Gülşen Muaz, Arslan Sevban
Surgical Nursing Department, Faculty of Health Sciences, Çukurova University, 01330 Adana, Turkey.
Healthcare (Basel). 2025 Mar 14;13(6):631. doi: 10.3390/healthcare13060631.
In surgical intensive care units, monitoring and interventions are performed utilizing advanced technologies. The warning alarms of these devices jeopardize patient safety by inducing fatigue in staff. The objective is to assess the impact of alarm fatigue on the tendency for medical errors among nurses in surgical intensive care units. The current study employed a cross-sectional and correlational design. Data were gathered from 201 surgical intensive care nurses through an online survey approach and snowball sampling technique. The data collection instruments employed were the "Personal Information Form", the "Alarm Fatigue Scale", and the "Medical Error Tendency Scale in Nursing". The mean total score for alarm fatigue among nurses in surgical intensive care units was found to be 16.42 ± 5.47, while the mean total score for the tendency to make medical errors was 180.57 ± 24.32. A negative moderate correlation was identified between alarm fatigue and a tendency for medical errors. This finding indicates that as alarm fatigue increases, the score reflecting the tendency to make medical errors decreases; however, this decrease suggests an actual increase in the tendency for medical errors. Nurses' alarm fatigue accounted for 14.5% of the total variance in the tendency to commit medical errors. A unit increase in alarm fatigue was found to correlate with a 0.381 unit increase in the likelihood of medical errors. Nurses exhibited moderate levels of alarm fatigue and a tendency for medical mistakes. The tendency for medical errors escalated markedly with the rise in alarm fatigue.
在外科重症监护病房中，利用先进技术进行监测和干预。这些设备的警报会使工作人员产生疲劳，从而危及患者安全。目的是评估警报疲劳对外科重症监护病房护士医疗差错倾向的影响。本研究采用横断面相关设计。通过在线调查方法和滚雪球抽样技术，从201名外科重症监护护士收集数据。所使用的数据收集工具为“个人信息表”、“警报疲劳量表”和“护理中医疗差错倾向量表”。发现外科重症监护病房护士警报疲劳的平均总分是16.42±5.47，而医疗差错倾向的平均总分是180.57±24.32。警报疲劳与医疗差错倾向之间存在中度负相关。这一发现表明，随着警报疲劳增加，反映医疗差错倾向的分数下降；然而，这种下降表明医疗差错倾向实际上在增加。护士的警报疲劳占医疗差错倾向总方差的14.5%。发现警报疲劳每增加一个单位，医疗差错可能性就增加0.381个单位。护士表现出中度的警报疲劳和医疗差错倾向。随着警报疲劳增加，医疗差错倾向显著上升。
