Improving Patient Safety and Reducing Alarm Fatigue

The Physician-Physician Alliance for Health Safety released a clinical education podcast on improving patient safety and reducing alarm fatigue.

Discussing the right and wrong ways to use continuous surveillance monitoring are a  distinguished panel of experts:

  • Leah Baron, MD is chief of the department of Anesthesiology at Virtua Memorial Hospital;
  • Maria Cvach, DNP, RN, FAAN  is director of policy management and integration for Johns Hopkins Health System; and
  • Marc Schlessinger, RRT, MBA, FACHE is senior associate at ECRI Institute’s applied solutions group.

Recently, ECRI Institute issued its Top 10 Health Technology Hazards for 2018. One of ECRI’s 2018 concerns is how missed alarms may result from inappropriately configured secondary notifications devices and systems. Marc Schlesinger provides useful tips from his experience in helping hospitals improve their alarm management.

ECRI's Top 10 Health Technology Hazards for 2018 - Missed Alarms
ECRI’s Top 10 Health Technology Hazards for 2018 – Missed Alarms: https://www.ecri.org/Resources/Whitepapers_and_reports/Haz_18.pdf

To provide an example of how a hospital has been able to reduce alarm fatigue, Dr. Baron discusses Virtua Memorial Hospital’s experience and the project that Virtua implemented. Virtua was able to do this by connecting capnography to middleware. This helped them to distinguish between actionable and non-actionable alarms, as well, create a notification system that escalated the alarms when they occurred. As Dr. Baron explains:

“We did create algorithms using parameters that we were obtaining from our capnostream monitors and algorithm that helped us, again, to identify the events that were clinically significant for our patients.”                     

Continuous Surveillance Monitoring of Sleep Apnew Patients in a Medical-Surgcal Unit http://www.aami-bit.org/doi/pdf/10.2345/0899-8205-51.3.236?code=aami-site
Continuous Surveillance Monitoring of Sleep Apnew Patients in a Medical-Surgcal Unit http://www.aami-bit.org/doi/pdf/10.2345/0899-8205-51.3.236?code=aami-site

Maria Cvach provides insights and key learnings into how John Hopkins Health System was able to improve patient safety and reduce alarm fatigue.

Alarm Fatigue Resources
Alarm Fatigue Resources
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To read a transcript of the podcast, please click here.

The podcast may be viewed on the PPAHS YouTube channel by clicking here.

The clinical education podcast was made possible by an unrestricted educational grant from Bernoulli Health.

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