Insights into the Problem of Alarm Fatigue with Physiologic Monitor Devices¶
Drew, B. J., Harris, P., Zègre-Hemsey, J. K., Mammone, T., Schindler, D., Salas-Boni, R., Bai, Y., et al. (2014). Insights into the Problem of Alarm Fatigue with Physiologic Monitor Devices: A Comprehensive Observational Study of Consecutive Intensive Care Unit Patients. PLoS ONE.
Cited by¶
2 citations across 2 artifacts.
Each citation links to the sentence it supports in the citing article.
Domain-specific¶
- Alarm Fatigue
- The defining body of evidence comes from intensive-care and cardiac-telemetry audits, which repeatedly find that the large majority of physiologic-monitor alarms — commonly cited in the 72–99% range — are non-actionable, and that clinicians frequently silence alarms within seconds without inspecting the patient
This sourceICU audit of 461 patients logging about 2.5 million monitor alarms in a month and finding 88.8% of annotated arrhythmia alarms false, without data on how clinicians silenced them.
Supported in partVerified against the source
- The defining body of evidence comes from intensive-care and cardiac-telemetry audits, which repeatedly find that the large majority of physiologic-monitor alarms — commonly cited in the 72–99% range — are non-actionable, and that clinicians frequently silence alarms within seconds without inspecting the patient
- Operator-Vigilance Dependency
- Bedside monitors in ICUs and telemetry units generate a flood of alerts, of which a large majority — commonly reported above 85% — are non-actionable (artifact, minor transient, or duplicate)
This source31-day ICU observational study of 461 patients recording 2.5 million monitor alarms, an audible burden of 187 alarms per bed per day, and false positives in 88.8% of the 12,671 annotated arrhythmia alarms.
Supported in partVerified against the work's full text
“There were 381,560 audible alarms for an audible alarm burden of 187/bed/day. 88.8% of the 12,671 annotated arrhythmia alarms were false positives.”
- Bedside monitors in ICUs and telemetry units generate a flood of alerts, of which a large majority — commonly reported above 85% — are non-actionable (artifact, minor transient, or duplicate)
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