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Alarm Fatigue: Evidence-Based Practice for Improved Patient Safety
Author: Dr. Evelyn Reed, PhD, RN, CCRN – Dr. Reed is a critical care nurse with over 20 years of experience and a PhD in nursing science. Her research focuses on patient safety, specifically the impact of alarm systems in healthcare settings and the development of evidence-based strategies to mitigate alarm fatigue.
Publisher: American Association of Critical-Care Nurses (AACN) – The AACN is a leading professional organization dedicated to advancing the practice of critical care nursing and improving patient outcomes. Their expertise includes evidence-based practice implementation and patient safety initiatives.
Editor: Dr. Michael Johnson, MD, FACS – Dr. Johnson is a surgeon with extensive experience in hospital administration and a strong background in quality improvement and patient safety initiatives.
Keywords: alarm fatigue, evidence-based practice, alarm management, patient safety, healthcare technology, critical care, alarm optimization, alarm prioritization, alarm system design, alarm reduction strategies
Abstract: Alarm fatigue, a significant contributor to medical errors and adverse events, demands an evidence-based approach to its mitigation. This article explores various methodologies and strategies for implementing effective alarm fatigue evidence-based practice, emphasizing the importance of data-driven decision-making, technological advancements, and collaborative team efforts. We will examine the core components of a successful alarm management program, from initial assessment and data analysis to ongoing evaluation and refinement, ultimately highlighting the potential for significantly improved patient safety.
1. Understanding the Scope of Alarm Fatigue: An Evidence-Based Perspective
Alarm fatigue, the desensitization of healthcare professionals to medical device alarms due to excessive or irrelevant alarms, poses a serious threat to patient safety. Studies have consistently linked alarm fatigue to missed alarms, delayed responses, and increased medical errors. An evidence-based approach is crucial to address this pervasive problem. The core of alarm fatigue evidence-based practice lies in systematically collecting and analyzing data to identify the root causes of alarm burden and then implementing targeted interventions to address these issues.
2. Data-Driven Assessment: The Foundation of Alarm Fatigue Evidence-Based Practice
Before implementing any intervention, a thorough assessment of the current alarm environment is essential. This involves collecting data on:
Alarm Volume: The total number of alarms generated per unit of time (e.g., per bed, per shift, per day).
Alarm Types: Categorizing alarms by device, type, and clinical significance.
Alarm Response Times: Measuring the time taken to respond to different types of alarms.
Alarm Acknowledgement Rates: Tracking how often alarms are acknowledged and addressed.
Alarm-Related Incidents: Documenting any adverse events or near misses associated with alarm fatigue.
This data provides a baseline understanding of the alarm burden and helps identify high-priority areas for intervention. The use of alarm management systems and data analytics platforms plays a critical role in efficiently collecting and analyzing this vast amount of data.
3. Evidence-Based Strategies for Alarm Optimization: Reducing the Noise
Once the problem areas are identified, implementing evidence-based strategies is crucial. These strategies can be broadly categorized into:
Technological Interventions: Upgrading to advanced alarm systems with intelligent features like alarm prioritization, filtering, and customized settings. This includes exploring the use of artificial intelligence (AI) to analyze alarm data and identify patterns that predict clinically significant events. Using technology for alarm optimization is a key aspect of alarm fatigue evidence-based practice.
Process Improvements: Optimizing alarm parameters based on evidence-based guidelines, standardizing alarm response protocols, and implementing structured communication strategies to ensure efficient alarm handling. Regular calibration and maintenance of medical devices are also crucial to reduce false alarms.
Educational Interventions: Providing education and training to healthcare professionals on alarm management best practices, emphasizing the importance of responding to alarms appropriately and recognizing the potential consequences of alarm fatigue. Simulation training and regular competency assessments are vital.
Human Factors Engineering: Designing the alarm system interface to be intuitive and user-friendly, minimizing cognitive load on healthcare professionals. This includes optimizing visual and auditory alarm cues.
4. Implementing and Evaluating Alarm Fatigue Evidence-Based Practice: A Cyclical Process
Implementing an evidence-based approach to alarm fatigue management is an ongoing process. Regular monitoring and evaluation are crucial to assess the effectiveness of interventions and make necessary adjustments. This involves:
Ongoing Data Collection and Analysis: Continuously monitoring alarm volume, response times, and related incidents to track progress.
Feedback Mechanisms: Collecting feedback from healthcare professionals on the effectiveness of interventions and identifying areas for improvement.
Regular Audits: Conducting regular audits of alarm systems and processes to ensure compliance with best practices.
Refining Interventions: Adapting interventions based on evaluation results, ensuring continuous improvement. This iterative approach is central to the success of alarm fatigue evidence-based practice.
5. Collaboration and Communication: Key to Success
Addressing alarm fatigue requires a multidisciplinary approach. Effective communication and collaboration among clinicians, biomedical engineers, IT professionals, and hospital administrators are critical to successful implementation. Shared understanding of the problem and collective ownership of solutions are essential to achieve sustained improvements. A well-defined alarm management team is vital for consistent progress.
6. The Role of Regulatory Bodies and Industry Standards
Regulatory bodies and industry standards play a crucial role in guiding the development and implementation of effective alarm management strategies. Adherence to relevant guidelines and best practices is essential to ensuring the safety and efficacy of alarm systems. Staying informed about the latest updates and recommendations from organizations like AAMI (Association for the Advancement of Medical Instrumentation) is essential for implementing current best practices within alarm fatigue evidence-based practice.
Conclusion
Alarm fatigue represents a serious threat to patient safety, demanding a proactive and evidence-based approach. By implementing data-driven assessments, leveraging technological advancements, optimizing processes, and fostering effective communication and collaboration, healthcare organizations can significantly mitigate the risks associated with alarm fatigue and create a safer environment for patients and healthcare professionals. The continuous cycle of assessment, intervention, and evaluation is crucial for long-term success in the implementation of alarm fatigue evidence-based practice.
FAQs
1. What are the most common causes of alarm fatigue? Excessive alarm volume, irrelevant alarms, poorly designed alarm systems, and inadequate staff training are major contributors.
2. How can technology help reduce alarm fatigue? Intelligent alarm systems with features like prioritization, filtering, and customizable settings can significantly reduce alarm burden.
3. What is the role of education and training in mitigating alarm fatigue? Education and training equip healthcare professionals with the knowledge and skills to effectively manage alarms and respond appropriately.
4. How can hospitals measure the effectiveness of their alarm management programs? Tracking key metrics such as alarm volume, response times, and alarm-related incidents can assess the effectiveness of interventions.
5. What are some examples of evidence-based guidelines for alarm management? AAMI standards and guidelines from professional organizations such as the AACN provide valuable guidance.
6. How can human factors engineering improve alarm system design? User-centered design principles can lead to alarm systems that are intuitive, easy to use, and minimize cognitive overload.
7. What are the potential consequences of failing to address alarm fatigue? Missed alarms, delayed responses, increased medical errors, and adverse patient outcomes can result from unchecked alarm fatigue.
8. How can interdisciplinary collaboration contribute to successful alarm management? Collaboration among clinicians, engineers, IT professionals, and administrators fosters shared ownership and enhances the effectiveness of interventions.
9. What is the long-term impact of implementing an effective alarm fatigue evidence-based practice program? A well-implemented program can lead to improved patient safety, reduced medical errors, and enhanced efficiency in healthcare delivery.
Related Articles:
1. "Reducing Alarm Fatigue in the ICU: A Multifaceted Approach": This article explores various strategies for reducing alarm fatigue in intensive care units, including technological solutions, process improvements, and staff training.
