Difference between revisions of "User talk:Straussm"
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You will probably want to read the [[Help:Contents|help pages]]. | You will probably want to read the [[Help:Contents|help pages]]. | ||
Again, welcome and have fun! [[User:Vmohan|Vmohan]] ([[User talk:Vmohan|talk]]) 21:18, 13 April 2016 (UTC) | Again, welcome and have fun! [[User:Vmohan|Vmohan]] ([[User talk:Vmohan|talk]]) 21:18, 13 April 2016 (UTC) | ||
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| + | == Obstetric Alarm Fatigue == | ||
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| + | Alarm fatigue is well reviewed as an unintended consequence of clinical information systems, but is especially noteworthy in obstetrics, particularly in the labor ward. Labor patients are routinely monitored with External Fetal Monitor (EFM) systems, as well as automatic blood pressure cuffs and also oxygen saturation monitors, all of which are designed to alarm audibly and visually both in the labor room and at the nursing station. Unfortunately, the alarms can be triggered by maternal or fetal movement causing loss of signal of parameters that are actually within normal limits when detected or resumed. The Joint Commission estimates that 85-99% of alarms do not require clinical intervention.[http://www.jointcommission.org/assets/1/18/sea_50_alarms_4_5_13_final1.pdf] | ||
| + | These alarms, depending on how narrow the parameters are set, can go off several hundred times for each patient in a day, and on each these signals can be triggered thousands of times a day. This can result in physicians and nurses becoming desensitized to the sounds or signals, with providers turning down the volume, turning the alarm off, or setting the alert parameters outside of safety guidelines. | ||
Revision as of 22:17, 23 April 2016
Welcome to Clinfowiki! We hope you will contribute much and well. You will probably want to read the help pages. Again, welcome and have fun! Vmohan (talk) 21:18, 13 April 2016 (UTC)
Obstetric Alarm Fatigue
Alarm fatigue is well reviewed as an unintended consequence of clinical information systems, but is especially noteworthy in obstetrics, particularly in the labor ward. Labor patients are routinely monitored with External Fetal Monitor (EFM) systems, as well as automatic blood pressure cuffs and also oxygen saturation monitors, all of which are designed to alarm audibly and visually both in the labor room and at the nursing station. Unfortunately, the alarms can be triggered by maternal or fetal movement causing loss of signal of parameters that are actually within normal limits when detected or resumed. The Joint Commission estimates that 85-99% of alarms do not require clinical intervention.[1] These alarms, depending on how narrow the parameters are set, can go off several hundred times for each patient in a day, and on each these signals can be triggered thousands of times a day. This can result in physicians and nurses becoming desensitized to the sounds or signals, with providers turning down the volume, turning the alarm off, or setting the alert parameters outside of safety guidelines.
