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.
Auditory Assistance-Strategies to reduce hospital noise problems
Alarms and Nurse to Patient Ratios (58 Kb)
MedSun Clinical Engineering Webcast: Clinical Alarm Systems and Their Management
A National Online Survey on the Effectiveness of Clinical Alarms - American Journal of Critical Care
National Patient Safety Foundation Clinical Alarms Poster (144 Kb)
National Patient Safety Foundation Clinical Alarms Poster Abstract (32 Kb)
Clinical Alarms White Paper Power Point (566 Kb)
Impact of Clinical Alarms on Patient Safety (Journal of Clinical Engineering) (4-17-2007/1.1 Mb)
Impact of Clinical Alarms on Patient Safety (410 Kb)
Alarm Call for Action – What You Can Do (135 Kb)
Development of the initiative
Task force members
Organizations Contributing to the Survey Design and/or Distribution
Adverse event data from FDA Maude and ECRI © Health Devices Alerts (coming soon)
Presentations and publications
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)
Bibliography
Links
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