Whats that noise? Bedside monitoring in the Emergency Department.
Int Emerg Nurs
; 22(4): 197-201, 2014 Oct.
Article
en En
| MEDLINE
| ID: mdl-24568749
OBJECTIVE: To determine the frequency, duration and type of audible monitor alarms in an ED, utilising the standard manufacturer's classification. METHODS: The audible monitor alarms and the timing of any intervention related to the patient monitoring was observed and recorded. RESULTS: 110 Patients admitted to the Majors area or Resuscitation Room were observed for a total of 93 hours. One monitor was observed at a time. Alarm noise was generated 29% of the observation time. Overall, 429 alarms lasting 21 hours 27 minutes were judged to be positive and 143 alarms lasting 5 hours 47 minutes, negative. 74% of Resuscitation Room and 47% of Majors alarms were silenced or paused. Alarm limit parameters were only adjusted after 5% of alarms in Resuscitation Room and 6% of alarms in Majors. CONCLUSIONS: Whilst high level monitoring is desired from a patient safety perspective, it contributes to a significant ambient noise level, which is recognised by all who pass through an ED, and can be detrimental to patients, relatives and staff. We have demonstrated that there is a high probability of near-continuous alarm noise from patient monitoring in a 10-bedded Majors area. We make suggestions for methods of noise reduction and intend to implement some of these within our own ED.
Palabras clave
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Servicio de Urgencia en Hospital
/
Alarmas Clínicas
/
Ruido
Límite:
Humans
Idioma:
En
Revista:
Int Emerg Nurs
Asunto de la revista:
ENFERMAGEM
/
MEDICINA DE EMERGENCIA
Año:
2014
Tipo del documento:
Article
Pais de publicación:
Reino Unido