Daily electrode change and effect on cardiac monitor alarms: an evidence-based practice approach
Maria M Cvach1, Madalyn Biggs, Kathleen J Rothwell
1The Johns Hopkins Hospital, Baltimore, Maryland 21287, USA. mcvach@jhmi.edu
Abstract:
Frequent monitor alarms are distracting and interfere with clinicians performing critical tasks. This article describes a quality improvement rapid-cycle change approach to explore the benefits of changing electrodes daily on the number of cardiac monitor alarms. Eight days of baseline and intervention data were compared for 2 adult acute care units. Average alarms per bed per day were reduced by 46% on both units. Daily electrocardiogram electrode change reduces the number of cardiac monitor alarms.
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