CenTrak

Reducing Alarm Fatigue Increasing Patient Safety

Alarm fatigue in healthcare, caused by the overwhelming number of false clinical alarms—up to 99%—leads to clinician desensitization and patient safety risks, prompting regulatory focus and necessitating administrative actions such as implementing enterprise-wide patient safety solutions, integrating real-time location systems (RTLS) with tamper-resistant tags to accurately monitor patient locations and reduce unnecessary alarms.

How to Reduce Alarm Fatigue and Increase Patient Safety

Alarm fatigue is a significant issue in healthcare settings, where clinicians are exposed to a high volume of false alarms. According to the American Association of Critical-Care Nurses, between 72% and 99% of all clinical alarms are false. This overwhelming number of alarms can lead to desensitization or sensory overload among clinicians, causing alarms to become background noise rather than urgent signals.

Michael Wong, executive director of the Physician-Patient Alliance for Health and Safety, notes that hospital staff are exposed to an average of 350 alarms per bed, per day. This results in thousands of alarms per unit and tens of thousands per hospital daily. Alarm fatigue has been linked to patient deaths, as clinicians may silence or disable alarms without checking on patients due to the frequency of false alerts.

To address this issue, the Joint Commission made alarm fatigue a focus of its 2014 National Patient Safety Goal, with further regulations becoming mandatory.

Strategies to Combat Alarm Fatigue

  • Administrative Action: Addressing alarm fatigue requires action at the administrative level, not just from bedside caregivers.
  • Enterprise-Wide Patient Safety Solutions: Implementing comprehensive patient safety solutions can decrease the frequency of false alarms.
  • Integration of RTLS Technology: Combining real-time location system (RTLS) technology with a proven security system provides accurate location information for patients in rooms, hallways, beds, chairs, bassinets, and bays.
    • For example, a clinical-grade patient safety system can accurately determine if a patient is still inside their room, preventing unnecessary alarms that might occur with less precise systems.
  • Tamper-Resistant Tags: Select patient safety solutions that include tamper-resistant tags. These tags send alerts if removed or if communication with the system is lost.
    • Choose tags with soft, comfortable, but secure wrist or ankle bands to ensure constant contact with the skin.
    • For infants, use tags that attach directly to the umbilical cord for increased security and reduced risk of accidental removal.
  • Reducing Nuisance Alarms: Properly designed tamper-resistant tags help reduce nuisance alarms, ensuring that any tamper alarm is recognized as a real and serious situation.

By implementing these strategies, healthcare facilities can reduce alarm fatigue and increase patient safety.