alarm management - a manufacturer's...
TRANSCRIPT
Alarm Management – A Manufacturers Perspective
Bob Steurer – Global Product Manager
Look at Several Layers of Customization
• Customize alarm settings for the patient o Utilize Learned Alarms o Identify settings on a 30
minute trend • Patient Type is important –
different settings are dependent on age
Start at the Source to Combat Alarm Fatigue
“Default settings are not adjusted for the individual patient or for the patient population.”
- TJC Sentinel Event Alert, Issue 50, April 8, 2013
Utilize Tiered Alarms Creates Distinguishable Alarm Sounds
And Enables Further Customization of Settings
ECG Alarms Extreme High & Low Rate
High Heart Rate >120, <140
Extreme High Heart Rate >140 Tiered Alarm Functions Tier 1 – Medium Priority
Low Heart Rate <50, >30
Extreme Low Heart Rate <30 SpO2 Alarm Hi/Low and Separate Desat Alarm
In this way, Critical alarm sounds become easier to distinguish over unit noise and other alarms
High Heart Rate Ex. >120 Typical alarm Functions
1 Tier – High Priority
Other alarms are tiered also – Invasive Blood Pressure…
Tier 2 – High Priority
Alarm History
“We want to make the alarms fewer but more clinically important ... we cannot miss one important event.”
- Barbara Drew, UCSF Medical Center, San Francisco Chronicle,
October 23, 2013
Alarm Management Tools Recommend Guidelines for Hospitals to
Create an Alarm Management Policy
“Should include appropriate suspension of alarms during patient care, which can decrease the number of audible alarms by 20%.”
- AACN Practice Alert, April 2013
“It is estimated that between 85 and 99 percent of alarm signals do not require clinical intervention…”
Alarm acknowledge silences until
• The original condition resolves • A different alarm condition for the
same parameter occurs • An alarm condition for a different
parameter occurs • A reminder tone and message are
generated when in Acknowledge
Provide a Standby
Processing can be Suspended
• No alarms • No new measurements - Monitoring is Stopped • Provide a Reminder
Visual Alarm Aids - Central Station
• Alarm History Bar • Quick Visualization
• Quick Access to Alarm review + Full Disclosure
• Reminder of Most recent high priority alarm message
• 30 minute alarm trend
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Alarm Review in Full Disclosure
• Full Disclosure Includes Event Interface to Smart Phones or Paging Devices
Provide Latching Alarm Data
Remember: “85 – 90% of Alarms are NON-Actionable”
NON-Actionable Alarms result in Additional Noise
A majority of Alarms Self-Correct
A Latched Alarm Message Stays until Acknowledged
Always Visible
Our Goal As a Manufacturer
The noise….
To help achieve The Joint Commission requirement, we need a Simple, Actionable Reporting Tool
o Provide Assessment: Understanding the opportunities for Improvement o Show Comparisons: Look at past performance and the impact of
process improvements o Enable Benchmarking: Tie Hospital goals to Industry comparisons
Provide Actionable Alarm Data
Studies show hundreds of alarms per
department per day
“Clinicians become desensitized or immune to the sounds, and are overwhelmed by information – in short, they suffer from “alarm fatigue.”
• For Most Devices: o Manually Download Log data o Review by Clinical Team o Format to Searchable Report
How do we get the Data?
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Simple and Easy Alarm Reporting
• Web Based for easy access • Local or Cloud based storage • Single or Multiple Facilities
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