3T MICU EVIDENCE BASED PRACTICE PROJECT TO REDUCE NUISANCE ALARMS

3T MICU EVIDENCE BASED PRACTICE PROJECT TO REDUCE NUISANCE ALARMS

Bibliography

Name: Cassandra Bullock

Rank: CPT

Presenter/Poster:

Year: 2016

Abstract

Recognizing patient’s safety and health can by compromised due to missed clinically actionable alarms, The Joint Commission has established hospitals meet the 2016 NPSG for alarm system safety by developing and implementing policies and procedures for managing alarms and to educate staff about the purpose and proper operation of alarm systems for which they are responsible. Evidence suggests that changing ECG electrodes daily decreases the number of false alarms.
Phase 1: Baseline data collected from Medical ICU clinical alarms systems. Alarms collected for Heart Rate, Blood Pressure, Spo2, and Respiratory rate. Two Week Education Intervention provided consisting of: Unit poster reminders and computer mounted reminders to review alarm settings, Hands on demonstration on how to tailor alarms, AACN webinar on alarm fatigue to staff, In-service provided to over 90% of staff based on AACN Practice Alert. Data was collected from MICU (2 week intervals for a total of 6 weeks).
Phase 2: Baseline data collected from Medical ICU clinical alarms systems. Alarms collected for Heart Rate, BP, Spo2, and Respiratory rate. Unit specific policy and nurse initiated orders developed for the Medical ICU for verifying correct lead placement and daily changes of ECG electrodes. Two Week Education Intervention consisting of: Unit poster reminders and computer mounted reminders for correct ECG lead placement, Hands on demonstration on how to correctly place ECG leads and how to add NIO’s to electronic medical record to over 90% of Medical ICU Staff, in-service provided to over 96% of staff based on AACN Practice Alert. Data was collected from alarm monitoring systems (2 wk intervals for a total of 4 wks).
The average number of audible alarms per patient occurring in 1 day decreased by 47% from December 2014 (126.6) to November 2015 (67.1)