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ORIGINAL ARTICLE
The influence of nursing activities score on clinical alarms service
Revista Brasileira de Enfermagem. 2020;73(4):e20180963
06-17-2020
Resumo
ORIGINAL ARTICLEThe influence of nursing activities score on clinical alarms service
Revista Brasileira de Enfermagem. 2020;73(4):e20180963
06-17-2020DOI 10.1590/0034-7167-2018-0963
Visualizações0Ver maisABSTRACT
Objectives:
to estimate the magnitude of the Nursing Activities Score effect on multiparametric monitor alarm response and staff response time.
Methods:
an observational, cross-sectional study outlined as an open cohort, performed in an Adult General Intensive Care Unit. The time taken for alarms triggered by the multi-parameter monitors was timed and characterized as attended or not.
Results:
the study obtained a total of 254 alarms triggered from the multiparameter monitors of 63 patients. The mean number of alarms triggered was 4.5 alarms per period/observation and 1.5 alarms/hour. The study showed that the Nursing Activities Score is associated with an additional probability of 4% (p < 0.05) of an alarm being met, for each additional point in the scale, and reduction in team response time.
Conclusion:
it has been verified that Nursing Activities Score has a direct relationship with the attendance and with the response time to the alarms triggered.
Visualizações0
Resumo
ORIGINAL ARTICLEThe influence of nursing activities score on clinical alarms service
Revista Brasileira de Enfermagem. 2020;73(4):e20180963
06-17-2020DOI 10.1590/0034-7167-2018-0963
Visualizações0Ver maisABSTRACT
Objectives:
to estimate the magnitude of the Nursing Activities Score effect on multiparametric monitor alarm response and staff response time.
Methods:
an observational, cross-sectional study outlined as an open cohort, performed in an Adult General Intensive Care Unit. The time taken for alarms triggered by the multi-parameter monitors was timed and characterized as attended or not.
Results:
the study obtained a total of 254 alarms triggered from the multiparameter monitors of 63 patients. The mean number of alarms triggered was 4.5 alarms per period/observation and 1.5 alarms/hour. The study showed that the Nursing Activities Score is associated with an additional probability of 4% (p < 0.05) of an alarm being met, for each additional point in the scale, and reduction in team response time.
Conclusion:
it has been verified that Nursing Activities Score has a direct relationship with the attendance and with the response time to the alarms triggered.
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ORIGINAL ARTICLE
Individualized parameterization of multiparametric monitors alarms in infarcted patients
- Allan Peixoto de Assis
, - Francimar Tinoco de Oliveira ,
- Flávia Giron Camerini ,
- Roberto Carlos Lyra da Silva ,
- Camila Mendonça de Moraes
06-27-2019
Resumo
ORIGINAL ARTICLEIndividualized parameterization of multiparametric monitors alarms in infarcted patients
Revista Brasileira de Enfermagem. 2019;72(3):609-616
06-27-2019DOI 10.1590/0034-7167-2018-0485
- Allan Peixoto de Assis ,
- Francimar Tinoco de Oliveira ,
- Flávia Giron Camerini ,
- Roberto Carlos Lyra da Silva ,
- Camila Mendonça de Moraes
Visualizações0Ver maisABSTRACT
Objective:
To measure the magnitude of the effect of an individualized parameterization protocol for hemodynamic alarms in patients with acute myocardial infarction.
Method:
Pragmatic clinical trial, open label and single arm, whose intervention was performed through a protocol validated and tested in 32 patients using multiparametric monitors. The heart rate, blood pressure, respiratory rate, oxygen saturation and ST segment-monitoring were measured and classified for clinical consistency one hour before and after the intervention, for 64 hours.
Results:
The protocol obtained Content Validity Index of 0.92. Of the 460 registered alarms, 261 were considered inconsistent before the intervention and 47 after it. The Relative Risk of inconsistent alarms after the protocol was 0.32 (95% CI 0.23-0.43, p <0.0001).
Conclusion:
The protocol proved to be a protective factor to the appearance of inconsistent clinical alarms of multiparametric monitors.
