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Implementing a Unit-Based Alarm Management Bundle for Critical Care Nurses.
Stephanie Bosma1, Roberta Christopher2
1Stephanie Bosma is a critical care nurse, Mayo Clinic, Jacksonville, Florida.
Critical Care Nurse
|March 31, 2023
Summary
Implementing the CEASE alarm management bundle significantly reduced alarm fatigue and improved alarm management practices among surgical intensive care unit nurses. This quality improvement project enhanced nurses
Area of Science:
- Nursing
- Healthcare Quality Improvement
- Patient Safety
Background:
- Clinical alarms are critical for patient monitoring but can lead to alarm fatigue due to excessive non-actionable alerts.
- Alarm fatigue and inadequate alarm management competency were identified issues in a surgical intensive care unit.
Purpose of the Study:
- To reduce alarm fatigue and enhance nursing competency in managing clinical alarms within a surgical intensive care unit.
Main Methods:
- A quality improvement project implemented the CEASE (Communication, Electrodes, Appropriateness, Setup, and Education) alarm management bundle.
- In-service training was provided by the alarm manufacturer, and a survey assessed nursing perceptions before and after the intervention.
Main Results:
- Nurses showed improved alarm management competency, including perceptions of functionality, settings, response time, and policy adherence.
- A statistically significant decrease in self-reported alarm fatigue was observed post-intervention.
Conclusions:
- The CEASE alarm management bundle effectively reduced alarm fatigue and improved alarm management practices in a surgical intensive care unit.
- This aligns with national goals for improving clinical alarm safety.
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