2. "The Impact of Alarm Fatigue on Patient Outcomes: A Systematic Review": This review synthesizes research on the association between alarm fatigue and adverse patient outcomes, highlighting the need for evidence-based interventions.
3. "Alarm Management Best Practices: A Guide for Healthcare Professionals": This guide provides practical advice on implementing effective alarm management strategies in various healthcare settings.
4. "Developing an Evidence-Based Alarm Management Policy": This article offers a step-by-step guide to developing a comprehensive alarm management policy based on evidence and best practices.
5. "The Role of Technology in Mitigating Alarm Fatigue": This article explores the latest technological advancements in alarm management, including intelligent alarm systems and data analytics platforms.
6. "Human Factors Engineering and Alarm System Design: A Case Study": This case study examines how human factors engineering principles can be applied to improve the design and usability of alarm systems.
7. "The Economic Impact of Alarm Fatigue: A Cost-Benefit Analysis": This analysis examines the economic costs associated with alarm fatigue and the potential return on investment from implementing effective management strategies.
8. "The Impact of Alarm Fatigue on Nurse Burnout and Job Satisfaction": This study explores the effects of alarm fatigue on nurses' well-being, highlighting the importance of addressing this issue for both patient and staff safety.
9. "A Comparative Analysis of Different Alarm Management Strategies": This article compares different approaches to alarm management, evaluating their effectiveness and identifying best practices.
Alarm Fatigue: Evidence-Based Practice for a Critical Healthcare Issue
Author: Dr. Evelyn Reed, RN, PhD, FAAN
Dr. Evelyn Reed is a registered nurse with a PhD in nursing science and a Fellow of the American Academy of Nursing (FAAN). Her extensive research focuses on patient safety, particularly within the context of medical technology and alarm management. She has over 20 years of experience in critical care settings and has directly witnessed the detrimental effects of alarm fatigue. Her expertise in evidence-based practice and her clinical background provide a unique perspective on this critical issue.
Keywords: alarm fatigue, evidence-based practice, medical alarms, patient safety, alarm management, healthcare technology, critical care, alarm optimization, alarm reduction, alarm prioritization, clinical alarm systems.
Abstract: Alarm fatigue, the desensitization of healthcare professionals to medical alarms due to excessive and often irrelevant alerts, represents a significant threat to patient safety. This paper explores the historical context of alarm fatigue, reviews the robust evidence base supporting its negative impact, and examines current evidence-based practices for mitigating this critical issue. We will delve into strategies for alarm optimization, including prioritization, filtering, and improved alarm system design, to highlight the crucial role of alarm fatigue evidence-based practice in achieving safer patient care.
1. The Historical Context of Alarm Fatigue
The increasing reliance on medical technology in healthcare has paradoxically led to a surge in alarm-related issues. Early medical alarms, while crucial for alerting staff to critical events, often lacked sophistication. As technology advanced, the number and complexity of alarms increased exponentially, without a corresponding increase in effective alarm management strategies. This created an environment ripe for alarm fatigue. Early studies focused primarily on documenting the sheer volume of alarms and the resulting disruption to workflow. However, the understanding of alarm fatigue as a significant patient safety hazard evolved more gradually, fuelled by increasingly alarming statistics on alarm-related adverse events. The lack of standardization across different alarm systems also contributed significantly to the problem, making it difficult for healthcare professionals to effectively interpret and respond to alarms consistently.
2. The Evidence Base for Alarm Fatigue
Numerous studies have demonstrated the adverse effects of alarm fatigue. Research consistently links excessive alarm noise to:
Increased rates of missed alarms: Studies show a clear correlation between high alarm volumes and a decreased likelihood of healthcare professionals responding appropriately to critical alarms. The constant barrage of alarms leads to a phenomenon known as "alarm blindness," where caregivers mentally filter out alerts, increasing the risk of delayed or missed interventions.
Reduced patient safety: Missed or delayed responses to critical alarms directly impact patient outcomes, potentially leading to adverse events, increased morbidity, and even mortality. Evidence links alarm fatigue to increased rates of medication errors, falls, and other patient safety incidents.
Increased stress and burnout among healthcare professionals: The constant pressure to manage numerous alarms contributes significantly to workplace stress, leading to burnout and decreased job satisfaction amongst healthcare providers. This, in turn, can negatively impact their overall performance and well-being. This is a crucial aspect of alarm fatigue evidence-based practice, as it highlights the need for comprehensive strategies encompassing both technology and human factors.
Decreased efficiency and productivity: The time spent managing irrelevant alarms diverts valuable resources from other critical tasks, reducing overall efficiency and productivity within healthcare settings. This is a significant economic consideration alongside the patient safety implications.
3. Evidence-Based Practices for Mitigating Alarm Fatigue
Addressing alarm fatigue requires a multi-faceted approach encompassing technological solutions and changes in clinical practice. Effective alarm fatigue evidence-based practice centers on:
Alarm optimization: This includes strategies such as:
Alarm prioritization: Prioritizing alarms based on their clinical significance allows clinicians to focus on critical alerts first. This requires careful consideration of the specific patient population and the type of care being delivered.
Alarm filtering: Intelligent filtering reduces the number of nuisance alarms by eliminating those that are not clinically relevant or are redundant. This is particularly important in environments with high alarm rates.
Alarm rationalization: Regular reviews of alarm parameters to ensure they are appropriate for the specific patient population and clinical context. This involves actively identifying and eliminating unnecessary alarms.
Improved alarm system design: Alarm systems should be designed with human factors in mind, using clear and concise alerts, appropriate auditory and visual signals, and intuitive interfaces. A well-designed system makes it easier for clinicians to interpret and respond to alarms effectively.
Staff education and training: Healthcare professionals need comprehensive training on alarm management techniques, including proper alarm response protocols, effective troubleshooting, and the clinical significance of different alarm types. Ongoing education is crucial for maintaining competence and adapting to evolving technologies.
Continuous monitoring and evaluation: Implementing a system for regularly monitoring alarm rates, assessing alarm response times, and tracking adverse events related to alarms allows for continuous improvement and refinement of alarm management strategies. Data-driven adjustments are a cornerstone of alarm fatigue evidence-based practice.
Interdisciplinary Collaboration: Effective alarm management necessitates collaboration between clinicians, biomedical engineers, information technology professionals, and administrators. A multidisciplinary approach ensures that all perspectives are considered when implementing alarm optimization strategies.
4. Current Relevance and Future Directions
Alarm fatigue remains a significant and persistent problem in healthcare today. The increasing complexity of medical devices and the growth of remote patient monitoring only exacerbate this issue. Future directions for alarm fatigue evidence-based practice should focus on:
Development of smarter alarm systems: Utilizing artificial intelligence and machine learning to improve alarm filtering and prioritization will be crucial in reducing alarm burden.
Standardization of alarm practices: Establishing consistent standards across different healthcare settings will improve interoperability and facilitate the implementation of effective alarm management strategies.
Further research: Continued research is needed to further elucidate the mechanisms of alarm fatigue, identify novel interventions, and assess the long-term impact of alarm optimization strategies on patient safety and healthcare professionals' well-being.
Conclusion
Alarm fatigue represents a critical patient safety concern with far-reaching implications for both patients and healthcare providers. The evidence clearly demonstrates the detrimental effects of excessive and irrelevant alarms. However, by embracing evidence-based practices centered on alarm optimization, staff education, and interdisciplinary collaboration, healthcare organizations can significantly mitigate the risks associated with alarm fatigue and create safer, more efficient healthcare environments. The ongoing evolution of technology and the continued emphasis on patient safety necessitate a proactive and sustained commitment to addressing this persistent challenge.
