Differences in Alarm Events Between Disposable and Reusable Electrocardiography Lead Wires

Albert, Nancy M.; Murray, Terri; Bena, James; Slifcak, Ellen; Roach, Joel D.; Spence, Jackie; Burkle, Alicia

doi:10.4037/ajcc2015663

Cited by 23 publications

(24 citation statements)

References 6 publications

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“…Of the 8 intervention studies, 7 included adult patients, and 1 included pediatric patients . All were single‐hospital studies; 6 were quasi‐experimental and 2 were experimental .…”

Section: Resultsmentioning

confidence: 99%

“…Of the 8 intervention studies, 7 included adult patients, and 1 included pediatric patients . All were single‐hospital studies; 6 were quasi‐experimental and 2 were experimental . Settings included progressive care units (n = 3), CCUs (n = 3), wards (n = 2), PACU (n = 1), and a step‐down unit (n = 1) .…”

Section: Resultsmentioning

confidence: 99%

“…All were single‐hospital studies; 6 were quasi‐experimental and 2 were experimental . Settings included progressive care units (n = 3), CCUs (n = 3), wards (n = 2), PACU (n = 1), and a step‐down unit (n = 1) . All except 1 study used the monitoring system to record alarm data.…”

Section: Resultsmentioning

confidence: 99%

“…Settings included progressive care units (n = 3), CCUs (n = 3), wards (n = 2), PACU (n = 1), and a step‐down unit (n = 1) . All except 1 study used the monitoring system to record alarm data. Several studies evaluated multicomponent interventions that included combinations of the following: widening alarm parameters, instituting alarm delays, reconfiguring alarm acuity, use of secondary notifications, daily change of electrocardiographic electrodes or use of disposable electrocardiographic wires, universal monitoring in high‐risk populations, and timely discontinuation of monitoring in low‐risk populations .…”

Section: Resultsmentioning

confidence: 99%

See 3 more Smart Citations

Systematic Review of Physiologic Monitor Alarm Characteristics and Pragmatic Interventions to Reduce Alarm Frequency

Paine

Goel

Ely

et al. 2015

Journal of Hospital Medicine

148

131

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Background Alarm fatigue from frequent nonactionable physiologic monitor alarms is frequently named as a threat to patient safety. Purpose To critically examine the available literature relevant to alarm fatigue. Data Sources Articles published in English, Spanish, or French between January 1980 and April 2015 indexed in PubMed, CINAHL, Scopus, Cochrane Library, Google Scholar, and ClinicalTrials.gov. Study Selection Articles focused on hospital physiologic monitor alarms addressing any of the following: 1) the proportion of alarms that are actionable, 2) the relationship between alarm exposure and nurse response time, and 3) the effectiveness of interventions in reducing alarm frequency. Data Extraction We extracted data on setting, collection methods, proportion of alarms determined to be actionable, nurse response time, and associations between interventions and alarm rates. Data Synthesis Our search produced 24 observational studies focused on alarm characteristics and response time and 8 studies evaluating interventions. Actionable alarm proportion ranged from <1% to 36% across a range of hospital settings. Two studies showed relationships between high alarm exposure and longer nurse response time. Most intervention studies included multiple components implemented simultaneously. While studies varied widely, and many had high risk of bias, promising but still unproven interventions include widening alarm parameters, instituting alarm delays, and using disposable electrocardiographic wires or frequently changed electrocardiographic electrodes. Conclusions Physiologic monitor alarms are commonly nonactionable, and evidence supporting the concept of alarm fatigue is emerging. Several interventions have the potential to reduce alarms safely, but more rigorously designed studies with attention to possible unintended consequences are needed.

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“…Of the 8 intervention studies, 7 included adult patients, and 1 included pediatric patients . All were single‐hospital studies; 6 were quasi‐experimental and 2 were experimental .…”

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

See 2 more Smart Citations

Systematic Review of Physiologic Monitor Alarm Characteristics and Pragmatic Interventions to Reduce Alarm Frequency

Paine

Goel

Ely

et al. 2015

Journal of Hospital Medicine

148

131

View full text Add to dashboard Cite

show abstract

“…In a 2015 study, Albert et al 13 examined the differences in alarm events between disposable and reusable ECG lead wires. This randomized controlled trial (RCT), which involved 1611 patients, asked 2 questions: First, is one type of ECG lead wire noninferior (eg, disposable leads are noninferior [not much worse] than the reusable leads), and if the disposable leads are noninferior, are they superior?…”

Section: Alarm Safety and Alarm Fatiguementioning

confidence: 99%

Research in Review: Driving Critical Care Practice Change

Bridges

McNeill

Munro

2016

American Journal of Critical Care

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During the past year, studies were published that will lead to practice change, address challenges at the bedside, and introduce new care strategies. This article summarizes some of this important work and considers it in the context of previous research and practice. Examples of research-based practice changes include the performance and assessment of septic shock resuscitation, and the integration of tourniquets and massive transfusions in civilian trauma. Care challenges addressed include ethical considerations in light of the Ebola epidemic, infection prevention associated with chlorhexidine bathing, bedside alarm management, evidence to enhance moral courage, and interventions to mitigate thirst in critically ill patients. Research that portends future care includes a discussion of fecal microbiota transplant for patients with refractory infection with Clostridium difficile.

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Tired of “alarm fatigue” in the intensive care unit: taking a fresh path to solutions using cognitive load theory

Goldart,

Else,

Assadi

et al. 2024

Intensive Care Med

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Differences in Alarm Events Between Disposable and Reusable Electrocardiography Lead Wires

Abstract: A closed-book, multiple-choice examination following this article tests your under standing of the following objectives:

Cited by 23 publications

References 6 publications

Systematic Review of Physiologic Monitor Alarm Characteristics and Pragmatic Interventions to Reduce Alarm Frequency

Systematic Review of Physiologic Monitor Alarm Characteristics and Pragmatic Interventions to Reduce Alarm Frequency

Research in Review: Driving Critical Care Practice Change

Tired of “alarm fatigue” in the intensive care unit: taking a fresh path to solutions using cognitive load theory

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