ArticleActa paediatrica (Oslo, Norway : 1992)2021
Optimisation of clinical workflow and monitor settings safely reduces alarms in the NICU.
Article in Acta paediatrica (Oslo, Norway : 1992), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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Who cites it
10 citing papers in PubMed.
- Patterns of Alarm Fatigue and Their Predictors Among Nurses in Intensive Care Units: A Latent Profile Analysis.Nursing & health sciences · 2026Article
- Crying wolf, alarm safety and management in paediatrics: A scoping review.Journal of advanced nursing · 2025Article
- Alarm fatigue mitigation through nurse empowerment: a pre-post intervention study in two intensive care units.BMC nursing · 2025Article
- The Physiological Effects of an Adjusted Alarm Architecture on a Neonatal Intensive Care Unit.Acta paediatrica (Oslo, Norway : 1992) · 2025Article
- Caregivers' response to cardiorespiratory events in preterm infants in the NICU - A quantitative overview.Acta paediatrica (Oslo, Norway : 1992) · 2025Observational
- Alarm Management in Provisional COVID-19 Intensive Care Units: Retrospective Analysis and Recommendations for Future Pandemics.JMIR medical informatics · 2024Article
- Machine Alarm Fatigue among Hemodialysis Nurses in 29 Tertiary Hospitals.Applied clinical informatics · 2024Article
- The effect of intelligent management interventions in intensive care units to reduce false alarms: An integrative review.International journal of nursing sciences · 2024Review
- Integrating Physiological Data Artifacts Detection With Clinical Decision Support Systems: Observational Study.JMIR biomedical engineering · 2021Article
- Optimisation of clinical workflow and monitor settings safely reduces alarms in the NICU.Acta paediatrica (Oslo, Norway : 1992) · 2021Article
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Authors and funding
10 authors.
Funding
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Abstract
aimTo address alarm fatigue, a new alarm management system which ensures a quicker delivery of alarms together with waveform information on nurses' handheld devices was implemented and settings optimised. The effects of this clinical implementation on alarm rates and nurses' responsiveness were measured in an 18-bed single family rooms neonatal intensive care unit (NICU).
methodsThe technical implementation of the alarm management system was followed by clinical workflow optimisation. Alarms and vital parameters from October 2017 to December 2019 were analysed. Measures included monitoring alarms, nurses' response to alarms and time spent by patients in different saturation ranges. A survey among nurses was performed to evaluate changes in alarm rate and use of protocols.
resultsA significant reduction of monitoring alarms per patient days was detected after the optimisation phase (in particular for SpO2 ≤ 80%, P < .001). More time was spent by infants within the optimal peripheral oxygen saturation range (88% < SpO2 < 95%, P < .001). Results from the surveys showed that false alarms are less likely to cause an inappropriate response after the optimisation phase.
conclusionThe implementation of an alarm management solution and an optimisation programme can safely reduce the alarm burden inside of the NICU environment.
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