alarm fatigue in nursing joint commission

Research has shown that 80%–99% of ECG monitor alarms are false or clinically insignificant. Patient safety and regulatory agencies have focused on the issue of alarm fatigue, and it is a 2014 Joint Commission National Patient Safety Goal. This end result is a decrease in patient safety overall. This overload ultimately results in a delay of an alarm being answered, and sometimes someone completely missing the alarm altogether (The Joint Commission, 2015). The number of conditions and therapeutics to be monitored, “alarm fatigue” caused by the large number of alarms, and a lack of commitment by hospital staff all can lead to dire consequences. Patient safety and regulatory agencies have focused on the issue of alarm fatigue, and it is a 2014 Joint Commission National Patient Safety Goal. The recent Joint Commission National Patient Safety Goal on clinical alarm safety highlighted the complexities of modern-day alarm management and the hazards of alarm fatigue. Alarm fatigue has been recognized as a contributing factor to clinical distractions, interfering with patient care. We’ve been addressing alarm fatigue at the Johns Hopkins Health System since 2006. In April 2013, the Joint Commission, the … Joint Commission Cites “Alarm Fatigue” as Patient Risk Author Information . Journal of Clinical Engineering: July/September 2013 - Volume 38 - Issue 3 - p 97. doi: 10.1097/JCE.0b013e318298fc39. Buy; ... default settings on the cardiac monitor and an in-service for nurses on alarm fatigue. This was a correlational and predictive quantitative study. In 2013, The Joint Commission issued an alarm safety alert ; they established alarm safety as a National Patient Safety Goal in 2014, with further regulations becoming mandatory in 2016. Design. There are no conflicts of interest to declare. According to The Joint Commission (2013), alarm fatigue can lead to unsafe practices by caregivers, and the outcomes may be devastating. Alarm management is one of the Joint Commission's National Patient Safety Goals (2014) because sentinel events have directly been linked to the devices generating these alarms. • A Joint Commission infographic estimates that 85 -99% of alarms do not require clinical intervention. The Joint Commission has identified alarm management as a national patient safety goal and requires hospitals to take action to reduce unnecessary alarms as a condition of accreditation. It has been noted that health care organizations should address alarm fatigue as mandated by the Joint Commission based on the higher number of alarms sounding in the critical care environment and based on factors influencing nurses to respond to the alarm. Safety advocates are increasingly concerned about the damage done by what some call alarm fatigue. In 2015, for the fourth consecutive year, ECRI listed alarm fatigue as the number one hazard of health technology. 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