Visualizações0Resumo
ORIGINAL ARTICLEIndividualized parameterization of multiparametric monitors alarms in infarcted patients
Revista Brasileira de Enfermagem. 2019;72(3):609-616
06-27-2019DOI 10.1590/0034-7167-2018-0485
- Allan Peixoto de Assis ,
- Francimar Tinoco de Oliveira ,
- Flávia Giron Camerini ,
- Roberto Carlos Lyra da Silva ,
- Camila Mendonça de Moraes
Visualizações0Ver maisABSTRACT
Objective:
To measure the magnitude of the effect of an individualized parameterization protocol for hemodynamic alarms in patients with acute myocardial infarction.
Method:
Pragmatic clinical trial, open label and single arm, whose intervention was performed through a protocol validated and tested in 32 patients using multiparametric monitors. The heart rate, blood pressure, respiratory rate, oxygen saturation and ST segment-monitoring were measured and classified for clinical consistency one hour before and after the intervention, for 64 hours.
Results:
The protocol obtained Content Validity Index of 0.92. Of the 460 registered alarms, 261 were considered inconsistent before the intervention and 47 after it. The Relative Risk of inconsistent alarms after the protocol was 0.32 (95% CI 0.23-0.43, p <0.0001).
Conclusion:
The protocol proved to be a protective factor to the appearance of inconsistent clinical alarms of multiparametric monitors.
- Allan Peixoto de Assis
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RESEARCH
Alarm fatigue and the implications for patient safety
Revista Brasileira de Enfermagem. 2018;71(6):3035-3040
01-01-2018
Resumo
RESEARCHAlarm fatigue and the implications for patient safety
Revista Brasileira de Enfermagem. 2018;71(6):3035-3040
01-01-2018DOI 10.1590/0034-7167-2017-0481
Visualizações0Ver maisABSTRACT
Objective:
To measure the response time of health professionals before sound alarm activation and the implications for patient safety.
Method:
This is a quantitative and observational research conducted in an Adult Intensive Care Unit of a teaching hospital. Three researchers conducted non-participant observations for seven hours. Data collection occurred simultaneously in 20 beds during the morning shift. When listening the alarm activation, the researchers turned on the stopwatches and recorded the motive, the response time and the professional conduct. During collection, the unit had 90% of beds occupied and teams were complete.
Result:
We verified that from the 103 equipment activated, 66.03% of alarms fatigued. Nursing was the professional category that most provided care (31.06%) and the multi-parameter monitor was the device that alarmed the most (66.09%).
Conclusion:
Results corroborate the absence or delay of the response of teams, suggesting that relevant alarms might have been underestimated, compromising patient safety.
Visualizações0Resumo
RESEARCHAlarm fatigue and the implications for patient safety
Revista Brasileira de Enfermagem. 2018;71(6):3035-3040
01-01-2018DOI 10.1590/0034-7167-2017-0481
Visualizações0Ver maisABSTRACT
Objective:
To measure the response time of health professionals before sound alarm activation and the implications for patient safety.
Method:
This is a quantitative and observational research conducted in an Adult Intensive Care Unit of a teaching hospital. Three researchers conducted non-participant observations for seven hours. Data collection occurred simultaneously in 20 beds during the morning shift. When listening the alarm activation, the researchers turned on the stopwatches and recorded the motive, the response time and the professional conduct. During collection, the unit had 90% of beds occupied and teams were complete.
Result:
We verified that from the 103 equipment activated, 66.03% of alarms fatigued. Nursing was the professional category that most provided care (31.06%) and the multi-parameter monitor was the device that alarmed the most (66.09%).
Conclusion:
Results corroborate the absence or delay of the response of teams, suggesting that relevant alarms might have been underestimated, compromising patient safety.
