Alarm Safety and Alarm Fatigue in Neonatal Intensive Care Units

سال انتشار: 1398
نوع سند: مقاله کنفرانسی
زبان: انگلیسی
مشاهده: 342

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شناسه ملی سند علمی:

INHCMED06_048

تاریخ نمایه سازی: 30 آذر 1398

چکیده مقاله:

Effective life support to critical patients is strongly dependent on the array of bedside monitoring devices to follow the physiological status of each patient and warn care providers through visual and auditory messages. Neonatal Intensive Care Units (NICU) like other intensive care units, intend to react quickly to any changes in patient status. But medical equipment and patient monitoring alarms are common in NICU and most of them have no clinical significance. It has been found as many as 86% of sounding alarms are false in intensive care units. Frequent audible alarms can impact on normal neonatal neurodevelopment. Alarm fatigue (alarm desensitization) is a multifactorial problem associated with the rapid increase in alarming devices in hospitals. The Joint Commission 2013 Sentinel Event Alert reported 216 patient deaths attributed to alarm fatigue since 2005. So it can be concluded that the presence of abundant alarms leads to clinicians ignoring the clinically significant alarms and the outcome is the creation of a non-safe environment. Safe alarm practices require attention to the function of the device, alarm settings, the staff operating the devices, patient status, and environment of care. So potentially better practices (PBP) for the approach to alarm fatigue are policies and staff training that explain safe alarm practices, use of evidence-based and data-driven alarm settings to standardize response to alarms and leveraging device alarm features to reduce false alarms.

نویسندگان

Naeeme Taslimi Taleghani

Assistant professor of neonatology, Neonatal Health Research Center, shahid beheshti university of medical science