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Health Care, Medical

Alarm Fatigue In Clinical Nursing Practice Annotated Bibliography

Sendelbach, S., & Funk, M. (2013). Alarm Fatigue: A Patient Safety Concern. AACN advanced critical care, 24(4), 378-386.

The article explains how alarm fatigue occurs. It points out that alarm fatigue occurs when the sheer number of alarm signals overwhelms the nurses, resulting in alarm desensitization. The overwhelming leads to either delayed response to the alarms or missed alarms in other cases. The article also points out that more than 85% of alarms in hospitals are false, and this calls for the people concerned to address the issue. The challenge has forced the nurses to ignore the alarm signals, turn down the volume of clear ones, or even deactivate the alarm signals. This behaviour of nurses towards alarms has led to disastrous conditions such as patient deaths. The article is also beneficial because it explains some of the interventions which need consideration in reducing alarm fatigue. These methods include ECG electrodes, human factors, individualizing alarm parameters, inter-professional teams, and measurement.

Kinghorn, K. A. (2015). Addressing the Problem of Alarm Fatigue: Enhancing Patient Safety through Cardiac Alarm Customization.

The article is relevant because it addresses some of the ways of reducing alarm fatigue. Alarm fatigue needs to be addressed with immediate effect because the article reports that alarms interrupt the proper working of registered nurses (RNs), forcing some nurses to customize the signals. Some of the problems associated with alarms include inappropriate user settings and algorithm deficiencies. The article also points out that nonactionable alarms lead to unsafe practices, which makes the nurses respond slower as the alerts increase. The publication is also essential because it helps the reader point out some of the ways that can be used to reduce audible alarms without interfering with the safety of the patients. The methods include the elimination of self-resetting alarms for tachycardia and bradycardia. Moreover, there is a need to change the HR limits set by the manufacturer to better match the population of the patients. The process may result in a reduction of the average number of alarms per week and improve patient and staff motivation, hence reducing alarm fatigue.



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