Back ACCE-HTF Home page

Listed PSOPatient Safety Organization

CE Certification

Clinical Alarms

Patient Safety and Education

Shepherd Patient Safety Award

Excellence in Clinical Engineering Leadership Program

Colloquium: ACCE HTF Assembles Stakeholders to Discuss Medical Device Safety







American College of Clinical Engineering
American College of Clinical Engineering

Clinical Alarms Management and Integration

In 2004, ACCE Healthcare Technology Foundation started an initiative to improve clinical alarms in healthcare. The initial milestone was the completion of a white paper – Impact of Clinical Alarms on Patient Safety. This paper reviews the literature related to clinical alarm factors and analyzes adverse event databases. Efforts to improve alarms through technological, standards, and regulatory means are assessed and evaluated. Forums, meetings and a survey of 1,327 clinicians, engineers, technical staff and managers provided considerable feedback regarding alarm issues. Of particular value is the response from nursing who represented the majority of the respondents to the survey.

Observations and recommendations have been developed to improve the impact of clinical alarms on patient safety. Significant findings consisted of 1) recommendations to the medical device industry to greatly improve parameter acquisition accuracy, use "smart" alarm technology, and intelligent alarm systems including appropriate tie-in to IHE, and 2) recommendations to consider ISO/IEC 60601-1-8 alarm standards. From a patient care perspective, clear outcomes of the study included a strong clinical response showing false alarms to be the most significant issue, along with the need to manage alarms through prioritization, training and work processes assessment. Future directions are aimed at awareness, a focused effort towards the reduction of false alarms, and soliciting all constituents involved in clinical alarms to meet and develop action plans to address key issues.

This paper would not be possible without the contributions of a Task Force of clinical engineers, academic professionals, and consultants. Monthly meetings over the past year and one-half and additional volunteer pasted project work resulted in the completion of the first stage of the project – all task force members contributed.

Related Materials

HTML Page   Auditory Assistance-Strategies to reduce hospital noise problems

PDF Document   Alarms and Nurse to Patient Ratios (58 Kb)

HTML Page   MedSun Clinical Engineering Webcast: Clinical Alarm Systems and Their Management

HTML Page   A National Online Survey on the Effectiveness of Clinical Alarms - American Journal of Critical Care

PDF Document   National Patient Safety Foundation Clinical Alarms Poster (144 Kb)

Word Document   National Patient Safety Foundation Clinical Alarms Poster Abstract (32 Kb)

PowerPoint Presentationt   Clinical Alarms White Paper Power Point (566 Kb)

PDF Document   Impact of Clinical Alarms on Patient Safety (Journal of Clinical Engineering) (4-17-2007/1.1 Mb)

PDF Document   Impact of Clinical Alarms on Patient Safety (410 Kb)

PDF Document   Alarm Call for Action – What You Can Do (135 Kb)

HTML Page   Development of the initiative

HTML Page   Task force members

HTML Page   Organizations Contributing to the Survey Design and/or Distribution

  Adverse event data from FDA Maude and ECRI © Health Devices Alerts (coming soon)

HTML Page   Presentations and publications

PDF Document   Clinical Alarms Survey (315 Kb) (note: survey is closed, this PDF is for review only, please do not complete)

  Best care management practices (coming soon)

HTML Page   Bibliography

HTML Page   Links
Home | About | Board | Programs | Publications | Contributors | Links | Contact Us

AHTF
5200 Butler Pike
Plymouth Meeting, PA 19462-1298

Telephone: 610-567-1240
Fax: 815-642-0658