domingo, 16 de noviembre de 2014

AHRQ Patient Safety Network ► Insights into the problem of alarm fatigue with physiologic monitor devices: a comprehensive observational study of consecutive intensive care unit patients.

AHRQ Patient Safety Network

In a month in 1 hospital, cardiac monitors alarmed more than 2.5 million times, the vast majority were false positives.PLoS One. 2014;9:e110274.

PSNet header image
Insights into the problem of alarm fatigue with physiologic monitor devices: a comprehensive observational study of consecutive intensive care unit patients.
Drew BJ, Harris P, Zègre-Hemsey JK, et al. PLoS One. 2014;9:e110274.
Alarm fatigue, in which clinicians ignore safety alerts if they are too frequent or perceived to be clinically irrelevant, can lead to lack of awareness of an unsafe situation. This concern is particularly acute in intensive care units where patients are typically monitored with multiple devices, each with alarms. This retrospective review examined all alarm data regarding physiologic monitoring, including electrocardiogram, blood pressure, and oxygenation, from five intensive care units in a medical center. The vast majority of alarms were false-positives. Inappropriate alarm settings, electrode failure leading to poor signal quality, and alerts for non-actionable events were common causes for unnecessary alarms. The authors call for improvingdevice design and monitor algorithms in order to reduce alarm fatigue. A previous AHRQ WebM&Mperspective discussed the safety of medical devices.
PubMed citation icon indicating hyperlink to external website
Free full text icon indicating hyperlink to external website

Related Resources
STUDY
Attitudes and practices related to clinical alarms.
Funk M, Clark JT, Bauld TJ, Ott JC, Coss P. Am J Crit Care. 2014;23:e9-e18.
COMMENTARY
A clinical case of electronic health record drug alert fatigue: consequences for patient outcome.
Carspecken CW, Sharek PJ, Longhurst C, Pageler NM. Pediatrics. 2013;131:e1970-e1973.
STUDY
Patient safety in intensive care: results from the multinational Sentinel Events Evaluation (SEE) study.
Valentin A, Capuzzo M, Guidet B, et al. Intensive Care Med. 2006;32:1591-1598.
View all related resources...

No hay comentarios: