The impact of an intervention to improve intrapartum maternal vital sign monitoring and reduce alarm fatigue.

Adina R Kern-Goldberger; Erika M Nicholls; Natalie Plastino; Sindhu K Srinivas

Study

The impact of an intervention to improve intrapartum maternal vital sign monitoring and reduce alarm fatigue.

April 12, 2023

Kern-Goldberger AR, Nicholls EM, Plastino N, et al. Am J Obstet Gynecol MFM. 2023:100893.

View more articles from the same authors.

Many labor and delivery wards have implemented continuous fetal and maternal monitoring to improve patient safety, but this continuous monitoring may also have unintended consequences, such as alarm fatigue. This labor and delivery ward sought to decrease the overuse of monitoring, and related false or missed alarms, on low-risk obstetrical patients. Through the development and implementation of a vital sign guideline assessment, the rate of alarms was decreased with no increase in maternal complications.

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The impact of an intervention to improve intrapartum maternal vital sign monitoring and reduce alarm fatigue.

Clinician collaboration to improve clinical decision support: the Clickbusters initiative.

Pilot implementation of a health equity checklist to improve the identification of equity-related adverse events.

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