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Siebig S, Kuhls S, Imhoff M, Gather U, Schölmerich J, Wrede CE. Crit Care Med. 2010;38:451-456.
Siebig S ; Kuhls S ; Imhoff M; et al. Intensive care unit alarms—how many do we need?. Crit Care Med. 2010; 38: 451-456
This study found that only 15% of cardiovascular alarms in an intensive care unit setting were clinically relevant. The authors provide suggestions to reduce the number of false alarms, which may improve patient safety and work environments.
Defining the incidence of cardiorespiratory instability in patients in step-down units using an electronic integrated monitoring system.
Hravnak M, Edwards L, Clontz A, Valenta C, DeVita MA, Pinsky MR. Arch Intern Med. 2008;168:1300-1308.
Patient monitoring alarms in the ICU and in the operating room.
Schmid F, Goepfert MS, Reuter DA. Crit Care. 2013;17:216.
A prospective controlled trial of the effect of a multi-faceted intervention on early recognition and intervention in deteriorating hospital patients.
Mitchell IA, McKay H, Van Leuvan C, et al. Resuscitation. 2010;81:658-666.
Attitudes and practices related to clinical alarms.
Funk M, Clark JT, Bauld TJ, Ott JC, Coss P. Am J Crit Care. 2014;23:e9-e18.
Silencing many hospital alarms leads to better health care.
Knox R. Morning Edition. National Public Radio. January 27, 2014.
The proportion of clinically relevant alarms decreases as patient clinical severity decreases in intensive care units: a pilot study.
Inokuchi R, Sato H, Nanjo Y, et al. BMJ Open. 2013;3:e003354.
Medication safety and knowledge-based functions: a stepwise approach against information overload.
Patapovas A, Dormann H, Sedlmayr B, et al. Br J Clin Pharmacol. 2013;76(supp 1):14-24.
Implementation of a custom alert to prevent medication-timing errors associated with computerized prescriber order entry.
Idemoto LM, Williams BL, Ching JM, Blackmore CC. Am J Health Syst Pharm. 2015;72:1481-1488.
The effect of audible alarms on anaesthesiologists' response times to adverse events in a simulated anaesthesia environment: a randomised trial.
de Man FR, Erwteman M, van Groeningen D, et al. Anaesthesia. 2014;69:598-603.
Redesigning hospital alarms for patient safety: alarmed and potentially dangerous.
Chopra V, McMahon LF Jr. JAMA. 2014;311:1199-1200.
Novel approach to cardiac alarm management on telemetry units.
Whalen DA, Covelle PM, Piepenbrink JC, Villanova KL, Cuneo CL, Awtry EH. J Cardiovasc Nurs. 2014;29:E13-E22.
Vital sign abnormalities, rapid response, and adverse outcomes in hospitalized patients.
Fagan K, Sabel A, Mehler PS, MacKenzie TD. Am J Med Qual. 2012;27:480-486.
Sounding the alarm.
Trossman S. Am Nurse. Sept/Oct 2013;45:1,6-7.
Approaches to decreasing medication and other care errors in the ICU.
Valentin A. Curr Opin Crit Care. 2013;19:474-479.
Intra-operative monitoring—many alarms with minor impact.
de Man FR, Greuters S, Boer C, Veerman DP, Loer SA. Anaesthesia. 2013;68:804-810.
The normalization of deviance: do we (un)knowingly accept doing the wrong thing?
Prielipp RC, Magro M, Morell RC, Brull SJ. AANA J. 2010;78:284-287.
Track, trigger and teamwork: communication of deterioration in acute medical and surgical wards.
Donohue LA, Endacott R. Intensive Crit Care Nurs. 2010;26:10-17.
Smart pumps: advanced capabilities and continuous quality improvement.
Vanderveen T. Patient Saf Quality Healthc. January/February 2007.
Managing Alarms in Acute Care Across the Life Span: Electrocardiography and Pulse Oximetry.
Jespen S, Sendelbach S. Crit Care Nurs. 2018;38:e16-e20.
Trigger alerts associated with laboratory abnormalities on identifying potentially preventable adverse drug events in the intensive care unit and general ward.
Buckley MS, Rasmussen JR, Bikin DS, et al. Ther Adv Drug Saf. 2018;9:207-217.
Making healthcare safer by understanding, designing and buying better IT.
Thimbleby H, Lewis A, Williams J. Clin Med. 2015;15:258-262.
Alarm system management: evidence-based guidance encouraging direct measurement of informativeness to improve alarm response.
Rayo MF, Moffatt-Bruce SD. BMJ Qual Saf. 2015;24:282-286.
Computerized dose range checking using hard and soft stop alerts reduces prescribing errors in a pediatric intensive care unit.
Balasuriya L, Vyles D, Bakerman P, et al. J Patient Saf. 2017;13:144-148.
Insights into the problem of alarm fatigue with physiologic monitor devices: a comprehensive observational study of consecutive intensive care unit patients.
Drew BJ, Harris P, Zègre-Hemsey JK, et al. PLoS One. 2014;9:e110274.
Effects of an intervention to increase bed alarm use to prevent falls in hospitalized patients: a cluster randomized trial.
Shorr RI, Chandler AM, Mion LC, et al. Ann Intern Med. 2012;157:692-699.
PSNET: Patient Safety Network
PSNet is produced for the Agency for Healthcare Research and Quality by a team of editors at the University of California, San Francisco with guidance from a prominent Technical Expert/Advisory Panel. The AHRQ PSNet site was designed and implemented by Silverchair.
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