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Perceptions of Infusion Pump Alarms: Insights Gained From Critical Care Nurses
Rachel R Vitoux1, Catherine Schuster, Kevin R Glover
1B. Braun Medical, Bethlehem, Pennsylvania. Rachel R. Vitoux, MBA, MSN, RN, CPHIMS, director of clinical consulting and services at B. Braun Medical, delivers data analytics and research to improve infusion safety and advance clinical practice. She earned an MBA in sustainable business from Marylhurst University in Marylhurst, Oregon, and an MSN as a clinical nurse specialist and a BSN from Indiana University. Catherine Schuster, PhD, MA, BSN, RN, is the manager of nursing research at B. Braun Medical. She earned a PhD and an MA in public health promotion and research from The Ohio State University, a BS in applied behavioral sciences from the University of California, Davis, and a BSN from the University of Oklahoma. Kevin R. Glover, MS, MEd, corporate vice president, clinical education program development, research, and innovation at B. Braun Medical, directs collaborative initiatives between industry, clinical service providers, relevant professional associations, and academia to develop and test educational solutions collectively to improve the quality, safety, and effectiveness of patient care.
Abstract:
Between 1983 and 2011, equipment-related alarms in critical care have increased from 6 to 40 different alarm types. As nurses become overwhelmed, distracted, or desensitized by alarm noise, they may miss critical alarms that could result in patient harm. The findings of an infusion pump alarm survey indicated that nurses overwhelmingly agree that infusion pump nuisance alarms occur frequently and disrupt patient care. But nurses' perceptions of pump alarms are different from those previously reported for clinical alarms in general. It may not be appropriate to broadly apply general alarm management recommendations to infusion pump alarms at this time.
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