Educational Program for Physiologic Monitor Use and Alarm Systems Safety: A Toolkit.

TitleEducational Program for Physiologic Monitor Use and Alarm Systems Safety: A Toolkit.
Publication TypeJournal Article
Year of Publication2020
AuthorsPhillips JA, Sowan A, Ruppel H, Magness R
JournalClin Nurse Spec
Volume34
Issue2
Pagination50-62
Date Published2020 Mar/Apr
ISSN1538-9782
KeywordsClinical Alarms, Humans, Monitoring, Physiologic, Nursing Education Research, Nursing Evaluation Research, Nursing Staff, Safety Management
Abstract

Clinical alarm systems safety is a national healthcare concern in the United States. Physiologic monitors are the medical devices associated with the highest number of false and clinically insignificant alarms, producing alarm fatigue and a challenge to meet the national clinical alarm systems safety goal. Modern physiologic monitors are high-tech complex devices with multimeasurement modalities and high sensitivity for alarms. This complexity hinders safe operation of the monitors by nurses and appropriate management of associated alarms. Nurses need to integrate cognitive knowledge, psychomotor skills, and critical thinking to safely operate the monitors and support clinical decisions. Limited resources are available to support clinical education for nurses on physiologic monitor use and alarm management. This toolkit presents an educational framework for physiologic monitor use and alarm safety guided by adult learning principles. The components of the program are (1) knowledge, skills, and attitude of physiologic monitor use; (2) scenario-based learning model to support the knowledge, skills, and attitude necessary for safe monitor use; and (3) a framework for evaluating the educational program. Education should be ongoing and customized per facility to ensure safe use of complex technology and to decrease alarm fatigue, the leading cause of alarm-related sentinel events.

DOI10.1097/NUR.0000000000000507
Alternate JournalClin Nurse Spec
PubMed ID32068633