@article{120,
  author = {Justin Yeh and Ruth Wilson and Lufei Young and Lisa Pahl and Steven Whitney and Kevin Dellsperger and Pascha Schafer},
  title = {Team-Based Intervention to Reduce the Impact of Nonactionable Alarms in an Adult Intensive Care Unit.},
  abstract = {<p><b>BACKGROUND: </b>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.</p><p><b>PURPOSE: </b>This study tested whether an interprofessional team-based approach can translate and implement effective alarm reduction interventions in the adult intensive care unit.</p><p><b>METHODS: </b>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.</p><p><b>RESULTS: </b>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 deceased by 47% and arrhythmia alarms decreased by 46%.</p><p><b>CONCLUSIONS: </b>It is feasible to translate and sustain system-level alarm management interventions addressing alarm fatigue using an interprofessional team-based approach.</p>},
  year = {2019},
  journal = {Journal of nursing care quality},
  month = {09/2019},
  issn = {1550-5065},
  doi = {10.1097/NCQ.0000000000000436},
  language = {eng},
}