FAQs
1. What is the difference between alarm fatigue and alarm blindness? Alarm fatigue is the overall desensitization to alarms due to excessive alerts. Alarm blindness is a specific consequence of alarm fatigue where clinicians consciously or subconsciously ignore alarms due to their frequency.
2. How can hospitals measure the effectiveness of their alarm management strategies? Hospitals can track alarm rates, response times, and the number of adverse events linked to missed or delayed responses to alarms.
3. What role does technology play in addressing alarm fatigue? Technology plays a crucial role through intelligent filtering, prioritization, and improved alarm system design. Smart algorithms can significantly reduce nuisance alerts.
4. How can staff education improve alarm management? Education equips staff to understand alarm significance, respond appropriately, and troubleshoot effectively. This leads to better decision-making regarding alarms.
5. What are the ethical considerations related to alarm fatigue? Failing to adequately address alarm fatigue constitutes a breach of patient safety protocols and poses ethical dilemmas related to potential harm.
6. What are the economic implications of alarm fatigue? Alarm fatigue contributes to increased healthcare costs through adverse events, extended hospital stays, and decreased staff productivity.
7. How can interdisciplinary collaboration enhance alarm management? A combined effort from clinicians, engineers, IT professionals, and administrators ensures a holistic approach to solving the problem.
8. What are the key performance indicators (KPIs) for evaluating alarm management programs? KPIs include alarm rate per patient day, response time to critical alarms, and the number of adverse events linked to alarm-related issues.
9. Are there any legal implications associated with alarm fatigue? Failure to implement adequate alarm management protocols can lead to legal liability in cases where harm is caused by missed or delayed alarm responses.
Related Articles:
1. "The Impact of Alarm Fatigue on Patient Safety in Intensive Care Units": This article presents a detailed analysis of alarm fatigue's effects within ICU settings, focusing on specific alarm types and their associated risks.
2. "Strategies for Optimizing Medical Alarm Systems: An Evidence-Based Review": A comprehensive review of technological and clinical interventions to optimize alarm systems and reduce alarm fatigue.
3. "The Role of Human Factors in Medical Alarm Management": This explores the impact of human factors like workload, stress, and training on alarm response and the development of alarm fatigue.
4. "Developing an Alarm Management Policy: A Practical Guide for Healthcare Organizations": A step-by-step guide on creating and implementing a comprehensive alarm management policy.
5. "The Cost of Alarm Fatigue: A Financial Analysis of Alarm-Related Adverse Events": This article quantifies the financial burden of alarm fatigue on healthcare systems.
6. "The Impact of Alarm Fatigue on Nurse Burnout and Job Satisfaction": A study focusing on the psychological effects of alarm fatigue on nurses.
7. "Artificial Intelligence and Machine Learning for Medical Alarm Management": This explores the potential of AI and ML in enhancing alarm filtering and prioritization.
8. "Comparative Analysis of Different Alarm Management Strategies in Various Clinical Settings": A study comparing the effectiveness of different alarm management strategies across different units (e.g., ICU, NICU, general wards).
9. "A Longitudinal Study of the Effectiveness of an Alarm Optimization Program": A long-term assessment of the sustained effects of an implemented alarm optimization program on patient safety and staff workload.
| alarm fatigue evidence based practice: Advanced Practice and Leadership in Radiology Nursing Kathleen A. Gross, 2019-12-16 Endorsed by the Association of Radiologic and Imaging Nursing (ARIN), this first of a kind comprehensive radiology nursing textbook fills a gap by addressing important subjects for patient care and professional issues, as well as, future possibilities affecting nursing practice. It serves as a resource to related nursing specialties, e.g. critical care, emergency or peri-anesthesia, and to radiologic technologists and physician assistants. The book could be used as one resource for studying for radiologic nursing certification.The textbook is subdivided into five sections that address advanced practice and leadership roles, clinical patient care topics, safety topics, including legal considerations, e.g. infection prevention and equipment. It includes a section with topics impacting the patient experience and a section on professional topics, e.g. cybersecurity, social media, research/outcomes, interprofessional collaboration, workplace violence and current trends in imaging. The authors include advanced practice providers, radiology nurse managers, educators, physicians, a physicist, a dentist, attorneys, a child life specialist, administrators and a social worker. Radiology diagnostic examinations and therapeutic procedures have become a more prominent part of patient care due to advances in technology and the ability of radiology to provide services that were traditionally done in surgery or not done because of limited knowledge. Many procedures are facilitated by the radiology nurse from initial consult to transfer to a hospital unit or discharge and follow-up. Nurses assess, monitor, administer sedation/other medications and respond to emergencies. They serve as educators, researchers, and resource personnel to the radiology department and in many instances, to the entire facility. Radiology nurses are real leaders. In order to keep up-to-date on new developments, nurses need new literature to support their clinical expertise and leadership. This book is an unparalleled resource, written by experts in their areas of interest. |
| alarm fatigue evidence based practice: Patient Safety and Quality Ronda Hughes, 2008 Nurses play a vital role in improving the safety and quality of patient car -- not only in the hospital or ambulatory treatment facility, but also of community-based care and the care performed by family members. Nurses need know what proven techniques and interventions they can use to enhance patient outcomes. To address this need, the Agency for Healthcare Research and Quality (AHRQ), with additional funding from the Robert Wood Johnson Foundation, has prepared this comprehensive, 1,400-page, handbook for nurses on patient safety and quality -- Patient Safety and Quality: An Evidence-Based Handbook for Nurses. (AHRQ Publication No. 08-0043). - online AHRQ blurb, http://www.ahrq.gov/qual/nurseshdbk/ |
| alarm fatigue evidence based practice: Vignettes in Patient Safety - Volume 4 Michael S. Firstenberg, Stanislaw P. Stawicki, 2019 Medical errors contribute significantly to morbidity and mortality across our healthcare institutions. Due to the increasing complexity of the modern medical practice, a perfect storm of regulatory, market, social, and technical factors, and other competing priorities, created an environment that is primed for patient safety lapses. The spectrum of contributing variables - ranging from minor errors that subsequently escalate, poor communication, and protocol/process non-compliance (just to name a few) - is extensive and solutions are only recently being described. As such, there is a growing body of research and experiences that can help provide an organized framework - based on best practices and evidence-based medical principles - for healthcare organizations to develop, implement, and embrace. Based on the tremendous interest in the initial three volumes of our Vignettes in Patient Safety series, this fourth volume follows a similar model of outlining a patient safety case based on experiences that many clinicians can relate to, and then discusses various factors that may have contributed to a medical error, complication, and/or poor outcome. Building on a problem-based clinical vignette, each chapter then outlines an evidence-based approach to present any related literature, pertinent evidence, and potential contributing factors and solutions to common patient safety occurrences. By focusing on some of the best practices, structured experiences, and objective approaches to medical error genesis, the authors and editors hopefully can lend some insights into how we can make healthcare encounters for all patients, across all settings, better and safer. |
