foundation’s (HTF) Clinical Alarms Committee Survey. MethodsA quality improvement project was conducted on a 20-bed TCICU with 39 full- and part-time nurses. Nurses were surveyed about their perceptions and attitudes toward and practices on clinical alarms using an adapted HTF clinical alarms survey. Results were compared to the 2011 HTF data. Correlations among variables were examined. ResultsAll TCICU nurses provided usable responses (N=39, 100%). Almost all nurses (95%-98%) believed that false alarms are frequent, disrupt care, and reduce trust in alarm systems, causing nurses to inappropriately disable them. Unlike the 2011 HTF clinical alarms survey results, a significantly higher percentage of our TCICU nurses believed that existing devices are complex, questioned the ability and adequacy of the new monitoring systems to solve alarm management issues, pointed to the lack of prompt response to alarms, and indicated the lack of clinical policy on alarm management (P |
| Databáze: | OpenAIRE |
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