• Login
    View Item 
    •   Home
    • UA Faculty Research
    • UA Faculty Publications
    • View Item
    •   Home
    • UA Faculty Research
    • UA Faculty Publications
    • View Item
    JavaScript is disabled for your browser. Some features of this site may not work without it.

    Browse

    All of UA Campus RepositoryCommunitiesTitleAuthorsIssue DateSubmit DateSubjectsPublisherJournalThis CollectionTitleAuthorsIssue DateSubmit DateSubjectsPublisherJournal

    My Account

    LoginRegister

    About

    AboutUA Faculty PublicationsUA DissertationsUA Master's ThesesUA Honors ThesesUA PressUA YearbooksUA CatalogsUA Libraries

    Statistics

    Most Popular ItemsStatistics by CountryMost Popular Authors

    Challenges of customizing electrocardiography alarms in intensive care units: A mixed methods study

    • CSV
    • RefMan
    • EndNote
    • BibTex
    • RefWorks
    Thumbnail
    Name:
    ruppel_integrated_results_manu ...
    Size:
    253.4Kb
    Format:
    PDF
    Description:
    Final Accepted Manuscript
    Download
    Author
    Ruppel, Halley
    Funk, Marjorie
    Kennedy, Holly Powell
    Bonafide, Christopher P
    Wung, Shu-Fen
    Whittemore, Robin
    Affiliation
    Univ Arizona, Coll Nursing
    Issue Date
    2018
    Keywords
    Alarm Customization
    Clinical Alarms
    Critical Care Nursing
    Electrocardiography
    Intensive Care Units
    Physiologic Monitor Alarms
    
    Metadata
    Show full item record
    Publisher
    MOSBY-ELSEVIER
    Citation
    Ruppel, H., Funk, M., Kennedy, H. P., Bonafide, C. P., Wung, S. F., & Whittemore, R. (2018). Challenges of customizing electrocardiography alarms in intensive care units: A mixed methods study. Heart & Lung, 47(5), 502-508.
    Journal
    HEART & LUNG
    Rights
    © 2018 Elsevier Inc. All rights reserved.
    Collection Information
    This item from the UA Faculty Publications collection is made available by the University of Arizona with support from the University of Arizona Libraries. If you have questions, please contact us at repository@u.library.arizona.edu.
    Abstract
    Background: Customizing monitor alarm settings to individual patients can reduce alarm fatigue in intensive care units (ICUs), but has not been widely studied. Objectives: To understand ICU nurses' approaches to customization of electrocardiographic (ECG) monitor alarms. Methods: A convergent mixed methods study was conducted in 3 ICUs in 1 hospital. Data on the type and frequency of ECG alarm customization were collected from patient monitors (n=298). Nurses' customization clinical reasoning was explored through semi-structured interviews (n=27). Results: Of the 298 patients, 58.7% had >= 1 alarm(s) customized. Heart rate limits, irregular heart rate, and atrial fibrillation were the most commonly customized alarms. Interviews revealed that customization practices varied widely and were influenced by factors including clinical expertise, lack of customization education, and negative experiences. Conclusion: Alarm customization is nuanced and requires adequate support to develop safe and effective practices. The challenges identified can inform development of strategies to improve alarm customization. (C) 2018 Elsevier Inc. All rights reserved.
    Note
    12 month embargo; published online: 17 August 2018
    ISSN
    0147-9563
    PubMed ID
    30122549
    DOI
    10.1016/j.hrtlng.2018.06.010
    Version
    Final accepted manuscript
    ae974a485f413a2113503eed53cd6c53
    10.1016/j.hrtlng.2018.06.010
    Scopus Count
    Collections
    UA Faculty Publications

    entitlement

    Related articles

    • Testing physiologic monitor alarm customization software to reduce alarm rates and improve nurses' experience of alarms in a medical intensive care unit.
    • Authors: Ruppel H, De Vaux L, Cooper D, Kunz S, Duller B, Funk M
    • Issue date: 2018
    • Critical care nurses' clinical reasoning about physiologic monitor alarm customisation: An interpretive descriptive study.
    • Authors: Ruppel H, Funk M, Whittemore R, Wung SF, Bonafide CP, Powell Kennedy H
    • Issue date: 2019 Aug
    • Research Outcomes of Implementing CEASE: An Innovative, Nurse-Driven, Evidence-Based, Patient-Customized Monitoring Bundle to Decrease Alarm Fatigue in the Intensive Care Unit/Step-down Unit.
    • Authors: Lewis CL, Oster CA
    • Issue date: 2019 May/Jun
    • Effects of monitor alarm management training on nurses' alarm fatigue: A randomised controlled trial.
    • Authors: Bi J, Yin X, Li H, Gao R, Zhang Q, Zhong T, Zan T, Guan B, Li Z
    • Issue date: 2020 Nov
    • Insights into the problem of alarm fatigue with physiologic monitor devices: a comprehensive observational study of consecutive intensive care unit patients.
    • Authors: Drew BJ, Harris P, Zègre-Hemsey JK, Mammone T, Schindler D, Salas-Boni R, Bai Y, Tinoco A, Ding Q, Hu X
    • Issue date: 2014
    The University of Arizona Libraries | 1510 E. University Blvd. | Tucson, AZ 85721-0055
    Tel 520-621-6442 | repository@u.library.arizona.edu
    DSpace software copyright © 2002-2017  DuraSpace
    Quick Guide | Contact Us | Send Feedback
    Open Repository is a service operated by 
    Atmire NV
     

    Export search results

    The export option will allow you to export the current search results of the entered query to a file. Different formats are available for download. To export the items, click on the button corresponding with the preferred download format.

    By default, clicking on the export buttons will result in a download of the allowed maximum amount of items.

    To select a subset of the search results, click "Selective Export" button and make a selection of the items you want to export. The amount of items that can be exported at once is similarly restricted as the full export.

    After making a selection, click one of the export format buttons. The amount of items that will be exported is indicated in the bubble next to export format.