ArticleJournal of the American College of Emergency Physicians open2025
Alarm Fatigue in the Emergency Department: A Multicenter, Mixed-Method Study of Monitor Alarms.
Article in Journal of the American College of Emergency Physicians open, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
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Who cites it
2 citing papers in PubMed.
- Correlations between monitor alarm workload and overall workload in Swedish emergency departments: a prospective multicenter cross-sectional study.BMC emergency medicine · 2026Article
- Exploring alarm fatigue among clinical nurses through a human factors engineering framework: a descriptive qualitative study.Frontiers in public health · 2026Article
Corrections and comments
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Objectives: Describe the frequency and pattern of monitor alarms in the emergency department (ED), in combination with exploring the staff's experience of alarms and alarm fatigue. Methods: This was a multicenter, mixed-method study of observational monitor alarms and semistructured staff interviews with inductive qualitative content analysis from 3 EDs in Sweden. The primary measures were alarm frequency and confirmation times. Quantile regression was used to analyze the association between alarms and confirmation times. Results: In total, 396,011 alarms were registered during the data collection period, or 1 alarm every 30 seconds in the urban and academic centers and every 120 seconds in the rural hospital, on average. Median confirmation times were 11 seconds for high severity alarms (IQR, 5-33) and 132 seconds for low severity alarms (IQR, 15-878). This increased by 1 second when alarms per hour increased by 128 (95% CI, 67-1000; Conclusion: ED staff work in an alarm environment prone to alarm fatigue with frequent alarms and several system-related factors that increase the risk of alarm fatigue, which is mitigated by the individual health care worker.
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