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dc.contributor.authorRuppel, Halley
dc.contributor.authorFunk, Marjorie
dc.contributor.authorKennedy, Holly Powell
dc.contributor.authorBonafide, Christopher P
dc.contributor.authorWung, Shu-Fen
dc.contributor.authorWhittemore, Robin
dc.date.accessioned2019-08-15T18:47:58Z
dc.date.available2019-08-15T18:47:58Z
dc.date.issued2018
dc.identifier.citationRuppel, 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.en_US
dc.identifier.issn0147-9563
dc.identifier.pmid30122549
dc.identifier.doi10.1016/j.hrtlng.2018.06.010
dc.identifier.urihttp://hdl.handle.net/10150/633843
dc.description.abstractBackground: 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.en_US
dc.language.isoenen_US
dc.publisherMOSBY-ELSEVIERen_US
dc.rights© 2018 Elsevier Inc. All rights reserved.en_US
dc.rights.urihttp://rightsstatements.org/vocab/InC/1.0/
dc.subjectAlarm Customizationen_US
dc.subjectClinical Alarmsen_US
dc.subjectCritical Care Nursingen_US
dc.subjectElectrocardiographyen_US
dc.subjectIntensive Care Unitsen_US
dc.subjectPhysiologic Monitor Alarmsen_US
dc.titleChallenges of customizing electrocardiography alarms in intensive care units: A mixed methods studyen_US
dc.typeArticleen_US
dc.contributor.departmentUniv Arizona, Coll Nursingen_US
dc.identifier.journalHEART & LUNGen_US
dc.description.note12 month embargo; published online: 17 August 2018en_US
dc.description.collectioninformationThis 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.en_US
dc.eprint.versionFinal accepted manuscripten_US
dc.source.journaltitleHeart & lung : the journal of critical care


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