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The Effects of Changing Default Alarm Parameters on the Reduction of Nuisance Alarms
Dowe, Jacqueline Harkins, Megan Still-Lodge, Keaira
Dowe, Jacqueline
Harkins, Megan
Still-Lodge, Keaira
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Poster (Research)
Date
2015
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Nursing
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http://dx.doi.org/10.34944/dspace/9071
Abstract
Temple University Hospital Cardiothoracic Intensive Care Unit is an 18 bed unit providing cardiac, transplant, and surgical services to residents in the Philadelphia and surrounding region. The unit currently uses Phillips IntelliVue MX80 cardiac monitors. The original monitor parameters were created by management and the Phillips representative approximately 5 years ago. Since then, no significant updates or changes have been made. It is estimated that nurses experience over 3,000 alarms during a 12 hour shift, 72-99% of which are false positives or nuisance alarms (Sendelbach, et al, 2013). Excessive amount of alarms increase a nurse’s risk for developing alarm fatigue (Graham and Cvach, 2010). The Joint Commission added alarm fatigue as a 2014 national safety goal and requires accredited hospitals to improve their monitoring systems. Therefore, the goal of this EBP project is to decrease the number of nuisance alarms to prevent alarm fatigue and improve patient safety. Default parameter changes were modeled after the 2016 study completed by Sowen, et al. This study saw a 24% decrease in alarms. By educating staff, changing EKG leads, and utilizing the same default parameters as Sowen, et al, we saw a 76.83% decrease in total patient alarms with no increase in untoward events.
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