nurse fatigue and patient safety
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Few alarms are of any clinical value, making them frustrating to hospital staff and in the worst cases, harmful to patients. Overall, frequent false alarms and noise levels do little to foster a healing, comforting environment. An average nurse in the ICU has to deal with three dozen kinds of alarm soundsbut several studies support the fact that most people cannot differentiate between more than six different alarm sounds.
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To complicate matters further, many alarms are non-critical issues or irrelevant to the specific patient. This is alarm fatigue at its unrse a delayed response, or no response at all, to an alarm. Sometimes, habituation results in some alarms not even being heard at all. Alarm fatigue results in increased response time or decreased response source due to experiencing excessive alarms.
When nurses do not respond quickly enough to the few alarms that need response, patient care is affected. The Joint Commission made alarm management a National Patient Safety Goal over five years ago and has prioritized it every year.
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There were more than alarm-related deaths in the United States from toand bythe number was reduced to 80 deaths over a three year period. Any time spent responding to false alarms is time that could have been spent focusing on patient care. The primary contributing factors are outlined below, alongside two strategies to reduce alarm fatigue:. A standardized set of alarms for every patient is one of the primary contributors to excessive, unnecessary alarms. These can be tweaked per the nurse fatigue and patient safety of the patient during check-in. By taking the vital signs of the individual patient into consideration when setting alerts, practitioners reduce the number of false alarms from the start. One solution to this challenge is a dedicated messaging platform that allows for Electronic Health Record EHR integration.
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Additionally, when a care team knows that alerts are chosen precisely, individual practitioners respond more carefully when alarms sound. Patient care is improved when important alarms get a response as quickly as possible, but patient care is also improved by a restful, quiet healing environment. By funneling the important alarms directly to the physician or nurse on-call, the number of distracting, audible alarms on the floor decreases to only patiwnt most critical. A messaging platform that integrates with the saffty call center nurse fatigue and patient safety triage low-priority alerts to unit coordinators.
More importantly, directing all alarms to one specific device reduces the cognitive load and number of distractions a nurse experiences during a shift. Additionally, funneling alerts to one device means that the care provider can identify the type and location of the alarm immediately: without having to memorize dozens of alert sounds, drop their current task, or rush to another end of the unit.]
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