A Quasi-Experimental Study to Assess the Effectiveness of Safe Alarm Practices on Reducing False Alarms, Alarm Burden, and Alarm Fatigue among Nurses in the Paediatric Intensive care unit and Cardio Thoracic Intensive Care Unit at Apollo Children's Hospital, Chennai
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Zenodo
2025
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| _version_ | 1866902000836280320 |
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| author | Pushpalatha. D C.Jenifer Robert, S. Sowmya Raja Singh, P. Julie, J. Flinsi, M. |
| author_facet | Pushpalatha. D C.Jenifer Robert, S. Sowmya Raja Singh, P. Julie, J. Flinsi, M. |
| contents | <p><span>Alarm fatigue has emerged as a critical patient safety issue in intensive care units due to the high frequency of alarms generated by biomedical monitoring devices. Evidence indicates that approximately 72–99% of clinical alarms are false or non-actionable, leading to alarm desensitization among healthcare professionals and delayed responses to true critical events. This quality improvement project aimed to reduce alarm burden and alarm fatigue among nurses, improve alarm response time, and enhance patient safety in the Paediatric and Cardio-Thoracic Intensive Care Units (PICU/CTICU). The study was conducted over a three-month period using a quasiexperimental one-group pre-test and post-test design. Interventions included baseline audits of alarm frequency and response patterns, staff sensitization, competency mapping, structured training on safe alarm practices, and reinforcement strategies. Post-intervention analysis revealed a 58.3% reduction in alarms per bed per hour, a 55% reduction in nuisance alarms, and a 52% reduction in false alarms. Nurses’ competency scores and consultant satisfaction demonstrated statistically significant improvement (p < 0.05). Sustainability of outcomes was ensured through integration of safe alarm practices into unit policies, ongoing competency-based training, periodic alarm audits, and continuous monitoring through quality indicators. The findings indicate that sustained implementation of safe alarm practices effectively reduces alarm fatigue, optimizes alarm management, and improves patient safety outcomes in critical care settings.</span> </p> |
| format | Recurso digital |
| id | zenodo_https___doi_org_10_5281_zenodo_18051376 |
| institution | Zenodo |
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| publishDate | 2025 |
| publisher | Zenodo |
| record_format | zenodo |
| spellingShingle | A Quasi-Experimental Study to Assess the Effectiveness of Safe Alarm Practices on Reducing False Alarms, Alarm Burden, and Alarm Fatigue among Nurses in the Paediatric Intensive care unit and Cardio Thoracic Intensive Care Unit at Apollo Children's Hospital, Chennai Pushpalatha. D C.Jenifer Robert, S. Sowmya Raja Singh, P. Julie, J. Flinsi, M. <p><span>Alarm fatigue has emerged as a critical patient safety issue in intensive care units due to the high frequency of alarms generated by biomedical monitoring devices. Evidence indicates that approximately 72–99% of clinical alarms are false or non-actionable, leading to alarm desensitization among healthcare professionals and delayed responses to true critical events. This quality improvement project aimed to reduce alarm burden and alarm fatigue among nurses, improve alarm response time, and enhance patient safety in the Paediatric and Cardio-Thoracic Intensive Care Units (PICU/CTICU). The study was conducted over a three-month period using a quasiexperimental one-group pre-test and post-test design. Interventions included baseline audits of alarm frequency and response patterns, staff sensitization, competency mapping, structured training on safe alarm practices, and reinforcement strategies. Post-intervention analysis revealed a 58.3% reduction in alarms per bed per hour, a 55% reduction in nuisance alarms, and a 52% reduction in false alarms. Nurses’ competency scores and consultant satisfaction demonstrated statistically significant improvement (p < 0.05). Sustainability of outcomes was ensured through integration of safe alarm practices into unit policies, ongoing competency-based training, periodic alarm audits, and continuous monitoring through quality indicators. The findings indicate that sustained implementation of safe alarm practices effectively reduces alarm fatigue, optimizes alarm management, and improves patient safety outcomes in critical care settings.</span> </p> |
| title | A Quasi-Experimental Study to Assess the Effectiveness of Safe Alarm Practices on Reducing False Alarms, Alarm Burden, and Alarm Fatigue among Nurses in the Paediatric Intensive care unit and Cardio Thoracic Intensive Care Unit at Apollo Children's Hospital, Chennai |
| url | https://doi.org/10.5281/zenodo.18051376 |