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Optimisation of clinical workflow and monitor settings safely reduces alarms in the NICU
AIM: To address alarm fatigue, a new alarm management system which ensures a quicker delivery of alarms together with waveform information on nurses' handheld devices was implemented and settings optimised. The effects of this clinical implementation on alarm rates and nurses' responsivene...
Autores principales: | , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
John Wiley and Sons Inc.
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7983880/ https://www.ncbi.nlm.nih.gov/pubmed/33048364 http://dx.doi.org/10.1111/apa.15615 |
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author | Varisco, Gabriele van de Mortel, Heidi Cabrera‐Quiros, Laura Atallah, Louis Hueske‐Kraus, Dirk Long, Xi Cottaar, Eduardus JE Zhan, Zhuozhao Andriessen, Peter van Pul, Carola |
author_facet | Varisco, Gabriele van de Mortel, Heidi Cabrera‐Quiros, Laura Atallah, Louis Hueske‐Kraus, Dirk Long, Xi Cottaar, Eduardus JE Zhan, Zhuozhao Andriessen, Peter van Pul, Carola |
author_sort | Varisco, Gabriele |
collection | PubMed |
description | AIM: To address alarm fatigue, a new alarm management system which ensures a quicker delivery of alarms together with waveform information on nurses' handheld devices was implemented and settings optimised. The effects of this clinical implementation on alarm rates and nurses' responsiveness were measured in an 18‐bed single family rooms neonatal intensive care unit (NICU). METHODS: The technical implementation of the alarm management system was followed by clinical workflow optimisation. Alarms and vital parameters from October 2017 to December 2019 were analysed. Measures included monitoring alarms, nurses' response to alarms and time spent by patients in different saturation ranges. A survey among nurses was performed to evaluate changes in alarm rate and use of protocols. RESULTS: A significant reduction of monitoring alarms per patient days was detected after the optimisation phase (in particular for SpO2 ≤ 80%, P < .001). More time was spent by infants within the optimal peripheral oxygen saturation range (88% < SpO2 < 95%, P < .001). Results from the surveys showed that false alarms are less likely to cause an inappropriate response after the optimisation phase. CONCLUSION: The implementation of an alarm management solution and an optimisation programme can safely reduce the alarm burden inside of the NICU environment. |
format | Online Article Text |
id | pubmed-7983880 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | John Wiley and Sons Inc. |
record_format | MEDLINE/PubMed |
spelling | pubmed-79838802021-03-24 Optimisation of clinical workflow and monitor settings safely reduces alarms in the NICU Varisco, Gabriele van de Mortel, Heidi Cabrera‐Quiros, Laura Atallah, Louis Hueske‐Kraus, Dirk Long, Xi Cottaar, Eduardus JE Zhan, Zhuozhao Andriessen, Peter van Pul, Carola Acta Paediatr Regular Articles & Brief Reports AIM: To address alarm fatigue, a new alarm management system which ensures a quicker delivery of alarms together with waveform information on nurses' handheld devices was implemented and settings optimised. The effects of this clinical implementation on alarm rates and nurses' responsiveness were measured in an 18‐bed single family rooms neonatal intensive care unit (NICU). METHODS: The technical implementation of the alarm management system was followed by clinical workflow optimisation. Alarms and vital parameters from October 2017 to December 2019 were analysed. Measures included monitoring alarms, nurses' response to alarms and time spent by patients in different saturation ranges. A survey among nurses was performed to evaluate changes in alarm rate and use of protocols. RESULTS: A significant reduction of monitoring alarms per patient days was detected after the optimisation phase (in particular for SpO2 ≤ 80%, P < .001). More time was spent by infants within the optimal peripheral oxygen saturation range (88% < SpO2 < 95%, P < .001). Results from the surveys showed that false alarms are less likely to cause an inappropriate response after the optimisation phase. CONCLUSION: The implementation of an alarm management solution and an optimisation programme can safely reduce the alarm burden inside of the NICU environment. John Wiley and Sons Inc. 2020-10-22 2021-04 /pmc/articles/PMC7983880/ /pubmed/33048364 http://dx.doi.org/10.1111/apa.15615 Text en © 2020 The Authors. Acta Paediatrica published by John Wiley & Sons Ltd on behalf of Foundation Acta Paediatrica This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc/4.0/ License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited and is not used for commercial purposes. |
spellingShingle | Regular Articles & Brief Reports Varisco, Gabriele van de Mortel, Heidi Cabrera‐Quiros, Laura Atallah, Louis Hueske‐Kraus, Dirk Long, Xi Cottaar, Eduardus JE Zhan, Zhuozhao Andriessen, Peter van Pul, Carola Optimisation of clinical workflow and monitor settings safely reduces alarms in the NICU |
title | Optimisation of clinical workflow and monitor settings safely reduces alarms in the NICU |
title_full | Optimisation of clinical workflow and monitor settings safely reduces alarms in the NICU |
title_fullStr | Optimisation of clinical workflow and monitor settings safely reduces alarms in the NICU |
title_full_unstemmed | Optimisation of clinical workflow and monitor settings safely reduces alarms in the NICU |
title_short | Optimisation of clinical workflow and monitor settings safely reduces alarms in the NICU |
title_sort | optimisation of clinical workflow and monitor settings safely reduces alarms in the nicu |
topic | Regular Articles & Brief Reports |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7983880/ https://www.ncbi.nlm.nih.gov/pubmed/33048364 http://dx.doi.org/10.1111/apa.15615 |
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