tag:blogger.com,1999:blog-597716632228519200.post8641856559731318926..comments2024-03-25T04:29:48.343-07:00Comments on A Healthy Dialogue: Alarm FatigueJohn Chessare MDhttp://www.blogger.com/profile/16921654505743608351noreply@blogger.comBlogger2125tag:blogger.com,1999:blog-597716632228519200.post-54972205894162497242017-07-28T10:02:50.543-07:002017-07-28T10:02:50.543-07:00Thank you for your leadership in this area, Howard...Thank you for your leadership in this area, Howard. John Chessare MDhttps://www.blogger.com/profile/16921654505743608351noreply@blogger.comtag:blogger.com,1999:blog-597716632228519200.post-85538941557808873942017-07-28T08:48:43.238-07:002017-07-28T08:48:43.238-07:00Hi Dr. Chessare,
I wanted to share with you the w...Hi Dr. Chessare,<br /><br />I wanted to share with you the work we did in NICU regarding alarm safety and nuisance alarms. This was begun a few years ago as a collaborative with VON's iNICQ. Pulse oximeters were identified as the most common false or nuisance alarm in NICU, resulting in increased noise levels, as well as a risk that staff would tune out and ignore true alarms.<br /><br />We identified those infants who did not require such monitoring upon admission to the NICU, and developed criteria for those who no longer required continuous pulse oximeter monitoring.<br /><br />We achieved about a 40% decrease, and submitted a poster to the PAS two years ago which was well received.<br /><br />There is much more that can be done with more up to date monitoring systems that could be tied in to nursing smart phones, as well as differentiating critical from non critical alarms. Allowing for differing alarm triggers by type, duration, and individual patient status would be helpful as well. <br />Monitors that provided histograms of day, time of day, and type of alarm would be a useful quality improvement activity. Our current monitors do not have this capability.<br />Howard J. Birenbaum, MDnoreply@blogger.com