Clinical alarms: improving efficiency and effectiveness.

Joanne Phillips; Jane H Barnsteiner

Study

Clinical alarms: improving efficiency and effectiveness.

November 9, 2005

Phillips J, Barnsteiner JH. Crit Care Nurs Q. 2005;28(4):317-323.

View more articles from the same authors.

The authors outline a process for nurses to assess and respond to alarms in critical care environments and discuss how to improve education in this area.

PubMed citation

Available at

Related Resources From the Same Author(s)

Neuroscience critical care: the role of the advanced practice nurse in patient safety.

November 23, 2005

Developing a reporting and tracking tool for nursing student errors and near misses.

May 28, 2014

The development of a patient safety program across the continuum of care.

November 16, 2005

Designing for Safety in the ICU.

March 28, 2018

Nursing strategies to safeguard COVID-19 patients from harm in the intensive care unit.

December 8, 2021

Institutional COVID-19 protocols: focused on preparation, safety, and care consolidation.

September 30, 2020

Development of a modified early warning score using the electronic medical record.

August 31, 2011

Human Factors and Technology in the ICU.

July 11, 2018

Safety.

June 30, 2010

Critical incidents involving the medical emergency team: a 5-year retrospective assessment for healthcare improvement.

April 28, 2021

A systematic review of nursing practice workarounds.

October 19, 2022

Clinical alarms: complexity and common sense.

June 21, 2006

Specificity of computerized physician order entry has a significant effect on the efficiency of workflow for critically ill patients.

April 21, 2005

Interventions to improve hand hygiene compliance in patient care.

September 1, 2017

Patient safety and technology.

May 20, 2009

Exploration of a rapid response team model of care: a descriptive dual methods study.

September 21, 2022

Paediatric family activated rapid response interventions; qualitative systematic review.

January 18, 2023

Exploring how nursing schools handle student errors and near misses.

December 13, 2017

Improving communication and response to clinical deterioration to increase patient safety in the intensive care unit.

October 19, 2022

Missed nursing care in the critical care unit, before and during the COVID-19 pandemic: a comparative cross-sectional study.

June 22, 2022

Surviving Sepsis Campaign: international guidelines for management of sepsis and septic shock: 2016

March 3, 2017

Patient monitoring alarms in the ICU and in the operating room.

April 17, 2013

eSIMPLER: a dynamic, electronic health record-integrated checklist for clinical decision support during PICU daily rounds.

June 16, 2021

Nurses' perceptions and demands regarding COVID-19 care delivery in critical care units and hospital emergency services.

December 2, 2020

Systems thinking for managing COVID-19 in health care systems: seven key messages.

September 23, 2020

Impact of intensive care unit discharge time on patient outcome.

January 17, 2007

Quality and Safety.

July 29, 2015

Diagnostic errors in pediatric critical care: a systematic review.

April 28, 2021

Strategies for a safe interhospital transfer with an intubated patient or where readiness for intubation is needed: a critical incidents study.

December 21, 2022

Description and factors associated with missed nursing care in an acute care community hospital.

October 17, 2018

Preventable harm occurring to critically ill children.

September 5, 2007

Finding diagnostic errors in children admitted to the PICU.

February 8, 2017

The use of anatomical side markers in general radiology: a systematic review of the current literature.

August 26, 2020

Human factors analysis of latent safety threats in a pediatric critical care unit.

May 18, 2022

Taking aim at infusion confusion.

April 12, 2006

Improving sepsis care through systems change: the impact of a medical emergency team.

March 5, 2008

A look into the nature and causes of human errors in the intensive care unit.

March 27, 2005

Improving infusion pump safety through usability testing.

May 31, 2017

Patient harm and institutional avoidability of out-of-hours discharge from intensive care: an analysis using mixed methods.

March 23, 2022

The Critical Care Safety Study: the incidence and nature of adverse events and serious medical errors in intensive care.

August 24, 2005

Resident and RN perceptions of the impact of a medical emergency team on education and patient safety in an academic medical center.

December 2, 2009

Adverse events in intensive care and continuing care units during bed-bath procedures: the prospective observational NURSIng during critical carE (NURSIE) study.

December 23, 2020

Detecting patient deterioration using artificial intelligence in a rapid response system.

March 25, 2020

Infection Control in the Intensive Care Unit.

August 25, 2010

Improving nursing unit teamwork.

