Insights into the problem of alarm fatigue with physiologic monitor devices: a comprehensive observational study of consecutive intensive care unit patients.

Citation data:

PloS one, ISSN: 1932-6203, Vol: 9, Issue: 10, Page: e110274

Publication Year:
2014
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Repository URL:
https://works.bepress.com/patricia_harris/42; https://scholar.dominican.edu/all-faculty/69
PMID:
25338067
DOI:
10.1371/journal.pone.0110274; 10.1371/journal.pone.0110274.g004; 10.1371/journal.pone.0110274.g008; 10.1371/journal.pone.0110274.g006; 10.1371/journal.pone.0110274.t003; 10.1371/journal.pone.0110274.g012; 10.1371/journal.pone.0110274.t004; 10.1371/journal.pone.0110274.g011; 10.1371/journal.pone.0110274.g010; 10.1371/journal.pone.0110274.g015; 10.1371/journal.pone.0110274.t002; 10.1371/journal.pone.0110274.t001; 10.1371/journal.pone.0110274.t008; 10.1371/journal.pone.0110274.g007; 10.1371/journal.pone.0110274.t009; 10.1371/journal.pone.0110274.g013; 10.1371/journal.pone.0110274.g016; 10.1371/journal.pone.0110274.g002; 10.1371/journal.pone.0110274.g014; 10.1371/journal.pone.0110274.g005; 10.1371/journal.pone.0110274.t007; 10.1371/journal.pone.0110274.t005; 10.1371/journal.pone.0110274.g003; 10.1371/journal.pone.0110274.t006; 10.1371/journal.pone.0110274.g001; 10.1371/journal.pone.0110274.g009
PMCID:
PMC4206416; 4206416
Author(s):
Barbara J. Drew; Patricia Harris; Jessica K. Zègre-Hemsey; Tina Mammone; Daniel Schindler; Rebeca Salas-Boni; Yong Bai; Adelita Tinoco; Quan Ding; Xiao Hu; Larisa G. Tereshchenko Show More Hide
Publisher(s):
Public Library of Science (PLoS); Originally published as: Drew J, Harris P, Zegre-Hemsey JK, Mammone T, Schindler D, Salas-Boni R, Bai Y, Tinoco A, Ding Q, Hu X. Insights into the problem of alarm fatigue with physiologic monitor devices: a comprehensive observational study of consecutive intensive care unit patients. PLoS ONE 01/2014; 9(10):e110274; Originally published as: Drew J, Harris P, Zegre-Hemsey JK, Mammone T, Schindler D, Salas-Boni R, Bai Y, Tinoco A, Ding Q, Hu X. (2014). Insights into the problem of alarm fatigue with physiologic monitor devices: a comprehensive observational study of consecutive intensive care unit patients. PLoS ONE, 9(10). e110274.; Figshare
Tags:
Biochemistry, Genetics and Molecular Biology; Agricultural and Biological Sciences; arrhythmia; electrocardiography; tachycardia; blood pressure; heart rate; measurement equipment; atrial fibrillation; Biological Sciences; user settings; wide qrs complexes; consecutive intensive care unit patients purposephysiologic monitors; arrhythmia alarms; physiologic monitor devices; ecg; low amplitude qrs complexes; alarm settings; comprehensive observational study; bundle branch block; st; alarm annotation protocol; technology acquisition infrastructure; atrial fibrillation alarms; Critical Care Nursing; Nursing
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article description
Physiologic monitors are plagued with alarms that create a cacophony of sounds and visual alerts causing "alarm fatigue" which creates an unsafe patient environment because a life-threatening event may be missed in this milieu of sensory overload. Using a state-of-the-art technology acquisition infrastructure, all monitor data including 7 ECG leads, all pressure, SpO(2), and respiration waveforms as well as user settings and alarms were stored on 461 adults treated in intensive care units. Using a well-defined alarm annotation protocol, nurse scientists with 95% inter-rater reliability annotated 12,671 arrhythmia alarms.