Library: Clinical Alarms

AAMI and the AAMI Foundation

  • Customizing Alarm Limits Based on Specific Needs of Patients, BI&T, May/June 2017
    This article is divided into three parts—Part I seeks to characterize alarm data from several coalition hospitals. Part II offers recommendations for reducing monitor alarms when frequent alarms occur, and Part III provides tips for reducing frequent alarms.
  • Improving Clinical Alarm Management: Guidance and Strategies, BI&T, March/April 2017
    This article focuses on the type of problems that lead to false or nonactionable clinical alarms and the type of data that can help identify which of these alarms are most prevalent in specific units in healthcare facilities.
  • Use of Monitor Watchers in Hospitals: Characteristics, Training, and Practices, BI&T, November/December 2016
    Monitor watchers, or personnel whose job it is to watch the central cardiac monitor and alert clinicians of patient events, are used in many hospitals. Monitor watchers may be used to improve timely response to alarms and combat the effects of alarm fatigue.
  • Framework for Alarm Management Process Maturity, BI&T, May/June 2016
    The AAMI Foundation’s National Coalition for Alarm Management Safety developed this framework for medical device alarm management. This article is intended to guide stakeholders in developing sustainable solutions and to serve as a foundation for discussions with hospital executives, healthcare technology managers, patient safety officers, and risk managers. The framework is not intended to be prescriptive but rather a guide for continuous improvement efforts to reduce nonactionable alarms of all types originating from medical devices.
  • Reducing Interruption Fatigue through Improved Alarm Support, BI&T, March/April 2016
    This article describes a case study in which one hospital implemented a workflow improvement plan. The goal was to measure the effects of using a secondary alarm notification with a unified alarm management technology platform, a smart mobile device, and a monitor technician, in order to determine whether it could help resolve issues surrounding “clinical interruption fatigue.”
  • Healthcare Alarm Safety—What We Can Learn from Military Alarm Management Strategies, BI&T, May/June 2014
    In an effort to help nurses and other health professionals make better decisions in response to patient alarms, AAMI sought the insight of Lockheed Martin researcher Daniel McFarlane, ScD, to consider how hospital systems could improve their alarm management strategies by examining the strengths of military alarm management protocols and systems.
  • Monitor Alarm Fatigue: An Integrative Review, BI&T, July/August 2012
    Alarm fatigue is a national problem and the number one medical device technology hazard in 2012. This integrative review synthesizes research and non-research findings published between 1/1/2000 and 10/1/2011 using The Johns Hopkins Nursing Evidence-Based Practice model. Seventy-two articles were included.

Alarm Quick Links

Clinical Alarms Summit, 2011—300 stakeholders from various backgrounds came together to address the hazard and frustration of alarm “noise” in healthcare facilities.

National Coalition for Alarm Management Safety—This coalition brings together stakeholders to share what they have learned, build synergies, and create common ground where default parameters should be set and on other strategies to improve alarm management.

National Coalition for Alarm Management Safety: Patient Safety Seminars—Includes slides, meeting recordings, and future meetings.

Safety Innovation Series:  Clinical Alarm Management—A collection of white papers and case studies from the AAMI Foundation.