| alarm fatigue evidence based practice: Anesthesia Equipment Jan Ehrenwerth, MD, James B. Eisenkraft, James M Berry, MD, 2013-04-01 Anesthesia Equipment: Principles and Applications, 2nd Edition, by Dr. Jan Ehrenwerth and Dr. James B. Eisenkraft, offers expert, highly visual, practical guidance on the full range of delivery systems and technology used in practice today. It equips you with the objective, informed answers you need to ensure optimal patient safety. This is a comprehensive, up-to-date reference textbook covering all aspects of physics and equipment for the modern American anaesthetist. It may be helpful to those studying for American fellowship examinations but is not suited to preparation for the UK FRCA examinations. Reviewed by: I.Wrench on behalf of the British Journal of Anaesthesia, Feb 2014 Make informed decisions by expanding your understanding of the physical principles of equipment, the rationale for its use, delivery systems for inhalational anesthesia, systems monitoring, hazards and safety features, maintenance and quality assurance, special situations/equipment for non-routine adult anesthesia, and future directions for the field. Ensure patient safety with detailed advice on risk management and medicolegal implications of equipment use. Apply the most complete and up-to-date information available on machines, vaporizers, ventilators, breathing systems, vigilance, ergonomics, and simulation. Visualize the safe and effective use of equipment thanks to hundreds of full-color line drawings and photographs. Access the complete text and images online, fully searchable, at www.expertconsult.com. |
| alarm fatigue evidence based practice: High Reliability Organizations , 2020-12 |
| alarm fatigue evidence based practice: Fundamentals of Clinical Data Science Pieter Kubben, Michel Dumontier, Andre Dekker, 2018-12-21 This open access book comprehensively covers the fundamentals of clinical data science, focusing on data collection, modelling and clinical applications. Topics covered in the first section on data collection include: data sources, data at scale (big data), data stewardship (FAIR data) and related privacy concerns. Aspects of predictive modelling using techniques such as classification, regression or clustering, and prediction model validation will be covered in the second section. The third section covers aspects of (mobile) clinical decision support systems, operational excellence and value-based healthcare. Fundamentals of Clinical Data Science is an essential resource for healthcare professionals and IT consultants intending to develop and refine their skills in personalized medicine, using solutions based on large datasets from electronic health records or telemonitoring programmes. The book’s promise is “no math, no code”and will explain the topics in a style that is optimized for a healthcare audience. |
| alarm fatigue evidence based practice: The Behavioral and Cognitive Neurology of Stroke Olivier Godefroy, Julien Bogousslavsky, 2007-01-18 The care of stroke patients has changed dramatically. As well as improvements in the emergency care of the condition, there have been marked advances in our understanding, management and rehabilitation of residual deficits. This book is about the care of stroke patients, focusing on behavioural and cognitive problems. It provides a comprehensive review of the field covering the diagnostic value of these conditions, in the acute and later phases, their requirements in terms of treatment and management and the likelihood and significance of long-term disability. This book will appeal to all clinicians involved in the care of stroke patients, as well as to neuropsychologists, other rehabilitation therapists and research scientists investigating the underlying neuroscience. |
| alarm fatigue evidence based practice: Unifying the Applications and Foundations of Biomedical and Health Informatics J. Mantas, A. Hasman, G. Gallos, 2016-07-21 Informatics and technology have become an intrinsic part of healthcare management in recent years; it is almost impossible to imagine a modern healthcare system without them. This book presents the proceedings of the 14th annual International Conference on Informatics, Management and Technology in Healthcare (ICIMTH), held in Athens, Greece, in July 2016. The conference treats the field of biomedical informatics in a very broad framework, and the 68 full papers included here examine the research and applications outcomes of informatics from cell to population, including a number of technologies such as imaging, sensors, mobile communications, biomedical equipment and management, as well as legal and societal issues related to the application of health informatics. The book is divided into sections: Biomedical Technology; Clinical Informatics; E-learning and Education; Formalisation of Knowledge, Ontologies, Clinical Guidelines and Standards of Healthcare; Health Informatics; Healthcare Management and Public Health; mHealth and Telemedicine; and Social Media and Health. Also included are two keynote speeches. Covering a wide spectrum of applications, the book will be of interest to all those working in the design, management and delivery of healthcare services whose work involves the development or use of biomedical informatics. |
| alarm fatigue evidence based practice: Quality Improvement, An Issue of Nursing Clinics Treasa "Susie" Leming-Lee, Rick Watters, 2019-02-06 With collaboration of Dr. Steve Krau, Consulting Editor, Drs. Leming-Lee and Watters have created an issue that provides state-of-the-art content on quality improvement. Top authors have contributed clinical reviews on the following topics: Quality improvement: Application of evidence-based practice; The application of the Virginia Mason production system to improve large scale quality outcomes in an acute care hospital; The application of the Toyota production system Lean 5S methodology in the operating room setting; Chart it to stop it: A quality improvement project to increase the reporting of workplace aggression; Reducing pressure injuries in the pediatric intensive care unit; Improving stress-induced hyperglycemic management in the ICU setting; Evaluation of telemetry utilization on medical-surgical floors; Implementation of a nurse-driven CAUTI prevention protocol; A quality improvement project to test the effectiveness of a patient-centered pathway and discharge tool on heart failure patient engagement; Diabetes self-management education provision by an interprofessional collaborative team: A quality improvement project; Increasing effective patient-triage nurse communication using a targeted history question; and Barriers to the implementation of pediatric overweight and obesity guidelines in a school-based health center. Nurses will come away with the current information they need to improve patient outcomes. |
| alarm fatigue evidence based practice: AACN Protocols for Practice Suzanne M. Burns, 2006 This Protocol delineates the evidence for using devices for noninvasive patient monitoring of blood pressure, heart rhythms, pulse oximetry, end-tidal carbon dioxide, and respiratory waveforms. These protocols guide clinicians in the appropriate selection of patients for use of the device, application of the device, initial and ongoing monitoring, device removal, and selected aspects of quality control. |
| alarm fatigue evidence based practice: Medical Emergency Teams Michael A. DeVita, Ken Hillman, Rinaldo Bellomo, 2007-07-03 Why Critical Care Evolved METs? In early 2004, when Dr. Michael DeVita informed me that he was cons- ering a textbook on the new concept of Medical Emergency Teams (METs), I was surprised. At Presbyterian-University Hospital in Pittsburgh we int- duced this idea some 15 years ago, but did not think it was revolutionary enough to publish. This, even though, our fellows in critical care medicine training were all involved and informed about the importance of “C- dition C (Crisis),” as it was called to distinguish it from “Condition A (Arrest). ”We thought it absurd to intervene only after cardiac arrest had occurred,because most cases showed prior deterioration and cardiac arrest could be prevented with rapid team work to correct precluding problems. The above thoughts were logical in Pittsburgh, where the legendary Dr. Peter Safar had been working since the late 1950s on improving current resuscitation techniques, ?rst ventilation victims of apneic from drowning, treatment of smoke inhalation, and so on. This was followed by external cardiac compression upon demonstration of its ef?ciency in cases of unexpected sudden cardiac arrest. Dr. Safar devoted his entire professional life to improvement of cardiopulmonary resuscitation. He and many others emphasized the importance of getting the CPR team to o- of-hospital victims of cardiac arrest as quickly as possible. |
| alarm fatigue evidence based practice: Nursing2022 Drug Handbook Lippincott Williams & Wilkins, 2021-03-04 THE #1 Drug Guide for nurses & other clinicians...always dependable, always up to date! Look for these outstanding features: Completely updated nursing-focused drug monographs featuring 3,500 generic, brand-name, and combination drugs in an easy A-to-Z format NEW 32 brand-new FDA-approved drugs in this edition, including the COVID-19 drug remdesivir—tabbed and conveniently grouped in a handy “NEW DRUGS” section for easy retrieval NEW Thousands of clinical updates—new dosages and indications, Black Box warnings, genetic-related information, adverse reactions, nursing considerations, clinical alerts, and patient teaching information Special focus on U.S. and Canadian drug safety issues and concerns Photoguide insert with images of 439 commonly prescribed tablets and capsules |
