Key result
Daily electrocardiogram electrode change reduced the average number of cardiac monitor alarms per bed per day by 46% compared to baseline.
Why the study?
Does daily electrocardiogram electrode change reduce the number of cardiac monitor alarms in adult acute care units?
Does daily electrocardiogram electrode change reduce the number of cardiac monitor alarms in adult acute care units?
Effect estimate: 46% reduction
Daily electrocardiogram electrode change effectively reduces the number of cardiac monitor alarms, which may help mitigate alarm fatigue among clinicians.
May reduce cardiac monitor alarms and fatigue in acute care; Level 5 evidence leaves open need for randomized confirmation.
Frequent monitor alarms are distracting and interfere with clinicians performing critical tasks. This article describes a quality improvement rapid-cycle change approach to explore the benefits of changing electrodes daily on the number of cardiac monitor alarms. Eight days of baseline and intervention data were compared for 2 adult acute care units. Average alarms per bed per day were reduced by 46% on both units. Daily electrocardiogram electrode change reduces the number of cardiac monitor alarms.
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Cvach et al. (2012) studied Cardiac monitor alarms. Daily electrocardiogram electrode change vs. Baseline practice was evaluated on Average alarms per bed per day (46% reduction). Daily electrocardiogram electrode change reduced the average number of cardiac monitor alarms per bed per day by 46% compared to baseline.
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