Evidence map›Paper›PMID 30077422›Full record

ReviewJournal of electrocardiology

A call to alarms: Current state and future directions in the battle against alarm fatigue.

Marilyn Hravnak, Tiffany Pellathy, Lujie Chen, Artur Dubrawski, Anthony Wertz, Gilles Clermont, Michael R Pinsky

Open access · greenAbstract readReview
In one paragraph

Review in Journal of electrocardiology. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 46 papers.

0numbers the graph read from it
0cells of the map it votes in
46citing papers in PubMed
5.7field-weighted citation impact, top 4% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

46 citing papers in PubMed, 103 citations in OpenAlex.

  1. Trial
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  4. Review
  5. Impact of postoperative in-hospital continuous vital sign monitoring on healthcare costs, resource utilization and labor market outcomes.The European journal of health economics : HEPAC : health economics in prevention and care · 2026
    Article
  6. Article
  7. Review
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
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  14. Employing Eye Trackers to Reduce Nuisance Alarms.Sensors (Basel, Switzerland) · 2025
    Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 2 institutions in 1 country.

Marilyn HravnakSchool of Nursing, University of Pittsburgh, United States. Electronic address: mhra@pitt.edu.
Tiffany PellathySchool of Nursing, University of Pittsburgh, United States.
Lujie ChenAuton Lab, Robotics Institute, School of Computer Science, Carnegie Mellon University, United States.
Artur DubrawskiAuton Lab, Robotics Institute, School of Computer Science, Carnegie Mellon University, United States.
Anthony WertzAuton Lab, Robotics Institute, School of Computer Science, Carnegie Mellon University, United States.
Gilles ClermontSchools of Medicine, University of Pittsburgh, United States.
Michael R PinskySchools of Medicine, University of Pittsburgh, United States.
University of Pittsburgh · USCarnegie Mellon University · US

Funding

Predicting Patient Instability Noninvasively for Nursing Care-Two (PPINNC-2)R01NR013912 · NINR · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI AL-ZAITI, SALAH S, CLERMONT, GILLES · 2012 to 2025
$7.0M
Technology Research in Chronic & Critical IllnessT32NR008857 · NINR · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI Young Ji Lee · 2005 to 2026
$4.0M
Machine Learning to Determine Dynamically Evolving New-Onset Venous Thromboembolic (VTE) Event Risk in Hospitalized PatientsF31NR018102 · NINR · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI PELLATHY, TIFFANY PURCELL · 2018 to 2020
$107k
NINR NIH HHS F31 NR018102NINR NIH HHS R01 NR013912
6 · The paper itself

Abstract

Research demonstrates that the majority of alarms derived from continuous bedside monitoring devices are non-actionable. This avalanche of unreliable alerts causes clinicians to experience sensory overload when attempting to sort real from false alarms, causing desensitization and alarm fatigue, which in turn leads to adverse events when true instability is neither recognized nor attended to despite the alarm. The scope of the problem of alarm fatigue is broad, and its contributing mechanisms are numerous. Current and future approaches to defining and reacting to actionable and non-actionable alarms are being developed and investigated, but challenges in impacting alarm modalities, sensitivity and specificity, and clinical activity in order to reduce alarm fatigue and adverse events remain. A multi-faceted approach involving clinicians, computer scientists, industry, and regulatory agencies is needed to battle alarm fatigue.

Indexed as

Clinical AlarmsPatient SafetyPoint-of-Care SystemsDiagnostic ErrorsElectrocardiographyEquipment FailureHumansSound

Identifiers

PMID30077422
PMCPMC6263784
OpenAlexW2884449598

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.