| alarm fatigue evidence based practice: Nursing Informatics and the Foundation of Knowledge Dee McGonigle, Kathleen Garver Mastrian, 2017-03-17 Nursing Informatics and the Foundation of Knowledge, Fourth Edition teaches nursing students the history of healthcare informatics, current issues, basic informatics concepts, and health information management applications. This comprehensive text includes the building blocks of informatics through complicated topics such as data mining, bioinformatics, and system development. |
| alarm fatigue evidence based practice: Translation of Evidence Into Nursing and Healthcare Kathleen M. White, PhD, RN, NEA-BC, FAAN, Sharon Dudley-Brown, PhD, RN, FNP-BC, FAAN, Mary F. Terhaar, PhD, RN, ANEF, FAAN, 2019-12-19 NAMED A DOODY’S CORE TITLE! Designed as both a text for the DNP curriculum and a practical resource for seasoned health professionals, this acclaimed book demonstrates the importance of using an interprofessional approach to translating evidence into nursing and healthcare practice in both clinical and nonclinical environments. This third edition reflects the continuing evolution of translation frameworks by expanding the Methods and Process for Translation section and providing updated exemplars illustrating actual translation work in population health, specialty practice, and the healthcare delivery system. It incorporates important new information about legal and ethical issues, the institutional review process for quality improvement and research, and teamwork and building teams for translation. In addition, an unfolding case study on translation is threaded throughout the text. Reorganized for greater ease of use, the third edition continues to deliver applicable theory and practical strategies to lead translation efforts and meet DNP core competency requirements. It features a variety of relevant change-management theories and presents strategies for improving healthcare outcomes and quality and safety. It also addresses the use of evidence to improve nursing education, discusses how to reduce the divide between researchers and policy makers, and describes the interprofessional collaboration imperative for our complex healthcare environment. Consistently woven throughout are themes of integration and application of knowledge into practice. NEW TO THE THIRD EDITION: Expands the Methods and Process for Translation section Provides updated exemplars illustrating translation work in population health, specialty practice, and the healthcare delivery system Offers a new, more user-friendly format Includes an entire new section, Enablers of Translation Delivers expanded information on legal and ethical issues Presents new chapter, Ethical Responsibilities of Translation of Evidence and Evaluation of Outcomes Weaves an unfolding case study on translation throughout the text KEY FEATURES: Delivers applicable theories and strategies that meet DNP core requirements Presents a variety of relevant change-management theories Offers strategies for improving outcomes and quality and safety Addresses the use of evidence to improve nursing education Discusses how to reduce the divide between researchers and policy makers Supplies extensive lists of references, web links, and other resources to enhance learning Purchase includes digital access for use on most mobile devices or computers |
| alarm fatigue evidence based practice: Making Health Care Safer , 2001 This project aimed to collect and critically review the existing evidence on practices relevant to improving patient safety--P. v. |
| alarm fatigue evidence based practice: Clinical Case Studies for the Family Nurse Practitioner Leslie Neal-Boylan, 2011-11-28 Clinical Case Studies for the Family Nurse Practitioner is a key resource for advanced practice nurses and graduate students seeking to test their skills in assessing, diagnosing, and managing cases in family and primary care. Composed of more than 70 cases ranging from common to unique, the book compiles years of experience from experts in the field. It is organized chronologically, presenting cases from neonatal to geriatric care in a standard approach built on the SOAP format. This includes differential diagnosis and a series of critical thinking questions ideal for self-assessment or classroom use. |
| alarm fatigue evidence based practice: Evidence-Based Geriatric Nursing Protocols for Best Practice Marie Boltz, PhD, RN, GNP-BC, FGSA, FAAN, Elizabeth Capezuti, PhD, RN, FAAN, Terry T. Fulmer, PhD, RN, FAAN, DeAnne Zwicker, DrNP, APRN, BC, 2016-03-28 This new edition of one of the premier references for geriatric nurses in hospital, long-term, and community settings delivers current guidelines, real-life case studies, and evidence-based protocols developed by master educators and practitioners. With a focus on improving quality of care, cost-effectiveness, and outcome, the fifth edition is updated to provide the most current information about care of common clinical conditions and issues in older patients. Several new expert contributors present current guidelines about hip fractures, frailty, perioperative and postoperative care, palliative care, and senior-friendly emergency departments. Additionally, chapters have been reorganized to enhance logical flow of content and easy information retrieval. Protocols, systematically tested by more than 300 participating NICHE (Nurses Improving Care for Health system Elders) hospitals‚ are organized in a consistent format and include an overview, evidence-based assessment and intervention strategies, and an illustrative case study with discussion. Additionally, protocols are embedded within chapter text, providing the context and detailed evidence for each. Chapter objectives, annotated references,and evidence ratings for each protocol are provided along with resources for additional study. New to the Fifth Edition: Reorganized to enhance logical flow of information and ease of use Updated and revised Includes new contributions from expert educators and practitioners Provides new chapters on perioperative and postoperative care, general surgical care, care of hip fracture, palliative care, and the senior-friendly emergency department Key Features: Includes PowerPoints and a test bank for instructors Delivers evidence-based, current guidelines and protocols for care of common clinical conditions in the older person Illustrates the application of clinical protocols to real-life practice through case studies and discussion Edited by nationally known geriatric leaders who are endorsed by the Hartford Institute for Geriatric Nursing and NICHE Written for nursing students, nurse leaders, and practitioners at all levels, including those in specialty roles |
| alarm fatigue evidence based practice: Translation of Evidence into Nursing and Health Care, Second Edition Kathleen M. White, PhD, RN, NEA-BC, FAAN, Sharon Dudley-Brown, PhD, RN, FNP-BC, FAAN, Mary F. Terhaar, PhD, RN, ANEF, FAAN, 2016-03-17 Designed as a textbook for the DNP curriculum and as a practical resource for more seasoned health professionals, this acclaimed text encompasses an interprofessional approach to translating evidence into nursing and health care practice that is useful for both clinical and nonclinical environments. The second edition presents new chapters, three of which feature additional approaches for translating evidence into practice, new methods of information technology for translation, and interprofessional collaboration and practice for translation and three that offer 19 exemplars that illustrate actual translation work within the areas of population health and specialty practice, and in the health care system. Consistently woven throughout are the themes of integration and application of knowledge into practice, leadership and evaluating change, leadership strategies for translation, and interprofessional applications across settings. Also included is new information about outcomes management for improvement of direct and indirect care. The second edition continues to deliver applicable theory and strategies to achieve improved outcomes, and meets the DNP core competency requirements. It features a variety of models for change as they relate to translation of research into practice. The text underscores the importance of translating evidence for use in practice to improve health care and health care delivery, and presents strategies to achieve this. It addresses the use of evidence to improve nursing education, discusses how to reduce the divide between researchers and policy makers, and presents expedients for overcoming resistance to change. Extensive lists of references, web links, and other resources enhance learning and support the development of the DNP core competencies. NEW TO THE SECOND EDITION: Addition of an esteemed co-editor Reorganized and revised for enhanced comprehension New chapters: Methods for Translation, Information Technology and Decision Support, Interprofessional Collaboration and Practice for Translation, and Data Management and Evaluation of Translation Three new exemplar chapters: Population Health Exemplars, Specialty Practice Exemplars, and Health Care System Exemplars Updated information on integration and application of knowledge into practice, leading and evaluating change, leadership strategies for translation, and interprofessional application across settings New coverage of outcomes management for improvement of direct and indirect care KEY FEATURES: Offers an in-depth guide for planning, implementing, and translating evidence Includes extensive references necessary for doctoral study Provides the perfect supplement for evidence-based practice materials that often have limited information or value for translation/implementation activities |