January 4, 2006

Early prognostic value of the medical emergency team calling criteria in patients admitted to intensive care from the emergency department.

February 6, 2008

Am I safe here? Improving patients' perceptions of safety in hospitals.

January 25, 2006

A nurse-driven system for improving patient quality outcomes.

April 12, 2006

Effectiveness of using simulation in the development of clinical reasoning in undergraduate nursing students: a systematic review.

December 1, 2021

Intravenous medication safety and smart infusion systems: lessons learned and future opportunities.

October 19, 2005

Associations between healthcare environment design and adverse events in intensive care unit.

May 26, 2021

A system-wide initiative to prevent retained vaginal sponges.

September 14, 2011

Patient safety and quality in the pediatric intensive care unit.

April 11, 2007

Transforming the morbidity and mortality conference to promote safety and quality in a PICU.

April 6, 2016

Breast cancer screening in Denmark: a cohort study of tumor size and overdiagnosis.

January 25, 2017

Sleepy nurses: are we willing to accept the challenge today?

June 20, 2007

Patient Safety Innovations

eSIMPLER: a dynamic, electronic health record-integrated checklist for clinical decision support during PICU daily rounds.

April 7, 2022

Toward a new paradigm in hospital-based pediatric education: the development of an onsite simulator program.

November 23, 2005

Effectiveness and efficiency of root cause analysis in medicine.

February 27, 2008

Diagnostic Excellence in the ICU: Thinking Critically and Masterfully.

December 1, 2021

Safety in Critical Care Medicine.

March 27, 2005

Maximum emergency department overcrowding is correlated with occurrence of unexpected cardiac arrest.

July 8, 2020

Implementing the clinical occurrence reporting and learning system: a double-loop learning incident reporting system in long-term care.

March 24, 2021

Association of clinical nursing work environment with quality and safety in maternity care in the United States.

November 11, 2020

A systems approach to evaluating ionizing radiation: six focus areas to improve quality, efficiency, and patient safety.

June 24, 2015

Is electronic health record safety a paradox?

February 23, 2022

Changes in prognosis after the first postoperative complication.

April 3, 2005

Reducing failure to rescue rates in a paediatric in-patient setting: a 9-year quality improvement study.

November 24, 2021

The problem with 'My Five Moments for Hand Hygiene'.

August 25, 2021

Untangling infusion confusion: a comparative evaluation of interventions in a simulated intensive care setting.

September 18, 2019

Improving patient safety in intensive care units in Michigan.

June 25, 2008

Learning and mindfulness: improving perioperative patient safety.

April 19, 2017

Undiagnosed and rare diseases in critical care: the role of diagnostic access.

July 27, 2022

Applying thematic synthesis to interpretation and commentary in epidemiological studies: identifying what contributes to successful interventions to promote hand hygiene in patient care.

September 9, 2020

Development and expression of a high-reliability organization.

December 1, 2021

The effect of the fit between organizational culture and structure on medication errors in medical group practices.

February 7, 2007

How long and how much are nurses now working?

April 19, 2006

"Good catch, Kiddo"--enhancing patient safety in the pediatric emergency department through simulation.

December 9, 2020

Identification and Prevention of Common Adverse Drug Events in the Intensive Care Unit.

June 16, 2010

Critical care nurses’ physical and mental health, worksite wellness support, and medical errors.

July 14, 2021

Diagnostic time-outs to improve diagnosis.

April 20, 2022

Lessons learned from medical malpractice claims involving critical care nurses.

August 5, 2020

Nursing turbulence in critical care: relationships with nursing workload and patient safety.

May 27, 2020

The business case for patient safety.

February 14, 2007

Patient safety: planting the seed.

July 20, 2005

Nurses' perceived skills and attitudes about updated safety concepts: impact on medication administration errors and practices.

June 28, 2017

Testing process errors and their harms and consequences reported from family medicine practices: a study of the American Academy of Family Physicians National Research Network.

June 11, 2008

The impact of errors on healthcare professionals in the critical care setting.

April 24, 2019

Evaluating a patient safety learning laboratory to create an interdisciplinary ecosystem for health care innovation.

July 13, 2022

Can patients contribute to enhancing the safety and effectiveness of test-result follow-up? Qualitative outcomes from a health consumer workshop.

June 2, 2021

Effectiveness of pharmacist intervention to reduce medication errors and health-care resources utilization after transitions of care: a meta-analysis of randomized controlled trials.

