• J Trauma Nurs · Oct 2013

    Full of sound and fury, signifying nothing: burden of transient noncritical monitor alarms in a trauma resuscitation unit.

    • Katharine Colton, Theresa Dinardo, Peter F Hu, Wei Xiong, Eric Z Hu, George Reed, Joseph J DuBose, Lynn G Stansbury, Colin F Mackenzie, William C Chiu, Catriona Miller, Raymond Fang, Deborah M Stein, Thomas M Scalea, and ONPOINT Study Group.
    • Shock Trauma Anesthesia Research Organized Research Center, University of Maryland School of Medicine and R Adams Cowley Shock Trauma Center, Baltimore, Maryland.
    • J Trauma Nurs. 2013 Oct 1; 20 (4): 184-8.

    AbstractWe examined the types of patient monitor alarms encountered in the trauma resuscitation unit of a major level 1 trauma center. Over a 1-year period, 316688 alarms were recorded for 6701 trauma patients (47 alarms/patient). Alarms were more frequent among patients with a Glasgow Coma Scale of 8 or less. Only 2.4% of all alarms were classified as "patient crisis," with the rest in the presumably less critical categories "patient advisory," "patient warning," and "system warning." Nearly half of alarms were ≤5 seconds in duration. In this patient population, a 2-second delay would reduce alarms by 25%, and a delay of 5 seconds would reduce all alarms by 49%.

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