Analysis: Protocol for a New Method to Measure Physiologic Monitor Alarm Responsiveness.

TitleAnalysis: Protocol for a New Method to Measure Physiologic Monitor Alarm Responsiveness.
Publication TypeJournal Article
Year of Publication2020
AuthorsLuo B, McLoone M, Rasooly IR, Craig S, Muthu N, Won J, Ruppel H, Bonafide CP
JournalBiomed Instrum Technol
Volume54
Issue6
Pagination389-396
Date Published2020 Nov 01
ISSN0899-8205
Abstract

Evaluating the clinical impacts of healthcare alarm management systems plays a critical role in assessing newly implemented monitoring technology, exposing latent threats to patient safety, and identifying opportunities for system improvement. We describe a novel, accurate, rapidly implementable, and readily reproducible in situ simulation approach to measure alarm response times and rates without the challenges and expense of video analysis. An interprofessional team consisting of biomedical engineers, human factors engineers, information technology specialists, nurses, physicians, facilitators from the hospital's simulation center, clinical informaticians, and hospital administrative leadership worked with three units at a pediatric hospital to design and conduct the simulations. Existing hospital technology was used to transmit a simulated, unambiguously critical alarm that appeared to originate from an actual patient to the nurse's mobile device, and discreet observers measured responses. Simulation observational data can be used to design and evaluate quality improvement efforts to address alarm responsiveness and to benchmark performance of different alarm communication systems.

DOI10.2345/0899-8205-54.6.389
Alternate JournalBiomed Instrum Technol
PubMed ID33339028
PubMed Central IDPMC7769130
Grant ListR18 HS026620 / HS / AHRQ HHS / United States