A team-based approach to reducing cardiac

Pediatrics

Volumn 134, Issue 6, 2014, Pages e1686-e1694

  Dandoy, Christopher E ^a   Davies, Stella M ^a   Flesch, Laura ^a   Hayward, Melissa ^a   Koons, Connie ^a   Coleman, Kristen ^a   Jacobs, Jodi ^a   McKenna, Lori Ann ^a   Olomajeye, Alero ^a   Olson, Chad ^a   Powers, Jessica ^a   Shoemaker, Kimberly ^a   Jodele, Sonata ^a   Alessandrini, Evaline ^a   Weiss, Brian ^a  

^a CINCINNATI CHILDREN'S HOSPITAL MEDICAL CENTER   (United States)

Author keywords

Alarm fatigue; Cardiac monitor; Model for improvement; Plan Do Study Act; Quality improvement

Indexed keywords

ALGORITHM; ARTICLE; CARDIAC MONITOR CARE PROCESS; EDUCATION; ELECTRODE; HUMAN; INTENTIONAL REDUNDANCY; METHODOLOGY; PARAMETERS; PATIENT MONITORING; PEDIATRIC WARD; PROGRAM SUSTAINABILITY; PROTOCOL COMPLIANCE; STANDARDIZATION; ALARM MONITOR; ANALGESIA; BONE MARROW TRANSPLANTATION; CHILD; COOPERATION; DEVICE FAILURE; ELECTROCARDIOGRAPHY; ELECTRODE IMPLANT; HEALTH CARE PLANNING; HOSPITAL; IN SERVICE TRAINING; INTENSIVE CARE UNIT; INTERDISCIPLINARY COMMUNICATION; NEUROPHYSIOLOGICAL MONITORING; ORGANIZATION AND MANAGEMENT; PATIENT CARE; STANDARDS; TOTAL QUALITY MANAGEMENT; UNITED STATES; UNIVERSITY HOSPITAL;

ACADEMIC MEDICAL CENTERS; BONE MARROW TRANSPLANTATION; CHILD; CLINICAL ALARMS; COOPERATIVE BEHAVIOR; ELECTROCARDIOGRAPHY; ELECTRODES, IMPLANTED; EQUIPMENT FAILURE; HEALTH PLAN IMPLEMENTATION; HOSPITALS, PEDIATRIC; HUMANS; INSERVICE TRAINING; INTENSIVE CARE UNITS, PEDIATRIC; INTERDISCIPLINARY COMMUNICATION; NEUROPHYSIOLOGICAL MONITORING; OHIO; PAIN MANAGEMENT; PATIENT CARE TEAM; QUALITY IMPROVEMENT;

EID: 84913600169     PISSN: 00314005     EISSN: 10984275     Source Type: Journal    
DOI: 10.1542/peds.2014-1162     Document Type: Article

References (15)

1. Graham KC, Cvach M. Monitor alarm fatigue: standardizing use of physiological monitors and decreasing nuisance alarms. Am J Crit Care. 2010;19(1):28-34, quiz 35
2. Mitka M. Joint Commission warns of alarm fatigue: multitude of alarms from monitoring devices problematic. JAMA. 2013;309(22):2315-2316
3. Bell L. Monitor alarm fatigue. Am J Crit Care. 2010;19(1):38
4. Alarm-notification problem spotlighted in Boston globe is all too common. Health Devices. 2010;39(4):139
5. McKinney M. Alarm fatigue sets off bells. Mass. incident highlights need for protocols check. Mod Healthc. 2010;40(15):14
6. Keller JP Jr. Clinical alarm hazards: a " top ten" health technology safety concern. J Electrocardiol. 2012;45(6):588-591
7. McKinney M. High-tech hazards. Alarm hazards tops ECRI list of health dangers. Mod Healthc. 2011;41(45):18
8. Alarms #1 tech risk despite focus, according to ECRI. Hosp Peer Rev. 2013;38(12):133-135
9. Joint Commission. Medical Device Alarm Safety in Hospitals. Sentinel Event Alert. 2013; (50):1-3 Available at: www.jointcommission.org/assets/1/18/SEA-50-alarms-4-5-13-FINAL1.PDF. Accessed April 30, 2013
10. Muething SE, Kotagal UR, Schoettker PJ, Gonzalez del Rey J, DeWitt TG. Family-centered bedside rounds: a new approach to patient care and teaching. Pediatrics. 2007;119(4):829-832
11. Cvach MM, Biggs M, Rothwell KJ, Charles-Hudson C. Daily electrode change and effect on cardiac monitor alarms: an evidencebased practice approach. J Nurs Care Qual. 2013;28(3):265-271
12. Sendelbach S, Funk M. Alarm fatigue: a patient safety concern. AACN Adv Crit Care. 2013;24(4):378-386; quiz 387-378
13. Welch J. An evidence-based approach to reduce nuisance alarms and alarm fatigue. Biomed Instrum Technol. 2011;(suppl):46-52
14. Benneyan JC, Lloyd RC, Plsek PE. Statistical process control as a tool for research and healthcare improvement. Qual Saf Health Care. 2003;12(6):458-464
15. Amin SG. Control charts 101: a guide to health care applications. Qual Manag Health Care. 2001;9(3):1-27