ArticleAmerican journal of critical care : an official publication, American Association of Critical-Care Nurses2019
Contribution of Electrocardiographic Accelerated Ventricular Rhythm Alarms to Alarm Fatigue.
Article in American journal of critical care : an official publication, American Association of Critical-Care Nurses, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
What it found
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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.
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Who cites it
5 citing papers in PubMed, 14 citations in OpenAlex.
- Role of a Deep-Learning Based Convolutional Neural Network Model for Real-Time Ventricular Tachycardia Alarm Classification.Journal of cardiovascular electrophysiology · 2026Article
- Ventricular tachycardia and in-hospital mortality in the intensive care unit.Heart rhythm O2 · 2023Article
- An annotated ventricular tachycardia (VT) alarm database: Toward a uniform standard for optimizing automated VT identification in hospitalized patients.Annals of noninvasive electrocardiology : the official journal of the International Society for Holter and Noninvasive Electrocardiology, Inc · 2023Article
- The Current Situation and Influencing Factors of the Alarm Fatigue of Nurses' Medical Equipment in the Intensive Care Unit Based on Intelligent Medical Care.Journal of healthcare engineering · 2021Article
- Technical article: Overview of hospital-based data capture systems that acquire continuous ECG and physiologic data.Journal of electrocardiologyArticle
Corrections and comments
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Authors and funding
5 authors at 3 institutions in 1 country.
Funding
Abstract
backgroundExcessive electrocardiographic alarms contribute to "alarm fatigue," which can lead to patient harm. In a prior study, one-third of audible electrocardiographic alarms were for accelerated ventricular rhythm (AVR), and most of these alarms were false. It is uncertain whether true AVR alarms are clinically relevant.
objectivesTo determine from bedside electrocardiographic monitoring data (1) how often true AVR alarms are acknowledged by clinicians, (2) whether such alarms are actionable, and (3) whether such alarms are associated with adverse outcomes ("code blue," death).
methodsSecondary analysis using data from a study conducted in an academic medical center involving 5 adult intensive care units with 77 beds. Electronic health records of 23 patients with 223 true alarms for AVR were examined.
resultsThe mean age of the patients was 62.9 years, and 61% were white and male. All 223 of the true alarms were configured at the warning level (ie, 2 continuous beeps), and 215 (96.4%) lasted less than 30 seconds. Only 1 alarm was acknowledged in the electronic health record. None of the alarms were clinically actionable or led to a code blue or death.
conclusionsTrue AVR alarms may contribute to alarm fatigue. Hospitals should reevaluate the need for close monitoring of AVR and consider configuring this alarm to an inaudible message setting to reduce the risk of patient harm due to alarm fatigue. Prospective studies involving larger patient samples and varied monitors are warranted.
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Registered trials
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