ABSTRACT
BACKGROUND: Excessive clinical alarms have inundated health care for years. Multiple governing bodies, organizations, and facilities have deemed alarm management a priority. Alarm management is a multifaceted problem that affects all health care organizations and clinical staff, especially those in critical care units. Ultimately, the lack of knowledge regarding nurses' perceptions to alarm management and alarm fatigue creates patient safety chiasms. OBJECTIVES: The purpose of this quality improvement project was to understand nurses' perceptions of alarm fatigue (utilizing the Healthcare Technology Foundation's Clinical Alarms Committee Survey) while implementing interventions that improve patient safety. METHODS: The design of this qualitative study is an electronically distributed survey to 31 nurses who work in critical care. The Healthcare Technology Foundation clinical alarms survey has 36 questions with various answering strategies distributed (with permission) via e-mail access by BlueQ through Creighton University. RESULTS: Twenty-six respondents (n = 26) completed the survey, with 42% being intensive care unit nurses and 58% being progressive care unit nurses. The majority of nurses (n = 23, 88%) agreed that nuisance alarms occur frequently and disrupt patient care (n = 25, 96%). A lack of standardized method was noted to alarm management and parameter changes. Multiple patterns emerged that initiated the need for further examination and improvement. DISCUSSION: Following the survey, themes emerged, and changes were implemented including the following: an alarm management policy was created, tools were provided to staff for easy usage, staff were educated using hands-on practice at an annual training summit, and sustainability was created through continuation of alarm management assessment and improvement.
Subject(s)
Auditory Fatigue , Clinical Alarms , Critical Care/methods , Critical Care/psychology , Critical Illness/nursing , Nursing Staff, Hospital/psychology , Attitude of Health Personnel , Humans , Inservice Training , Organizational Policy , Qualitative Research , Quality Improvement , Surveys and QuestionnairesABSTRACT
Purpose: The purpose of this study was to determine the incidence of hypertension (HTN), compare clinic versus home visit blood pressure (BP) control, and examine the feasibility of home BP monitoring in a vulnerable adult population. Significance: HTN control continues to be an unmet health maintenance challenge across America. This project used a community lay worker (CLW) to guide individuals in a home BP monitoring program for HTN control. Results: Individuals who were educated in monitoring BP at home significantly reduced their systolic BP. Participants validated that this method was effective in meeting their needs for BP control.
