Vigilance, Alarms, and Integrated Monitoring Systems

Weinger, Matthew B.; Berry, James M.

doi:10.1016/b978-0-323-11237-6.00023-6

Cited by 4 publications

(2 citation statements)

References 233 publications

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“…In other words, with more patients, nurses felt less overwhelmed by the alarms. This is opposite to what was reported by Weinger and Smith (41). However, this may speak to the ability of the critical care nurse to more acutely focus attention on high-priority tasks and ignore nuisance alarms.…”

Section: Discussioncontrasting

confidence: 99%

A Framework to Assess Alarm Fatigue Indicators in Critical Care Staff

Chipperfield

Deb

Diegel

2021

Critical Care Explorations

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OBJECTIVES: This article examines work-related and Personality personality factors that could influence health providers in experiencing alarm fatigue. The purpose of this study is to provide a basis to determine factors that may predict the potential of alarm fatigue in critical care staff. DESIGN: A questionnaire-based survey and an observational study were conducted to assess factors that could contribute to indicators of alarm fatigue. INTERVENTIONS: Factors included patient-to-staff ratio, criticality of the alarm, priority of different tasks, and personality traits. SETTING: The study was conducted at an eight-bed ICU in a mid-size hospital in Montana. SUBJECTS: Data were collected for six day shifts and six night shifts involving 24 critical care professionals. Within each 12-hour shift, six 15-minute intervals were randomly generated through work sampling for 6 days; a total of 1,080 observations were collected. MEASUREMENTS: Alarm fatigue was assessed with the subjective workload assessment technique and Boredom, Apathy, and Distrust Affects, which were measured through validated questionnaires. The Big Five Personality model was used to assess personality traits. MAIN RESULTS: Work factors including task prioritization, nurse-to-patient ratio, and length of shifts were associated with indicators of alarm fatigue. Personality traits of openness, conscientiousness, and neuroticism were also associated. CONCLUSIONS: We recommend assessing personality traits for critical care staff to be aware of how their individualities can affect their behavior towards alarm fatigue. We also recommend an examination of alternative strategies to reduce alarm fatigue, including examining the use of breaks, work rotation, or shift reduction.

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Section: Discussioncontrasting

confidence: 99%

A Framework to Assess Alarm Fatigue Indicators in Critical Care Staff

Chipperfield

Deb

Diegel

2021

Critical Care Explorations

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“…The commonly used medical gases in healthcare facilities are oxygen (O 2 ), medical air, carbon dioxide (CO 2 ), and nitrous oxide (N 2 O) [3]. Poor design contributes to the occurrence of errors in anesthesia practice, which is catastrophic [4,5]. Unfortunately, design errors may occur in an MGPS, which can be hidden even after construction [6].…”

Section: Introductionmentioning

confidence: 99%

Medical Gas Systems Maintainability Risks in Healthcare Facilities: A Design Optimization Approach

2023

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Medical gas pipeline systems (MGPSs) are crucial for operating healthcare facilities as life-saving systems. The sustainability of MGPSs mandates optimum performance by reducing maintenance and repairs. Since faulty design is inventible, healthcare facilities endure several design-caused maintenance issues that endanger the sustainability of healthcare services and maintenance life cycle costs. These design decisions could have been avoided if proper consideration for maintenance had been applied. Eleven experts participated in semi-structured interviews guided by Staticized Group Techniques to identify and evaluate the maintenance issues. The results included identifying 52 design-related maintenance issues that pose maintainability risks. The findings primarily fall under emergency gas supply availability, future expansion readiness, and accessibility of maintenance. The most critical issue found is the excessive cutting-outs of the pipelines when upgrading the system. For new healthcare facilities, the results of this research provide practical help for designers to avoid MGPS issues. A scarcity of benchmark research and geographical factors are some limitations to this study.

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Human Factors Engineering in Patient Safety

Weinger

Gaba

2014

Anesthesiology

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Vigilance, Alarms, and Integrated Monitoring Systems

Cited by 4 publications

References 233 publications

A Framework to Assess Alarm Fatigue Indicators in Critical Care Staff

A Framework to Assess Alarm Fatigue Indicators in Critical Care Staff

Medical Gas Systems Maintainability Risks in Healthcare Facilities: A Design Optimization Approach

Human Factors Engineering in Patient Safety

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