College of Nursing and Health Sciences, Lewis University, Romeoville, Illinois (Dr Karapas); and Niehoff School of Nursing, Loyola University, Chicago, Illinois (Dr Bobay).
J Nurs Care Qual. 2021;36(4):355-360. doi: 10.1097/NCQ.0000000000000556.
Cardiac telemetry nuisance alarms due to leads off and poor signal increase staff workflow interruptions, decrease staff trust in technology, and can compromise patient safety.
Interventions were directed at reducing nuisance alarms on a 32-bed, non-intensive care - a cardiac telemetry unit.
A nursing staff education module with evidence-based practices for reducing nuisance alarms, a daily care protocol for patients on cardiac telemetry monitoring, and daily audits of protocol adherence were implemented.
Staff pre- and posttest comparisons on their knowledge relating to nuisance alarms and the evidence-based protocol demonstrated a significant mean increase of 3.02 (95% CI, 2.55-3.48). Daily audits for 7 weeks demonstrated an average of 58.46% staff adherence. Telemetry technician call volume reduction was 16% postimplementation, while nuisance alarms were not reduced significantly.
This rapid-cycle, quality improvement process resulted in minimal reduction in nuisance alarms but improved staff awareness of the issue and reduced workflow interruptions.
由于导联脱落和信号不良导致的心脏遥测干扰报警会增加工作人员的工作流程中断，降低工作人员对技术的信任度，并可能危及患者安全。
干预措施旨在减少 32 张床位、非重症监护-心脏遥测病房的干扰报警。
实施了一项护理人员教育模块，其中包含减少干扰报警的基于证据的实践、针对接受心脏遥测监测的患者的日常护理协议，以及对协议遵守情况的日常审核。
工作人员在与干扰报警和基于证据的协议相关的知识方面的前后测试比较显示，平均显著增加了 3.02（95%置信区间，2.55-3.48）。7 周的日常审核显示，工作人员的平均依从率为 58.46%。实施后，遥测技术人员的呼叫量减少了 16%，而干扰报警并没有显著减少。
这一快速循环、质量改进过程导致干扰报警的减少微乎其微，但提高了工作人员对这一问题的认识，并减少了工作流程中断。
