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Types and Frequency of Infusion Pump Alarms: Protocol for a Retrospective Data Analysis
Kevin R Glover1, Rachel R Vitoux2, Catherine Schuster1
1Scientific Affairs, B. Braun Medical Inc, Allentown, PA, United States.
JMIR Research Protocols
|June 16, 2018
Summary
This study establishes baseline data on infusion pump alarms to address clinical staff alarm fatigue. Understanding alarm types and frequencies can reduce patient harm and improve safety.
Area of Science:
- Medical device safety
- Clinical engineering
- Patient safety research
Background:
- Medical device alarms have increased significantly, leading to alarm fatigue.
- Alarm fatigue is a critical safety issue causing delays or nonresponse to critical alarms.
- Research on infusion pump alarms, particularly actionable ones, remains limited.
Purpose of the Study:
- To establish baseline data on infusion pump alarm types and frequencies.
- To analyze data from the B. Braun Outlook 400ES Safety Infusion System with DoseTrac Infusion Management Software.
Main Methods:
- Analysis of 60-day hospital data from 32 US hospitals (April 2014 - February 2017).
- Data management using Microsoft SQL Server with custom code for analysis.
- Validated methodology for cleaning, blinding, and analyzing de-identified infusion data.
Main Results:
- Exploratory analysis of aggregate alarm data by care area, drug, time, and day.
- Quantification of overall infusion pump alarm frequency and duration.
- Distribution of alarm types and frequencies across different care areas.
Conclusions:
- Establishes a baseline for infusion pump alarm types and frequencies.
- Informs quality improvement recommendations to reduce or modify alarms.
- Aims to decrease clinical staff alarm fatigue and enhance patient safety.
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