Third Party Education Understanding alarm safety initiatives and how it impacts your hospital

At a national level, there is intense focus on problems related to patient safety especially alarm fatigue. Here you will find educational material created by authoritative resources addressing the causes of alarm-related incidents and the implications hospitals and patients incur when alarm notifications and event responses are not properly managed.


The Joint Commission

Sentinel Event Alert – Issue 50, 2013 April 8.
Many medical devices have alarm systems. These alarm-equipped devices are essential to providing safe care to patients in many health care settings; clinicians depend on these devices for information they need to deliver appropriate care and to guide treatment decisions. However, these devices present a multitude of challenges and opportunities for health care organizations when their alarms create similar sounds, when their default settings are not changed, and when there is a failure to respond to their alarm signals.

Go to The Joint Commission’s website to read more

Alarm Safety Webinar
An ECRI Institute representative and staff from Boston Medical Center discuss their successful Cardiac Alarm Management Pilot. (May 1, 2013)

Go to The Joint Commission’s website to read more

R3 Report | Requirement, Rationale, Reference
Provides rationale and references that The Joint Commission employs in the development of new requirements. (December 11, 2013)

Go to The Joint Commission’s website to read more


ECRI Institute

Alarm Safety Resource Site
Free guidance and tools to help healthcare facilities improve alarm safety.

Go to the ECRI Institute website to read more


Association for the Advancement of Medical
Instrumentation Foundation (AAMI Foundation)

Click here to learn more about the National Coalition for Alarm Management Safety.

Click the links below to view the 7-part AAMI Foundation’s HTSI Webinar Series on Alarm Systems Management Resources:

  1. How Do We Get Started? (Sept. 25, 2013)
  2. How to Identify the Most Important Alarm Signals to Manage (Oct. 30, 2013)
  3. How to Manage Alarms at the Bedside (Dec. 3, 2013)
  4. Use of Middleware in Alarm Management: Ancillary Notification and Obtaining Alarm Data (Jan. 28, 2014)
  5. Current Challenges with Ventilator Alarms (March 25, 2014)
  6. Educating and Training Your Staff: Circling Back to Your Policies and Procedures (April 29, 2014)

AAMI Foundation offers an extensive library of free alarm safety resources. Click the links below to visit AAMI Foundation’s website.


American Association of Critical Care Nurses (AACN)

Alarm Management Resources and Implementation Tools
Free Critical Care Webinar Series and evidence-based guidelines.

Go to the AACN website to read more read more

Monitor Alarm Fatigue
Standardizing Use of Physiological Monitors and Decreasing Nuisance Alarms. Creighton Graham, Kelly and Cvach, Maria. Am J Crit Care. 2010 Jan;19(1):28-34.

Go to the AACN website to read more


Noteworthy Industry Publications

Alarm Fatigue in the News
Patient safety groups outline problems and solutions to alarm fatigue, and hospitals begin to implement strategies for reduction

American Pharmacists Association
Safety First: The Latest Updates from The Joint Commission

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University of Maryland – Center for Health Information and Decision Systems (CHIDS) Research Briefings
Quantifying the Economic Impact of Communication Inefficiencies in US Hospitals

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Agency for Healthcare Research and Quality – Patient Safety Network (PSNet)
Patient Safety Primers – Alarm Fatigue

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MED
Risks Surrounding Alarm Management in the Health Setting.

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Hospitals & Health Networks
Runaway Noise in the Hospital.

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Agency for Healthcare Research and Quality
Multifaceted Initiative to Reduce “Alarm Fatigue” on Cardiac Unit Reduces Alarms and Increases Nurse and Patient Satisfaction.

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Medical Informatics
Alarm Fatigue and Management from a Nurse’s Perspective.

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Online Journal of Nursing Informatics
Alarm Fatigue: A Concept Analysis.

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American Journal of Critical Care
Attitudes and Practices Related to Clinical Alarms.

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Physician-Patient Alliance for Health & Safety
Top Patient Safety Experts Explore Ways to Reduce Alarm Fatigue.

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24×7 Mag
One Recipe to Reduce Alarm Fatigue: Let People Be Creative.

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Patient Safety & Quality Healthcare
Three Pillars of Clinical Alarm Safety.

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The Boston Globe
Heading off the alarms at Boston Children’s Hospital.

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Simmons School of Nursing and Health Sciences
The Danger of Alarm Fatigue.

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AAMI
Experts See Marked Improvement in Alarms Management Awareness.

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Medical Device Alarm Safety Importance
Recognizing the need to eliminate alarm fatigue.

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Journal of Clinical Engineering
A Work Plan for The Joint Commission Alarm National Patient Safety Goal.

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Patient Safety in Surgery
A critical assessment of monitoring practices, patient deterioration, and alarm fatigue on inpatient wards: a review.

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The Journal of the American Medical Association
Redesigning Hospital Alarms for Patient Safety.

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24×7 Mag
Nine Technological Solutions to Manage Alarm Fatigue.

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ECRI Institute
The Path to Alarm Safety: A Step-by-Step Guide for Improving Clinical Alarm Management and Reducing Alarm Hazards.

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Physician-Patient Alliance for Health & Safety
Three Findings on Alarm Management.

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Medscape
Time to Battle Alarm Fatigue.

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American Association of Critical-Care Nurses
Live Q&A: Alarm Management Implementation Revisited.

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Modern Healthcare
Hospital’s simple interventions help reduce alarm fatigue.

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Medical Connectivity
Role of Monitoring Techs in Alarm Notification.

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ECRI Institute
Targeting Alarm Safety: Useful resources for the alarm management patient safety goal.

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ECRI Institute
Are You Tired of Alarm Fatigue in Your Hospital?

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The American Nurse
Sounding the Alarm: Nurses, organizations work to address alarm fatigue.

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Physician-Patient Alliance for Health & Safety Finds Patient Safety at Risk
New national survey reports 70 percent of hospitals would like a single indicator that accurately incorporates vital signs to reduce alarm fatigue.

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Leah’s Law: A Mother’s Mission to Save Lives
The intersection of alarm fatigue and legislative action

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Why it’s time to make alarm fatigue in hospitals a key healthcare priority

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Soundcloud interview with Barbara Drew
A cardiac monitoring expert leading a research effort at UCSF to reduce alarm fatigue in hospitals

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San Francisco General Hospital Implements New Security Measures
Alarm fatigue cited as possible contributing factor in patient death

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The Role of Patient Monitors on Alarm Fatigue in the Operating Room

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Alarm Fatigue: Understanding and Solving a Complex Problem

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Too Much Noise From Hospital Alarms Poses Risk For Patients

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Physician-Patient Alliance for Health & Safety
Three lessons learned to reduce alarm fatigue and improve alarm management in hospitals

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The Institute for Safe Medication Practices
Drawn Curtains, Muted Alarms, and Diverted Attention: Tragedy in the PACU

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NorthShore University Health System
Clinical Engineering Department instrumental in reducing alarm fatigue

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ADVANCE Perspective: Nurses
Three ways technology can help nurses spend more time at patients’ bedside

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Medical Connectivity
Alarm Fatigue Plagues Hospitals. Again. Still.

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ADVANCE for Nurses: Reducing Alarm Fatigue for Nurses
Simple fixes to reduce alarm fatigue

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Pennsylvania Patient Safety Advisory
A failure mode and effects analysis

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Extension Healthcare Blog

Learn more about Extension Healthcare’s perspective on alarm management and event response as the industry moves to prioritize alarm safety.

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