| alarm fatigue evidence based practice: Commercial Motor Vehicle Driver Fatigue, Long-Term Health, and Highway Safety National Academies of Sciences, Engineering, and Medicine, Transportation Research Board, Division of Behavioral and Social Sciences and Education, Board on Human-Systems Integration, Committee on National Statistics, Panel on Research Methodologies and Statistical Approaches to Understanding Driver Fatigue Factors in Motor Carrier Safety and Driver Health, 2016-09-12 There are approximately 4,000 fatalities in crashes involving trucks and buses in the United States each year. Though estimates are wide-ranging, possibly 10 to 20 percent of these crashes might have involved fatigued drivers. The stresses associated with their particular jobs (irregular schedules, etc.) and the lifestyle that many truck and bus drivers lead, puts them at substantial risk for insufficient sleep and for developing short- and long-term health problems. Commercial Motor Vehicle Driver Fatigue, Long-Term Health and Highway Safety assesses the state of knowledge about the relationship of such factors as hours of driving, hours on duty, and periods of rest to the fatigue experienced by truck and bus drivers while driving and the implications for the safe operation of their vehicles. This report evaluates the relationship of these factors to drivers' health over the longer term, and identifies improvements in data and research methods that can lead to better understanding in both areas. |
| alarm fatigue evidence based practice: Informatics for Health Professionals Kathleen Mastrian, Dee McGonigle, 2019-12-19 Informatics for Health Professionals is an excellent resource to provide healthcare students and professionals with the foundational knowledge to integrate informatics principles into practice. |
| alarm fatigue evidence based practice: The Art of Communication in Nursing and Health Care Theresa Raphael-Grimm, PhD, CNS, 2014-10-10 A handy guide to tackling difficult patient and professional interactions with confidence and compassion In this age of increasing reliance on technology, it is essential that the fundamentals of compassion and good communication—the art of patient care—remain at the heart of health care. This clear, concise guide to professional communication strategies helps nurses and other health care clinicians to build effective patient relationships and navigate a wide variety of difficult patient and professional interactions. Written by a practicing psychotherapist who has devoted nearly 30 years of study to clinician—patient relationships, the book tackles such complex issues as dealing with demanding patients, maintaining professional boundaries, overcoming biases and stereotypes, managing clinician emotions, communicating bad news, challenging a colleague’s clinical opinion, and other common scenarios. The book guides the reader through a conceptual framework for building effective relationships that is based on the principles of mindfulness. These principles are embedded in discussions of the fundamental elements of interpersonal effectiveness, such as hope, empathy, and listening. Chapters apply mindfulness principles to specific challenging situations with concrete examples that describe effective clinical behaviors as well as situations depicting pitfalls that may impede compassionate care. From a focus on everyday manners in difficult situations to beneficial approaches with challenging populations, the guide helps health care professionals confidently resolve common problems. Brief, to-the-point chapters help clinicians channel their clinical knowledge and good intentions into caring behaviors that allow the patient to more fully experience empathy and compassion. With the guiding theme of “using words as precision instruments,” this is a resource that will be referred to again and again. Key Features: • Helps health care professionals and nurses communicate effectively in challenging clinical and professional situations • Uses the principles of mindfulness to build satisfying relationships and resolve problems • Addresses such difficult issues as demanding patients, maintaining boundaries, overcoming biases, managing clinician emotions, and much more • Provides special tips for communicating with family members and caregivers • Authored by a practicing psychotherapist specializing in clinician—patient relationships for nearly 30 years |
| alarm fatigue evidence based practice: Evidence-Based Cybersecurity Pierre-Luc Pomerleau, David Maimon, 2022-06-23 The prevalence of cyber-dependent crimes and illegal activities that can only be performed using a computer, computer networks, or other forms of information communication technology has significantly increased during the last two decades in the USA and worldwide. As a result, cybersecurity scholars and practitioners have developed various tools and policies to reduce individuals' and organizations' risk of experiencing cyber-dependent crimes. However, although cybersecurity research and tools production efforts have increased substantially, very little attention has been devoted to identifying potential comprehensive interventions that consider both human and technical aspects of the local ecology within which these crimes emerge and persist. Moreover, it appears that rigorous scientific assessments of these technologies and policies in the wild have been dismissed in the process of encouraging innovation and marketing. Consequently, governmental organizations, public, and private companies allocate a considerable portion of their operations budgets to protecting their computer and internet infrastructures without understanding the effectiveness of various tools and policies in reducing the myriad of risks they face. Unfortunately, this practice may complicate organizational workflows and increase costs for government entities, businesses, and consumers. The success of the evidence-based approach in improving performance in a wide range of professions (for example, medicine, policing, and education) leads us to believe that an evidence-based cybersecurity approach is critical for improving cybersecurity efforts. This book seeks to explain the foundation of the evidence-based cybersecurity approach, review its relevance in the context of existing security tools and policies, and provide concrete examples of how adopting this approach could improve cybersecurity operations and guide policymakers' decision-making process. The evidence-based cybersecurity approach explained aims to support security professionals', policymakers', and individual computer users' decision-making regarding the deployment of security policies and tools by calling for rigorous scientific investigations of the effectiveness of these policies and mechanisms in achieving their goals to protect critical assets. This book illustrates how this approach provides an ideal framework for conceptualizing an interdisciplinary problem like cybersecurity because it stresses moving beyond decision-makers' political, financial, social, and personal experience backgrounds when adopting cybersecurity tools and policies. This approach is also a model in which policy decisions are made based on scientific research findings. |
| alarm fatigue evidence based practice: The Future of Nursing Institute of Medicine, Committee on the Robert Wood Johnson Foundation Initiative on the Future of Nursing, at the Institute of Medicine, 2011-02-08 The Future of Nursing explores how nurses' roles, responsibilities, and education should change significantly to meet the increased demand for care that will be created by health care reform and to advance improvements in America's increasingly complex health system. At more than 3 million in number, nurses make up the single largest segment of the health care work force. They also spend the greatest amount of time in delivering patient care as a profession. Nurses therefore have valuable insights and unique abilities to contribute as partners with other health care professionals in improving the quality and safety of care as envisioned in the Affordable Care Act (ACA) enacted this year. Nurses should be fully engaged with other health professionals and assume leadership roles in redesigning care in the United States. To ensure its members are well-prepared, the profession should institute residency training for nurses, increase the percentage of nurses who attain a bachelor's degree to 80 percent by 2020, and double the number who pursue doctorates. Furthermore, regulatory and institutional obstacles-including limits on nurses' scope of practice-should be removed so that the health system can reap the full benefit of nurses' training, skills, and knowledge in patient care. In this book, the Institute of Medicine makes recommendations for an action-oriented blueprint for the future of nursing. |
