Alarm fatigue in diabetes technology requires careful consideration of patient wellbeing, human factors, and safety frameworks during device design to ensure appropriate responses and usability.
Safe and widespread use of diabetes technology is constrained by alarm fatigue: when someone receives so many alarms that he or she becomes less likely to respond appropriately. Alarm fatigue and related usability issues deserve consideration at every stage of alarm system design, especially as new technologies expand the potential number and complexity of alarms. The guiding principle should be patient wellbeing, while taking into consideration the regulatory and liability issues that sometimes contribute to building excessive alarms. With examples from diabetes devices, we illustrate two complementary frameworks for alarm design: a "patient safety first" perspective and a focus on human factors. We also describe opportunities and challenges that will come with new technologies such as remote monitoring, adaptive alarms, and ever-closer integration of glucose sensing with insulin delivery.
Shivers et al. (Wed,) conducted a review in Diabetes. Diabetes device alarm systems was evaluated. Alarm fatigue in diabetes technology requires careful consideration of patient wellbeing, human factors, and safety frameworks during device design to ensure appropriate responses and usability.
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