Stop the Noise: A Quality Improvement Project to Decrease Electrocardiographic Nuisance Alarms
| Autor: | Anita Anthony, Pam Shotts, Sharon Wahl, Sue Sendelbach |
|---|---|
| Rok vydání: | 2015 |
| Předmět: |
Adult
Quality management medicine.diagnostic_test business.industry General Medicine medicine.disease Critical Care Nursing Quality Improvement Noise ALARM Patient safety Electrocardiography Critical care nursing Clinical Alarms Alarm management Medicine Humans Equipment Failure Medical emergency Patient Safety business Patient Care Bundles Skin preparation |
| Zdroj: | Critical care nurse. 35(4) |
| ISSN: | 1940-8250 |
| Popis: | BACKGROUNDAs many as 99% of alarm signals may not need any intervention and can result in patients’ deaths. Alarm management is now a Joint Commission National Patient Safety Goal.OBJECTIVESTo reduce the number of nuisance electrocardiographic alarm signals in adult patients on the medical cardiovascular care unit.METHODSA quality improvement process was used that included eliminating duplicative alarms, customizing alarms, changing electrocardiography electrodes daily, standardizing skin preparation, and using disposable electrocardiography leads.RESULTSIn the cardiovascular care unit, the mean number of electrocardiographic alarm signals per day decreased from 28.5 (baseline) to 3.29, an 88.5% reduction.CONCLUSIONUse of a bundled approach to managing alarm signals decreased the mean number of alarm signals in a cardiovascular care unit. (Critical Care Nurse. 2015;35[4]:15–23) |
| Databáze: | OpenAIRE |
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