Effectiveness of application of a manual for improvement of alarms management by nurses in Intensive Care Units

Objective. To evaluate the effects of application of a manual on the improvement of alarms management in Intensive Care Units (ICU). Methods. This quasi-experimental study evaluated the effectiveness of the introduction into of a manual for alarm management and control in the ICU of a hospital i...

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Main Authors: Amirhossein Yousefinya, Camellia Torabizadeh, Farid Zand, Mahnaz Rakhshan, Mohammad Fararooei
Format: Article
Language:English
Published: Universidad de Antioquia 2021-06-01
Series:Investigación y Educación en Enfermería
Subjects:
Online Access:https://revistas.udea.edu.co/index.php/iee/article/view/346568
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author Amirhossein Yousefinya
Camellia Torabizadeh
Farid Zand
Mahnaz Rakhshan
Mohammad Fararooei
author_facet Amirhossein Yousefinya
Camellia Torabizadeh
Farid Zand
Mahnaz Rakhshan
Mohammad Fararooei
author_sort Amirhossein Yousefinya
collection DOAJ
description Objective. To evaluate the effects of application of a manual on the improvement of alarms management in Intensive Care Units (ICU). Methods. This quasi-experimental study evaluated the effectiveness of the introduction into of a manual for alarm management and control in the ICU of a hospital in southeastern Iran. The intervention was a 4-hour workshop was on topics related to the adverse effects of alarms, standardization of ECG, oxygen saturation and blood pressure monitoring systems, and the use of ventilators and infusion pumps. Data were collected thorough 200 hours of observation of 60 ICU nurses (100 hours’ pre-intervention and 100 hours’ post-intervention). Response time, type of response, customization of alarm settings for each patient, the person responding to an alarm, and the cause of the alarm were analyzed. Alarms were classified into three types: false, true and technical. Results. The results showed a statistically significant difference between the pre- and post-intervention frequency of alarm types, frequency of monitoring parameters, customized monitoring settings for patients, and individuals who responded to alarms. The percentage of effective interventions was significantly higher for all parameters after the intervention (46.9%) than before the intervention (38.9%). Conclusion. The employment of a manual for management of alarms from electronic equipment in ICUs can increase the frequency of appropriate responses to alarms in these units.
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spelling doaj.art-0a17268f9bd449139f8e4dda6df5423c2023-12-02T13:35:46ZengUniversidad de AntioquiaInvestigación y Educación en Enfermería2216-02802021-06-0139210.17533/udea.iee.v39n2e1143507Effectiveness of application of a manual for improvement of alarms management by nurses in Intensive Care UnitsAmirhossein Yousefinya0Camellia Torabizadeh1Farid Zand2Mahnaz Rakhshan3Mohammad Fararooei4Shiraz University of Medical SciencesShiraz University of Medical SciencesShiraz University of Medical SciencesShiraz University of Medical SciencesShiraz University of Medical SciencesObjective. To evaluate the effects of application of a manual on the improvement of alarms management in Intensive Care Units (ICU). Methods. This quasi-experimental study evaluated the effectiveness of the introduction into of a manual for alarm management and control in the ICU of a hospital in southeastern Iran. The intervention was a 4-hour workshop was on topics related to the adverse effects of alarms, standardization of ECG, oxygen saturation and blood pressure monitoring systems, and the use of ventilators and infusion pumps. Data were collected thorough 200 hours of observation of 60 ICU nurses (100 hours’ pre-intervention and 100 hours’ post-intervention). Response time, type of response, customization of alarm settings for each patient, the person responding to an alarm, and the cause of the alarm were analyzed. Alarms were classified into three types: false, true and technical. Results. The results showed a statistically significant difference between the pre- and post-intervention frequency of alarm types, frequency of monitoring parameters, customized monitoring settings for patients, and individuals who responded to alarms. The percentage of effective interventions was significantly higher for all parameters after the intervention (46.9%) than before the intervention (38.9%). Conclusion. The employment of a manual for management of alarms from electronic equipment in ICUs can increase the frequency of appropriate responses to alarms in these units.https://revistas.udea.edu.co/index.php/iee/article/view/346568clinical alarmsmonitoringintensive care unitsobservationnurses
spellingShingle Amirhossein Yousefinya
Camellia Torabizadeh
Farid Zand
Mahnaz Rakhshan
Mohammad Fararooei
Effectiveness of application of a manual for improvement of alarms management by nurses in Intensive Care Units
Investigación y Educación en Enfermería
clinical alarms
monitoring
intensive care units
observation
nurses
title Effectiveness of application of a manual for improvement of alarms management by nurses in Intensive Care Units
title_full Effectiveness of application of a manual for improvement of alarms management by nurses in Intensive Care Units
title_fullStr Effectiveness of application of a manual for improvement of alarms management by nurses in Intensive Care Units
title_full_unstemmed Effectiveness of application of a manual for improvement of alarms management by nurses in Intensive Care Units
title_short Effectiveness of application of a manual for improvement of alarms management by nurses in Intensive Care Units
title_sort effectiveness of application of a manual for improvement of alarms management by nurses in intensive care units
topic clinical alarms
monitoring
intensive care units
observation
nurses
url https://revistas.udea.edu.co/index.php/iee/article/view/346568
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