| alarm fatigue evidence based practice: The Patient History: Evidence-Based Approach Mark Henderson, Lawrence Tierney, Gerald Smetana, 2012-06-13 The definitive evidence-based introduction to patient history-taking NOW IN FULL COLOR For medical students and other health professions students, an accurate differential diagnosis starts with The Patient History. The ideal companion to major textbooks on the physical examination, this trusted guide is widely acclaimed for its skill-building, and evidence based approach to the medical history. Now in full color, The Patient History defines best practices for the patient interview, explaining how to effectively elicit information from the patient in order to generate an accurate differential diagnosis. The second edition features all-new chapters, case scenarios, and a wealth of diagnostic algorithms. Introductory chapters articulate the fundamental principles of medical interviewing. The book employs a rigorous evidenced-based approach, reviewing and highlighting relevant citations from the literature throughout each chapter. Features NEW! Case scenarios introduce each chapter and place history-taking principles in clinical context NEW! Self-assessment multiple choice Q&A conclude each chapter—an ideal review for students seeking to assess their retention of chapter material NEW! Full-color presentation Essential chapter on red eye, pruritus, and hair loss Symptom-based chapters covering 59 common symptoms and clinical presentations Diagnostic approach section after each chapter featuring color algorithms and several multiple-choice questions Hundreds of practical, high-yield questions to guide the history, ranging from basic queries to those appropriate for more experienced clinicians |
| alarm fatigue evidence based practice: Patient Safety Sidney Dekker, 2016-04-19 Increased concern for patient safety has put the issue at the top of the agenda of practitioners, hospitals, and even governments. The risks to patients are many and diverse, and the complexity of the healthcare system that delivers them is huge. Yet the discourse is often oversimplified and underdeveloped. Written from a scientific, human factors |
| alarm fatigue evidence based practice: Critical Care Update 2019 Subhash Todi, Subhal Bhalchandra, Kapil Zirpe, Yatin Mehta, 2019-04-30 |
| alarm fatigue evidence based practice: Textbook of Patient Safety and Clinical Risk Management Liam Donaldson, Walter Ricciardi, Susan Sheridan, Riccardo Tartaglia, 2020-12-14 Implementing safety practices in healthcare saves lives and improves the quality of care: it is therefore vital to apply good clinical practices, such as the WHO surgical checklist, to adopt the most appropriate measures for the prevention of assistance-related risks, and to identify the potential ones using tools such as reporting & learning systems. The culture of safety in the care environment and of human factors influencing it should be developed from the beginning of medical studies and in the first years of professional practice, in order to have the maximum impact on clinicians' and nurses' behavior. Medical errors tend to vary with the level of proficiency and experience, and this must be taken into account in adverse events prevention. Human factors assume a decisive importance in resilient organizations, and an understanding of risk control and containment is fundamental for all medical and surgical specialties. This open access book offers recommendations and examples of how to improve patient safety by changing practices, introducing organizational and technological innovations, and creating effective, patient-centered, timely, efficient, and equitable care systems, in order to spread the quality and patient safety culture among the new generation of healthcare professionals, and is intended for residents and young professionals in different clinical specialties. |
| alarm fatigue evidence based practice: Evidence-Based Practice of Critical Care E-Book Clifford S. Deutschman, Patrick J. Neligan, 2019-08-29 Approach any critical care challenge using a practical, consistent strategy based on best practices with Evidence-Based Practice of Critical Care, 3rd Edition. Unique, question-based chapters cover the wide variety of clinical options in critical care, examine the relevant research, and provide recommendations based on a thorough analysis of available evidence. Drs. Clifford S. Deutschman and Patrick J. Nelligan, along with nearly 200 critical-care experts, provide a comprehensive framework for translating evidence into practice, helping both residents and practitioners obtain the best possible outcomes for critically ill patients. - Covers a full range of critical care challenges, from routine care to complicated and special situations. - Helps you think through each question in a logical, efficient manner, using a practical, consistent approach to available management options and guidelines. - Features revised and updated information based on current research, and includes all-new cases on key topics and controversies such as the use/overuse of antibiotics, drug resistance in the ICU, non-invasive mechanical ventilation, frequency of transfusions, and duration of renal replacement therapies. - Provides numerous quick-reference tables that summarize the available literature and recommended clinical approaches. - Enhanced eBook version included with purchase. Your enhanced eBook allows you to access all of the text, figures, and references from the book on a variety of devices. |
| alarm fatigue evidence based practice: Communicating Risks and Benefits Baruch Fischhoff, 2012-03-08 Effective risk communication is essential to the well-being of any organization and those people who depend on it. Ineffective communication can cost lives, money and reputations. Communicating Risks and Benefits: An Evidence-Based User’s Guide provides the scientific foundations for effective communications. The book authoritatively summarizes the relevant research, draws out its implications for communication design, and provides practical ways to evaluate and improve communications for any decision involving risks and benefits. Topics include the communication of quantitative information and warnings, the roles of emotion and the news media, the effects of age and literacy, and tests of how well communications meet the organization’s goals. The guide will help users in any organization, with any budget, to make the science of their communications as sound as the science that they are communicating. |
| alarm fatigue evidence based practice: Evidence-Based Practice in Primary Care Christopher Silagy, Andrew Haines, 2001-08-08 Evidence Based Practice in Primary Health Care is split into two sections. The frist discusses how the individual can apply evidence based medicine in the clinical setting, and the second covers the wider issue of changes in organisation and strategy to promote better and more effective delivery of care within a practice or primary care group. Chapters are writtten by leading specialists in evidence based primary care from Australlia, the UK,and mainland Europe. |
| alarm fatigue evidence based practice: Improving Diagnosis in Health Care National Academies of Sciences, Engineering, and Medicine, Institute of Medicine, Board on Health Care Services, Committee on Diagnostic Error in Health Care, 2015-12-29 Getting the right diagnosis is a key aspect of health care - it provides an explanation of a patient's health problem and informs subsequent health care decisions. The diagnostic process is a complex, collaborative activity that involves clinical reasoning and information gathering to determine a patient's health problem. According to Improving Diagnosis in Health Care, diagnostic errors-inaccurate or delayed diagnoses-persist throughout all settings of care and continue to harm an unacceptable number of patients. It is likely that most people will experience at least one diagnostic error in their lifetime, sometimes with devastating consequences. Diagnostic errors may cause harm to patients by preventing or delaying appropriate treatment, providing unnecessary or harmful treatment, or resulting in psychological or financial repercussions. The committee concluded that improving the diagnostic process is not only possible, but also represents a moral, professional, and public health imperative. Improving Diagnosis in Health Care, a continuation of the landmark Institute of Medicine reports To Err Is Human (2000) and Crossing the Quality Chasm (2001), finds that diagnosis-and, in particular, the occurrence of diagnostic errorsâ€has been largely unappreciated in efforts to improve the quality and safety of health care. Without a dedicated focus on improving diagnosis, diagnostic errors will likely worsen as the delivery of health care and the diagnostic process continue to increase in complexity. Just as the diagnostic process is a collaborative activity, improving diagnosis will require collaboration and a widespread commitment to change among health care professionals, health care organizations, patients and their families, researchers, and policy makers. The recommendations of Improving Diagnosis in Health Care contribute to the growing momentum for change in this crucial area of health care quality and safety. |
