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WHAT IS ALARM FATIGUE
● Sensory overload in nurses caused by frequency and noise of clinical alarms
● Causes desensitization and
lack of situational awareness
● May result in dangerous
situations such as missing
important alarms
Average of
of clinical alarms are false
ALARM FATIGUE PROBLEMS
● Clinical staff like nurses are highly affected
○ Nuisance and false alarms cause decrease in professionalism and caregiving ability
○ Hazardous to work conditions, has resulted in patient death
● Patients may have negative healthcare experiences
○ Slow response time to alerts
○ Noisy environment not conducive to proper healing environment
● Joint Commission (JCAHO)
○ Recognized the problem in 2013
○ Set regulations for proper alarm management (2014)
OUTCOMES OF PROPER ALARM MANAGEMENT
● Nurses and providers
○ Decreased staff stress
○ Improved communication
○ Improved situational awareness
● Patients
○ Increased safety
○ Improved healing environment
○ Shortened and more effective hospital stays
○ Reduced cost to patients
ALARM MANAGEMENT SOLUTIONS
● Interprofessional alarm management team
○ Meet regularly to discuss evidence and how to implement changes
○ Regularly monitor and analyze communication strategies
○ Customize and optimize alarm performance
○ Minimize alarm ineffectiveness
● Evidence-based research practice
○ Analysis determines alert needs and solutions
ALARM MANAGEMENT SOLUTIONS
● Safety and security protocols
○ Establishing and enforcing interprofessional
communication security
○ Meet HIPAA regulations to keep patients and
providers safe
○ Keep IT engaged with systems and operations
● Nurse education
○ Proper training on use of clinical communication
system will result in more effective caregiving
TECHNOLOGY SOLUTIONS AND CUSTOMIZATION
● Alarm funneling
○ Ensure messages only go to staff that needs them
● Customizing alerts
○ Base on patient type, need, department, providers
● Regular evaluation of devices and software
○ Check for updates and stay apprised on innovation
TECHNOLOGY SOLUTIONS AND CUSTOMIZATION
● Staff devices
○ Wearables, smartphones, tablets, computers
○ Utilize both personalized and unified
communication strategies
● Conduct research from computer algorithms and
clinical response to alert management techniques
○ Use research to continually improve alert and
notification systems
ACTION PLAN
● Survey staff
○ Gain information about alarm nuisance, communication preferences and
workflow needs
● Develop list of needs for communication software
● Figure out method of satisfying those needs
● Unite clinical staff behind one set system
● Establish alarm management task force
○ Will monitor communication and make sure it works properly
● Ensure HIPAA compliance in alarms and messaging
BARRIERS/OBSTRUCTIONS TO SUCCESS
● No “quick fix” to communication problems
○ Requires time, dedication and attention to details of clinical staff needs
● Lack of staff participation
○ Require use of unified system, educate on benefits and encourage
interprofessional collaboration
● Finances
○ Create budgeting timeline
NEXT STEPS
● Research investing in new communication system
● Save money by determining if current system can be
modified to fit needs
● Organize and fund staff training in communication
techniques

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Alarm Fatigue

  • 1.
  • 2. WHAT IS ALARM FATIGUE ● Sensory overload in nurses caused by frequency and noise of clinical alarms ● Causes desensitization and lack of situational awareness ● May result in dangerous situations such as missing important alarms Average of of clinical alarms are false
  • 3. ALARM FATIGUE PROBLEMS ● Clinical staff like nurses are highly affected ○ Nuisance and false alarms cause decrease in professionalism and caregiving ability ○ Hazardous to work conditions, has resulted in patient death ● Patients may have negative healthcare experiences ○ Slow response time to alerts ○ Noisy environment not conducive to proper healing environment ● Joint Commission (JCAHO) ○ Recognized the problem in 2013 ○ Set regulations for proper alarm management (2014)
  • 4. OUTCOMES OF PROPER ALARM MANAGEMENT ● Nurses and providers ○ Decreased staff stress ○ Improved communication ○ Improved situational awareness ● Patients ○ Increased safety ○ Improved healing environment ○ Shortened and more effective hospital stays ○ Reduced cost to patients
  • 5. ALARM MANAGEMENT SOLUTIONS ● Interprofessional alarm management team ○ Meet regularly to discuss evidence and how to implement changes ○ Regularly monitor and analyze communication strategies ○ Customize and optimize alarm performance ○ Minimize alarm ineffectiveness ● Evidence-based research practice ○ Analysis determines alert needs and solutions
  • 6. ALARM MANAGEMENT SOLUTIONS ● Safety and security protocols ○ Establishing and enforcing interprofessional communication security ○ Meet HIPAA regulations to keep patients and providers safe ○ Keep IT engaged with systems and operations ● Nurse education ○ Proper training on use of clinical communication system will result in more effective caregiving
  • 7. TECHNOLOGY SOLUTIONS AND CUSTOMIZATION ● Alarm funneling ○ Ensure messages only go to staff that needs them ● Customizing alerts ○ Base on patient type, need, department, providers ● Regular evaluation of devices and software ○ Check for updates and stay apprised on innovation
  • 8. TECHNOLOGY SOLUTIONS AND CUSTOMIZATION ● Staff devices ○ Wearables, smartphones, tablets, computers ○ Utilize both personalized and unified communication strategies ● Conduct research from computer algorithms and clinical response to alert management techniques ○ Use research to continually improve alert and notification systems
  • 9. ACTION PLAN ● Survey staff ○ Gain information about alarm nuisance, communication preferences and workflow needs ● Develop list of needs for communication software ● Figure out method of satisfying those needs ● Unite clinical staff behind one set system ● Establish alarm management task force ○ Will monitor communication and make sure it works properly ● Ensure HIPAA compliance in alarms and messaging
  • 10. BARRIERS/OBSTRUCTIONS TO SUCCESS ● No “quick fix” to communication problems ○ Requires time, dedication and attention to details of clinical staff needs ● Lack of staff participation ○ Require use of unified system, educate on benefits and encourage interprofessional collaboration ● Finances ○ Create budgeting timeline
  • 11. NEXT STEPS ● Research investing in new communication system ● Save money by determining if current system can be modified to fit needs ● Organize and fund staff training in communication techniques