Clinical alarms and alarm fatigue in a University Hospital Emergency Department-A retrospective data analysis

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dc.contributor.author Jamsa, JO
dc.contributor.author Uutela, KH
dc.contributor.author Tapper, AM
dc.contributor.author Lehtonen, L
dc.date.accessioned 2021-11-22T12:22:01Z
dc.date.available 2021-11-22T12:22:01Z
dc.date.issued 2021-05
dc.identifier.citation Jamsa , JO , Uutela , KH , Tapper , AM & Lehtonen , L 2021 , ' Clinical alarms and alarm fatigue in a University Hospital Emergency Department-A retrospective data analysis ' , Acta Anaesthesiologica Scandinavica , vol. 65 , no. 7 , pp. 979-985 . https://doi.org/10.1111/aas.13824
dc.identifier.other PURE: 170522891
dc.identifier.other PURE UUID: 585bf20e-832f-40f9-bdcb-23b6914ad387
dc.identifier.other RIS: urn:CE524F1FA5D6C3F38121EF4D3BCDE128
dc.identifier.other WOS: 000646704900001
dc.identifier.uri http://hdl.handle.net/10138/336591
dc.description.abstract Background Alarm fatigue is hypothesized to be caused by vast amount of patient monitor alarms. Objectives were to study the frequency and types of patient monitor alarms, to evaluate alarm fatigue, and to find unit specific alarm threshold values in a university hospital emergency department. Methods We retrospectively gathered alarm data from 9 September to 6 October 2019, in Jorvi Hospital Emergency department, Finland. The department treats surgical, internal and general medicine patients aged 16 and older. The number of patients is on average 4600 to 5000 per month. Eight out of 46 monitors were used for data gathering and the monitored modalities included electrocardiography, respiratory rate, blood pressure, and pulse oximetry. Results Total number of alarms in the study monitors was 28 176. Number of acknowledged alarms (ie acknowledgement indicator pressed in the monitor) was 695 (2.5%). The most common alarm types were: Respiratory rate high, 9077 (32.2%), pulse oximetry low, 4572 (16.2%) and pulse oximetry probe off, 4036 (14.3%). Number of alarms with duration under 10 s was 14 936 (53%). Number of individual alarm sounds was 105 000, 469 per monitor per day. Of respiratory rate high alarms, 2846 (31.4%) had initial value below 30 breaths min(-1). Of pulse oximetry low alarms, 2421 (53.0%) had initial value above 88%. Conclusions Alarm sound load, from individual alarm sounds, was nearly continuous in an emergency department observation room equipped with nine monitors. Intervention by the staff to the alarms was infrequent. More than half of the alarms were momentary. en
dc.format.extent 7
dc.language.iso eng
dc.relation.ispartof Acta Anaesthesiologica Scandinavica
dc.rights cc_by
dc.rights.uri info:eu-repo/semantics/openAccess
dc.subject alarm fatigue
dc.subject clinical alarms
dc.subject emergency medicine
dc.subject patient safety
dc.subject EVENTS
dc.subject 3126 Surgery, anesthesiology, intensive care, radiology
dc.title Clinical alarms and alarm fatigue in a University Hospital Emergency Department-A retrospective data analysis en
dc.type Article
dc.contributor.organization Doctoral Programme in Clinical Research
dc.contributor.organization HUS Emergency Medicine and Services
dc.contributor.organization Clinicum
dc.contributor.organization HUSLAB
dc.contributor.organization Doctoral Programme in Oral Sciences
dc.contributor.organization Doctoral Programme in Drug Research
dc.contributor.organization Department of Public Health
dc.description.reviewstatus Peer reviewed
dc.relation.doi https://doi.org/10.1111/aas.13824
dc.relation.issn 0001-5172
dc.rights.accesslevel openAccess
dc.type.version publishedVersion

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