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Team-Based Intervention to Reduce the Impact of Nonactionable Alarms in an Adult Intensive Care Unit
Justin Yeh1, Ruth Wilson, Lufei Young
1Department of Medicine (Mr Yeh) and Division of Cardiology, Department of Medicine (Drs Dellsperger and Schafer), Medical College of Georgia at Augusta University, Augusta; Augusta University Medical Center, Children's Hospital of Georgia, Augusta (Ms Wilson); College of Nursing, Augusta University, Augusta, Georgia (Dr Young); Healthcare Transformation Services, Philips Healthcare, Philadelphia, Pennsylvania (Ms Pahl); and Mission Hospital, Asheville, North Carolina (Mr Whitney).
Background:
Nonactionable alarms comprise over 70% of alarms and contribute a threat to patient safety. Few studies have reported approaches to translate and sustain these interventions in clinical settings.
Purpose:
This study tested whether an interprofessional team-based approach can translate and implement effective alarm reduction interventions in the adult intensive care unit.
Methods:
The study was a prospective, cohort, pre- and postdesign with repeated measures at baseline (preintervention) and post-phase I and II intervention periods. The settings for the most prevalent nonactionable arrhythmia and bedside parameter alarms were adjusted during phases I and II, respectively.
Results:
The number of total alarms was reduced by 40% over a 14-day period after both intervention phases were implemented. The most prevalent nonactionable parameter alarms decreased by 47% and arrhythmia alarms decreased by 46%.
Conclusions:
It is feasible to translate and sustain system-level alarm management interventions addressing alarm fatigue using an interprofessional team-based approach.
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Physicians
The physician's primary responsibility is to diagnose illness and direct the medical or surgical treatment of the condition. The authority to admit patients to a healthcare agency or institution and practice care within that setting is granted to physicians by the healthcare agency or institution...