July 19, 2017

Implementation of patient centeredness to enhance patient safety.

January 31, 2006

Reporting of hazards and near-misses in the ambulatory care setting.

October 19, 2011

Sepsis quality in safety-net hospitals: an analysis of Medicare's SEP-1 performance measure.

October 2, 2019

Implementation of the SBAR communication technique in a tertiary center.

October 29, 2008

Failure to rescue in neonatal care.

September 7, 2011

The costs associated with adverse drug events among older adults in the ambulatory setting.

December 7, 2005

Using clinical simulation to teach patient safety in an acute/critical care nursing course.

August 3, 2005

Reducing near miss medication events using an evidence-based approach.

July 27, 2022

Do medical inpatients who report poor service quality experience more adverse events and medical errors?

February 13, 2008

Related Resources

Floating to intensive care units: nurses' messages for instant action to promote patient safety.

May 3, 2023

Strategies for a safe interhospital transfer with an intubated patient or where readiness for intubation is needed: a critical incidents study.

December 21, 2022

Communication patterns during routine patient care in a pediatric intensive care unit: the behavioral impact of in situ simulation.

May 11, 2022

Critical care nurses’ physical and mental health, worksite wellness support, and medical errors.

July 14, 2021

Impact of alarm fatigue on the work of nurses in an intensive care environment--a systematic review.

February 3, 2021

The effect of blue-enriched lighting on medical error rate in a university hospital ICU.

January 27, 2021

Lessons learned from medical malpractice claims involving critical care nurses.

August 5, 2020

Is my patient ready for a safe transfer to a lower-intensity care setting? Nursing complexity as an independent predictor of adverse events risk after ICU discharge.

April 8, 2020

Association between mobile telephone interruptions and medication administration errors in a pediatric intensive care unit.

January 15, 2020

Untangling infusion confusion: a comparative evaluation of interventions in a simulated intensive care setting.

September 18, 2019

Evaluating a handheld decision support device in pediatric intensive care settings.

July 17, 2019

What's in a name? Provider perception of injured John Doe patients.

April 3, 2019

Implementing strategies to identify and mitigate adverse safety events: a case study with unplanned extubations.

February 27, 2019

The correlation between neonatal intensive care unit safety culture and quality of care.

February 6, 2019

Implementation of a second victim program in the neonatal intensive care unit: an interim analysis of employee satisfaction.

January 23, 2019

Solving alarm fatigue with smartphone technology.

January 23, 2019

Evaluation of a measurement system to assess ICU team performance.

January 23, 2019

WebM&M Cases

One Bronchoscopy, Two Errors

January 1, 2019

Association of nurse workload with missed nursing care in the neonatal intensive care unit.

November 21, 2018

Effects of a multimodal program including simulation on job strain among nurses working in intensive care units: a randomized clinical trial.

November 7, 2018

Patient outcomes after the introduction of statewide ICU nurse staffing regulations.

September 26, 2018

Human Factors and Technology in the ICU.

July 11, 2018

Managing Alarms in Acute Care Across the Life Span: Electrocardiography and Pulse Oximetry.

June 27, 2018

Missed nursing care in pediatrics.

July 12, 2017

Nursing interruptions in a trauma intensive care unit: a prospective observational study.

May 3, 2017

Implementation of the safety huddle.

February 8, 2017

Data-driven implementation of alarm reduction interventions in a cardiovascular surgical ICU.

February 8, 2017

Inattentional blindness and failures to rescue the deteriorating patient in critical care, emergency and perioperative settings: four case scenarios.

December 7, 2016

Alarm management: promoting safety and establishing guidelines.

May 25, 2016

Systematic review of physiologic monitor alarm characteristics and pragmatic interventions to reduce alarm frequency.

January 27, 2016

See More About The Topic

Intensive Care Units

Nurses

Nurse Managers

Critical Care Nursing

Practice Guidelines

Clinical alarms: improving efficiency and effectiveness.

eSIMPLER: a dynamic, electronic health record-integrated checklist for clinical decision support during PICU daily rounds.

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

Clinical alarms: improving efficiency and effectiveness.

eSIMPLER: a dynamic, electronic health record-integrated checklist for clinical decision support during PICU daily rounds.

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

PSNet Log in

Submit Your Innovations

Continue as a Guest

Continue Logged In

Submit Your Innovations

Continue as a Guest

Continue logged in

New Users to the PSNet site