Featured Articles

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  • Turmell JW, Coke L, Catinella R, Hosford T, Majeski A. Alarm Fatigue: Use of an Evidence-Based Alarm Management Strategy. J Nurs Care Qual. 2016 Aug 5. [Epub  ahead of print] PubMed PMID: 27500694.    Please click here for a free copy of this article.  

ABSTRACT:  The purpose of this article is to describe the impact of an evidence-based alarm management strategy on patient safety. An alarm management program reduced alarms up to 30%. Evaluation of patients on continuous cardiac monitoring showed a 3.5% decrease in census. This alarm management strategy has the potential to save $136 500 and 841 hours of registered nurses’ time per year. No patient harm occurred during the 2-year project.

  • Simpson KR, Lyndon A, Davidson LA. Patient Safety Implications of Electronic Alerts and Alarms of Maternal - Fetal Status During Labor. Nurs Womens Health. 2016 Aug-Sep;20(4):358-66. doi: 10.1016/j.nwh.2016.07.004. Review. PubMed PMID: 27520600 
    Please click here for a free copy of this article.
ABSTRACT:  When nurses care for women during labor, they encounter numerous alerts and alarms from electronic fetal monitors and their surveillance systems. Notifications of values of physiologic parameters for a woman and fetus that may be outside preset limits are generated via visual and audible cues. There is no standardization of these alert and alarm parameters among electronic fetal monitoring vendors in the United States, and there are no data supporting their sensitivity and specificity. Agreement among professional organizations about physiologic parameters for alerts and alarms commonly used during labor is lacking. It is unknown if labor nurses view the alerts and alarms as helpful or a nuisance. There is no evidence that they promote or hinder patient safety. This clinical issue warrants our attention as labor nurses.

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