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Reducing Non-Actionable Physiological Alarms in the Emergency Department

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Title:Reducing Non-Actionable Physiological Alarms in the Emergency Department
Authors:Fujita, Liane Y.
Contributors:Ceria-Ulep, Clementina (advisor)
Nursing (department)
alarm fatigue
clinical alarms
emergency department
emergency room
Date Issued:2019
Publisher:University of Hawai'i at Manoa
Clinical alarms promote patient safety by alerting clinicians when there is a deviation from a “normal” condition. An excessive volume of alarms however, contributes to sensory overload and desensitization – also known as alarm fatigue, which has significant implications to patient safety when alarms are missed. The emergency department (ED) at The Queen’s Medical Center (QMC) Punchbowl had consistently the highest volumes of physiological alarms compared to other units within the organization. The purpose of this evidence-based project (EBP) was to implement and evaluate a program that reduces the number of nuisance, clinically non-actionable physiological alarms, using the Iowa Model as a conceptual framework.
The clinical question was “How can we decrease physiological alarms in the QMC ED at Punchbowl?” This was an EBP project inclusive of adjusting alarm default settings and implementing an education plan on the safe use of alarms. The sample population included all patients placed on the Philips physiological monitor at the QMC Punchbowl ED. Retrospective data was collected monthly over a 3-month period, and analyzed to trend the number of alarm fires comparing data pre-and-post-implementation of an alarms protocol.
Description:D.N.P. Thesis. Ph.D. Thesis. University of Hawaiʻi at Mānoa 2019
Pages/Duration:38 pages
Rights:All UHM dissertations and theses are protected by copyright. They may be viewed from this source for any purpose, but reproduction or distribution in any format is prohibited without written permission from the copyright owner.
Appears in Collections: D.N.P. - Nursing

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