| alarm fatigue evidence based practice: Quality Improvement, An Issue of Clinics in Perinatology Munish Gupta, Heather C. Kaplan, 2017-08-21 The Guest Editors have collaborated on a state-of-the-art presentation of current clinical reviews on Quality in Neonatal Care. Top experts have prepared articles in the following areas: Standardizing Practices: How and why to standardize, using checklists, measuring variation; Health Informatics and Patient Safety; Using Statistical Process Control to Drive Improvement in Neonatal Care; Improving Value in Neonatal Intensive Care; Culture and Context in Quality of Care: Improving Teamwork and Resilience; Has Quality Improvement Improved Neonatal Outcomes; National Quality Measures in Perinatal Care; Perinatal and Obstetric Quality Initiatives; Family Involvement in Quality Improvement; Perinatal Quality Improvement: A Global Perspective; Delivery Room Care / Golden Hour; Respiratory Care and Bronchopulmonary Dysplasia; Reducing Incidence of Necrotizing Enterocolitis; Alarm Safety and Alarm Fatigue; and Patient Safety: Reducing Unplanned Extubations. Readers will come away with the clinical information they need improve quality in the NICU. |
| alarm fatigue evidence based practice: Understanding Nursing Research E-Book Susan K. Grove, Jennifer R. Gray, 2022-05-27 - NEW! Updated content throughout the book focuses on the most relevant, need-to-know information to help you understand the research and evidence-based practice (EBP) processes. - NEW! Research / Evidence-Based Practice Tips provide expert advice to help you critically appraise published studies for application to clinical practice. |
| alarm fatigue evidence based practice: Evidence-Based Practice Workbook Paul P. Glasziou, Chris Del Mar, Janet Salisbury, 2009-02-04 The Evidence-based Practice Workbook is an ideal tool for use by GPs, medical specialists and other healthcare professionals to learn the concepts of evidence-based practice (EBP). Practical and interactive, this workbook provides simple methods to help health professionals find and use the best evidence to answer clinical questions, developing their skills in: asking clinical questions searching for answers discriminating good from poor information and research using the answers to make clinical decisions. This attractive, colour workbook provides a clear explanation of EBP skills and concepts. Written by internationally respected authors, this expanded and updated edition has been developed from evidence-based practice workshops run by the Centre for Evidence-Based Medicine at the University of Queensland and Oxford, and contains information and exercises to help health professionals learn how to use EBP in their clinical practice. |
| alarm fatigue evidence based practice: Critical Care Nursing Patricia Gonce Morton, Paul Thurman, 2023-01-13 Comprehensive, evidence-based, and expertly written, Critical Care Nursing: A Holistic Approach, 12th Edition, helps you confidently prepare today’s students for the highly specialized and complex challenges of critical care nursing practice. This trusted, must-have text integrates clear, concise writing, engaging resources, and a proven holistic approach to instill the clinical competence students need to care for patients who are critically ill and their families. More efficiently organized and easier to use than ever, the 12th Edition presents theory and principles within the context of practical application to streamline students’ transition to successful critical care practice. |
| alarm fatigue evidence based practice: Psychological and Cognitive Impact of Critical Illness O. Joseph Bienvenu, Christina Jones (RGN), Ramona O. Hopkins, 2017 Personal journeys through understanding the psychological and cognitive problems faced by critical illness survivors / Christina Jones, Peter Gibb, and Ramona O. Hopkins -- Delirium in critically ill patients / Mark van den Boogaard and Paul Rood -- Critical illness and long-term cognitive impairment / Ramona O. Hopkins, PhD, Maria E. Carlo, MD, James C. Jackson, PsyD -- Psychological impact of critical illness / O. Joseph Bienvenu and Christina Jones -- Rehabilitation psychology insights for the treatment of critical illness survivors / Jennifer E. Jutte, James C. Jackson, and Ramona O. Hopkins -- Prevention and treatment of posttraumatic stress and depressive phenomena in critical illness survivors / Christina Jones and O. Joseph Bienvenu -- Supporting pediatric patients and their families during and after intensive care treatment / Gillian Coville -- Family response to critical illness / Judy E. Davidson and Giroa Netzer |
| alarm fatigue evidence based practice: Improving Outcomes with Clinical Decision Support Jerome A. Osheroff, MD, FACP, FACMI, Jonathan M. T, 2012 |
| alarm fatigue evidence based practice: Patient Safety Institute of Medicine, Board on Health Care Services, Committee on Data Standards for Patient Safety, 2003-12-20 Americans should be able to count on receiving health care that is safe. To achieve this, a new health care delivery system is needed †a system that both prevents errors from occurring, and learns from them when they do occur. The development of such a system requires a commitment by all stakeholders to a culture of safety and to the development of improved information systems for the delivery of health care. This national health information infrastructure is needed to provide immediate access to complete patient information and decision-support tools for clinicians and their patients. In addition, this infrastructure must capture patient safety information as a by-product of care and use this information to design even safer delivery systems. Health data standards are both a critical and time-sensitive building block of the national health information infrastructure. Building on the Institute of Medicine reports To Err Is Human and Crossing the Quality Chasm, Patient Safety puts forward a road map for the development and adoption of key health care data standards to support both information exchange and the reporting and analysis of patient safety data. |
| alarm fatigue evidence based practice: Evidence-Based Practice in Nursing & Healthcare Bernadette Mazurek Melnyk, Ellen Fineout-Overholt, 2018-10-17 Publisher's Note: Products purchased from 3rd Party sellers are not guaranteed by the Publisher for quality, authenticity, or access to any online entitlements included with the product. Evidence-Based Practice in Nursing & Healthcare: A Guide to Best Practice, 4th Edition Bernadette Mazurek Melnyk, PhD, RN, APRN-CNP, FAANP, FNAP, FAAN and Ellen Fineout-Overholt, PhD, RN, FNAP, FAAN Enhance your clinical decision-making capabilities and improve patient outcomes through evidence-based practice. Develop the skills and knowledge you need to make evidence-based practice (EBP) an integral part of your clinical decision-making and everyday nursing practice with this proven, approachable text. Written in a straightforward, conversational style, Evidence-Based Practice in Nursing & Healthcare delivers real-world examples and meaningful strategies in every chapter to help you confidently meet today’s clinical challenges and ensure positive patient outcomes. NEW! Making Connections: An EBP Exemplar opens each unit, immersing you in an unfolding case study of EBP in real-life practice. NEW! Chapters reflect the most current implications of EBP on health policy and the context, content, and outcomes of implementing EBP competencies in clinical and academic settings. NEW! Learning objectives and EBP Terms to Learn at both the unit and chapter levels help you study efficiently and stay focused on essential concepts and vocabulary. Making EBP Real features continue to end each unit with real-world examples that demonstrate the principles of EBP applied. EBP Fast Facts reinforce key points at a glance. Clinical Scenarios clarify the EBP process and enhance your rapid appraisal capabilities. |
| alarm fatigue evidence based practice: High Reliability Organizations, Second Edition Cynthia A. Oster, Jane S. Braaten, 2020-11-02 Patient safety and quality of care are critical concerns of healthcare consumers, payers, providers, organizations, health systems, and governments. Although a strong body of knowledge shows that high reliability methods enable the most efficient, safe, and effective care, these methods have yet to be completely implemented across healthcare. According to authors Cynthia Oster and Jane Braaten, nurses—who are on the frontline of providing safe and effective care—are ideally situated to drive high reliability. High Reliability Organizations: A Healthcare Handbook for Patient Safety & Quality, Second Edition, equips nurses and healthcare professionals with the tools necessary to establish an error detection and prevention system. This new edition builds on the foundation of the first book with best practices, relevant exemplars, and important discussions about cultural aspects essential to sustainability. New material focuses on: · High reliability performance during a pandemic · Organizational learning and tiered safety huddles · High reliability in infection prevention and ambulatory care · The emerging field of human factors engineering within healthcare · Creating a virtual resource toolkit for frontline staff |
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