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Clinical Alarms

Clinical Alarms Management and Integration

In 2004, 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 in 2007. 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. This paper would not be possible without the contributions of a Task Force of clinical engineers, academic professionals, and consultants.

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.

In 2011, a re-survey of the field resulted in an overwhelming national response. The Healthcare Technology Foundation’s survey 2011 National Clinical Alarms Survey resulted in 4278 responders – 93% clinical staff – voicing their perceptions, issues, improvements and priorities about this highly visible, complex patient safety concern. The overall results and recommendations were distributed to the 298 attendees at the AAMI Medical Device Alarms Summit where the Healthcare Technology Foundation was a supporting organization.

Healthcare Technology Foundation Publications

PDF Document  2011 National Clinical Alarms Survey (2.7Mb)

PDF Document  2007 National Patient Safety Foundation Clinical Alarms Poster (144 Kb)

PDF Document  2007 National Patient Safety Foundation Clinical Alarms Poster Abstract (32 Kb)

PowerPoint Presentation  2006 Clinical Alarms White Paper Power Point (566 Kb)

PDF Document  2007 Impact of Clinical Alarms on Patient Safety, Journal of Clinical Engineering, January/March (1.1 Mb)

PDF Document  2006 Impact of Clinical Alarms on Patient Safety (410 Kb)

PDF Document  2006 Alarm Call for Action – What You Can Do (135 Kb)

HTML Page  2005-2006 Presentations and publications

HTML Page  2004-2007 Task force members

HTML Page  2005 Organizations Contributing to the Survey Design and/or Distribution

HTML Page  2005 Bibliography

HTML Page  2004 Development of the Initiative

Board Member Publications

PDF Document  2012 National Clinical Alarms Surveys – 5 years Comparison of Issues, Improvements and Priorities, WC2012/IFMBE Proceedings Paper, May (294 Kb)

PDF Document  2012 Alarm Fatigue, Cuidado, January (133 Kb)

HTML Page  2010 Closing the Clinical Alarm Gap, 24x7, September

PDF Document  2008 Fault Tree Analysis of Clinical Alarms, Journal of Clinical Engineering, April/June (441 Kb)

PDF Document  2008 Alarms and Nurse to Patient Ratios, American Journal of Critical Care, March (58 Kb)

HTML Page  2008 National Online Survey on the Effectiveness of Clinical Alarms, American Journal of Critical Care, January

Clinical Alarm Improvement Resources

HTML Page  2012 AAMI Foundation Healthcare Technology Safety Institute – Clinical Alarms

HTML Page   Alarm Safety Resource Site, ECRI Institute

HTML Page  2011 Alarming Monitor Problems, January, US FDA

HTML Page  2011 Alarming Monitor Problems, Video-January, US FDA

Articles on Clinical Alarms

PDF Document  2012 What's That Sound I Hear?, AARC (link to AARC Website) (831 Kb)

HTML Page  2012 ECRI Institute Top 10 Health Technology Hazards

HTML Page  2012 FDA Working to Trim Hospital "Alarm Fatigue" Boston Globe, March 24

HTML Page  2012 Did You Hear an Alarm?, Massachusetts Board of Registration in Medicine, March

PDF Document  2011 JAMA Tele-ICU article, JAMA, June (214 Kb) (subscription required)

PDF Document  2011 The Need for Systems Integration In Health Care, JAMA, March (46 Kb) (subscription required)

HTML Page  2011 Reducing Alarm Hazards, Patient Safety & Quality Healthcare

HTML Page  2010 Auditory Assistance-Strategies to reduce hospital noise problems

PDF Document  2008 Fixing an Alarming Situation, Health Data Management (362 Kb)
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