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REVISÃO
Factors that interfere with the response of nurses in the monitoring of clinical alarms
Revista Brasileira de Enfermagem. 2017;70(1):172-179
01-01-2017
Resumo
REVISÃOFactors that interfere with the response of nurses in the monitoring of clinical alarms
Revista Brasileira de Enfermagem. 2017;70(1):172-179
01-01-2017DOI 10.1590/0034-7167-2015-0092
Visualizações0Ver maisABSTRACT
Objective:
The objective of the present study was to identify and synthesize the best empirical evidence found on factors that influence the response of nurses regarding clinical alarms.
Method:
An integrative literature review was conducted with searches undertaken in ten electronic databases restricted to the period from 2005 to 2016.
Results:
Eight articles were included by cross-checking the descriptors selected.
Conclusion:
In the analysis of the studies, the following possible factors that might interfere with the response of nurses in the monitoring of clinical alarms were found: high number of false alarms, inaudibility of alarms due to the competition of sounds, difficulty in distinguishing the urgency of alarms, and increase in noise caused by the raise in the number of alarms.
Visualizações0Resumo
REVISÃOFactors that interfere with the response of nurses in the monitoring of clinical alarms
Revista Brasileira de Enfermagem. 2017;70(1):172-179
01-01-2017DOI 10.1590/0034-7167-2015-0092
Visualizações0Ver maisABSTRACT
Objective:
The objective of the present study was to identify and synthesize the best empirical evidence found on factors that influence the response of nurses regarding clinical alarms.
Method:
An integrative literature review was conducted with searches undertaken in ten electronic databases restricted to the period from 2005 to 2016.
Results:
Eight articles were included by cross-checking the descriptors selected.
Conclusion:
In the analysis of the studies, the following possible factors that might interfere with the response of nurses in the monitoring of clinical alarms were found: high number of false alarms, inaudibility of alarms due to the competition of sounds, difficulty in distinguishing the urgency of alarms, and increase in noise caused by the raise in the number of alarms.
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RESEARCH
Stimulus-response time to alarms of the intra-aortic balloon pump: safe care practices
Revista Brasileira de Enfermagem. 2017;70(6):1206-1211
01-01-2017
Resumo
RESEARCHStimulus-response time to alarms of the intra-aortic balloon pump: safe care practices
Revista Brasileira de Enfermagem. 2017;70(6):1206-1211
01-01-2017DOI 10.1590/0034-7167-2016-0432
Visualizações0Ver maisABSTRACT
Objective:
To characterize the sound alarms of the Intra-Aortic Balloon Pump (IABP) during aortic counterpulsation therapy; to measure the stimulus-response time of the team to these; and to discuss the implications of increasing this time for patient safety from the alarm fatigue perspective.
Method:
This is an observational and descriptive study with quantitative and qualitative approach, case study type, carried out in a Cardiac Surgical Intensive Care Unit.
Results:
The most audible IABP alarm was the one of high priority increased-reduced diastolic blood pressure. The stimulus-response time was 33.9 seconds on average.
Conclusion:
Managing the alarms of these equipment is essential to minimize the occurrence of the alarm fatigue phenomenon and to offer a safer assistance to patients who rely on this technology.
Visualizações0Resumo
RESEARCHStimulus-response time to alarms of the intra-aortic balloon pump: safe care practices
Revista Brasileira de Enfermagem. 2017;70(6):1206-1211
01-01-2017DOI 10.1590/0034-7167-2016-0432
Visualizações0Ver maisABSTRACT
Objective:
To characterize the sound alarms of the Intra-Aortic Balloon Pump (IABP) during aortic counterpulsation therapy; to measure the stimulus-response time of the team to these; and to discuss the implications of increasing this time for patient safety from the alarm fatigue perspective.
Method:
This is an observational and descriptive study with quantitative and qualitative approach, case study type, carried out in a Cardiac Surgical Intensive Care Unit.
Results:
The most audible IABP alarm was the one of high priority increased-reduced diastolic blood pressure. The stimulus-response time was 33.9 seconds on average.
Conclusion:
Managing the alarms of these equipment is essential to minimize the occurrence of the alarm fatigue phenomenon and to offer a safer assistance to patients who rely on this technology.
Clinical Alarms Archives - Revista Brasileira de Enfermagem
