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Lynn LA, Curry JP. Patient Saf Surg. 2011;5:3.
Lynn LA ; Curry JP.Patterns of unexpected in-hospital deaths: a root cause analysis. Patient Saf Surg. 2011; 5: 3
This literature review concluded that the history and scientific basis for threshold alarms are quite arbitrary, and new methods and technologies are needed to identify actual patterns of evolving death.
Solving alarm fatigue with smartphone technology.
Short K, Chung YJ Jr. Nursing. 2019;49:52-57.
Managing alarm systems for quality and safety in the hospital setting.
Bach TA, Berglund L, Turk E. BMJ Open Qual. 2018;7:e000202.
Smart pump custom concentrations without hard "low concentration" alerts can lead to patient harm.
ISMP Medication Safety Alert! Acute Care Edition. May 31, 2018;23:1-4.
Video analysis of factors associated with response time to physiologic monitor alarms in a children's hospital.
Bonafide CP, Localio AR, Holmes JH, et al. JAMA Pediatr. 2017;171:524-531.
How redesigning the abrasive alarms of hospital soundscapes can save lives.
Couch C. Fast Company. April 3, 2017.
Data-driven implementation of alarm reduction interventions in a cardiovascular surgical ICU.
Allan SH, Doyle PA, Sapirstein A, Cvach M. Jt Comm J Qual Patient Saf. 2017;43:62-70.
Alarm fatigue: use of an evidence-based alarm management strategy.
Turmell JW, Coke L, Catinella R, Hosford T, Majeski A. J Nurs Care Qual. 2017;32:47-54.
Patient safety implications of electronic alerts and alarms of maternal–fetal status during labor.
Simpson KR, Lyndon A, Davidson LA. Nurs Womens Health. 2016;20:358-366.
Screen flashes and pop-up reminders: 'alert fatigue' spreads through medicine.
Luthra S. Kaiser Health News. June 15, 2016.
In Conversation With... Barbara Drew, RN, PhD
Reducing the Safety Hazards of Monitor Alert and Alarm Fatigue
Samantha Jacques, PhD, and Eric Williams, MD, MS, MMM
The frequency of inappropriate nonformulary medication alert overrides in the inpatient setting.
Her QL, Amato MG, Seger DL, et al. J Am Med Inform Assoc. 2016;23:924-933.
At the hospital, better responses to those beeping alarms.
Landro L. Wall Street Journal. January 4, 2016.
Changes in default alarm settings and standard in-service are insufficient to improve alarm fatigue in an intensive care unit: a pilot project.
Sowan AK, Gomez TM, Tarriela AF, Reed CC, Paper BM. JMIR Hum Factors. 2016;3:e1.
Systematic review of physiologic monitor alarm characteristics and pragmatic interventions to reduce alarm frequency.
Paine CW, Goel VV, Ely E, et al. J Hosp Med. 2016;11:136-144.
Alarm fatigue: impacts on patient safety.
Ruskin KJ, Hueske-Kraus D. Curr Opin Anaesthesiol. 2015;28:685-690.
Impact of an electronic alert notification system embedded in radiologists' workflow on closed-loop communication of critical results: a time series analysis.
Lacson R, O'Connor SD, Sahni VA, et al. BMJ Qual Saf. 2016;25:518-524.
Increased appropriateness of customized alert acknowledgement reasons for overridden medication alerts in a computerized provider order entry system.
Dekarske BM, Zimmerman CR, Chang R, Grant PJ, Chaffee BW. Int J Med Inform. 2015;84:1085-1093.
Raising an alarm, doctors fight to yank hospital ICUs into the modern era.
McFarling UL. STAT. September 7, 2016.
Stop the noise: a quality improvement project to decrease electrocardiographic nuisance alarms.
Sendelbach S, Wahl S, Anthony A, Shotts P. Crit Care Nurse. 2015;35:15-22.
The absence of a drug–disease interaction alert leads to a child's death.
ISMP Medication Safety Alert! Acute Care Edition. May 21, 2015;20:1-4.
The effect of provider characteristics on the responses to medication-related decision support alerts.
Cho I, Slight SP, Nanji KC, et al. Int J Med Inform. 2015;84:630-639.
Development of an "infusion pump safety score".
Carlson R, Johnson B, Ensign RH II. Am J Health Syst Pharm. 2015;72:777-779.
Preventing high-alert medication errors in hospital patients.
Anderson P, Townsend T. Am Nurse Today. May 2015;10:18-23.
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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