Physiologic Monitor Alarm Rates at 5 Children's Hospitals.

TitlePhysiologic Monitor Alarm Rates at 5 Children's Hospitals.
Publication TypeJournal Article
Year of Publication2018
AuthorsSchondelmeyer AC, Brady PW, Goel VV, Cvach M, Blake N, Mangeot C, Bonafide CP
JournalJ Hosp Med
Volume13
Start Page396
Issue6
Pagination396-8
Date Published2018 Jun 1
ISSN1553-5606
Abstract

Alarm fatigue has been linked to patient morbidity and mortality in hospitals due to delayed or absent responses to monitor alarms. We sought to describe alarm rates at 5 freestanding children's hospitals during a single day and the types of alarms and proportions of patients monitored by using a point-prevalence, cross-sectional study design. We collected audible alarms on all inpatient units and calculated overall alarm rates and rates by alarm type per monitored patient per day. We found a total of 147,213 alarms during the study period, with 3-fold variation in alarm rates across hospitals among similar unit types. Across hospitals, onequarter of monitored beds were responsible for 71%, 61%, and 63% of alarms in medical-surgical, neonatal intensive care, and pediatric intensive care units, respectively. Future work focused on addressing nonactionable alarms in patients with the highest alarm counts may decrease alarm rates.

DOI10.12788/jhm.2918
Alternate JournalJ Hosp Med
PubMed ID29694462