Team-Based Intervention to Reduce the Impact of Nonactionable Alarms in an Adult Intensive Care Unit.
J Nurs Care Qual
; 35(2): 115-122, 2020.
Article
en En
| MEDLINE
| ID: mdl-31513051
ABSTRACT
BACKGROUND:
Nonactionable alarms comprise over 70% of alarms and contribute a threat to patient safety. Few studies have reported approaches to translate and sustain these interventions in clinical settings.PURPOSE:
This study tested whether an interprofessional team-based approach can translate and implement effective alarm reduction interventions in the adult intensive care unit.METHODS:
The study was a prospective, cohort, pre- and postdesign with repeated measures at baseline (preintervention) and post-phase I and II intervention periods. The settings for the most prevalent nonactionable arrhythmia and bedside parameter alarms were adjusted during phases I and II, respectively.RESULTS:
The number of total alarms was reduced by 40% over a 14-day period after both intervention phases were implemented. The most prevalent nonactionable parameter alarms decreased by 47% and arrhythmia alarms decreased by 46%.CONCLUSIONS:
It is feasible to translate and sustain system-level alarm management interventions addressing alarm fatigue using an interprofessional team-based approach.
Texto completo:
1
Banco de datos:
MEDLINE
Asunto principal:
Grupo de Atención al Paciente
/
Alarmas Clínicas
/
Seguridad del Paciente
/
Unidades de Cuidados Intensivos
/
Monitoreo Fisiológico
Tipo de estudio:
Observational_studies
Límite:
Adult
/
Female
/
Humans
Idioma:
En
Revista:
J Nurs Care Qual
Asunto de la revista:
ENFERMAGEM
Año:
2020
Tipo del documento:
Article