Quality Improvement – Monitoring Alarm Optimization Study

Overview

This project aims to reduce the frequency of duplicate, false and clinically insignificant alarms in hospital units, and subsequent alarm fatigue resulting from excessive alarm frequency. The investigators will implement evidence-based guidelines for alarm optimization according to patient-population specific parameters, and evaluate alarm frequency and staff perception of alarm fatigue at baseline and 60 days after implementation of this quality improvement initiative.

Full Title of Study: “Quality Improvement – Monitoring Alarm Optimization Study”

Study Type

  • Study Type: Interventional
  • Study Design
    • Allocation: Randomized
    • Intervention Model: Crossover Assignment
    • Primary Purpose: Health Services Research
    • Masking: None (Open Label)
  • Study Primary Completion Date: November 2016

Interventions

  • Other: Optimized alarm profiles

Arms, Groups and Cohorts

  • Experimental: Experimental
    • Hospital units where alarms have been optimized
  • No Intervention: Control
    • Hospital units where alarms remain unchanged

Clinical Trial Outcome Measures

Primary Measures

  • Change from baseline of frequency of total alarms by hospital unit at 60 days
    • Time Frame: At baseline and 60 days following implementation

Secondary Measures

  • Change from baseline of number of alarms per bed
    • Time Frame: At baseline and 60 days following implementation
  • Change from baseline of number of alarms per day per bed
    • Time Frame: At baseline and 60 days following implementation
  • Change from baseline of perceived alarm fatigue, assessed using a questionnaire
    • Time Frame: At baseline and 60 days following implementation

Participating in This Clinical Trial

Inclusion Criteria

  • Nursing staff at selected units at Duke University Hospital Exclusion Criteria:

  • NA

Gender Eligibility: All

Minimum Age: N/A

Maximum Age: N/A

Are Healthy Volunteers Accepted: Accepts Healthy Volunteers

Investigator Details

  • Lead Sponsor
    • Duke University
  • Provider of Information About this Clinical Study
    • Sponsor

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