Petra Knaup-Gregori, Martin Boeker, Toralf Kirsten, Dagmar Krefting, Erik Schiller, Paul Schmücker, Christina Schüttler, Anne Seim, Cord Spreckelsen, Alfred Winter
[Development of competencies in the Medical Informatics Initiative (MII)-educational offers for a competent and secure handling of medical data]
Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz
alarm fatigue among nurses working intensive care unit garnered considerable attention national patient safety priority viable solution reducing frequency alarms unnecessary noise intensive care unit alarm monitor customization 24bed cardiovascular thoracic surgery intensive care unit large academic medical center identified high rate alarms associated noise problem contributing nurse alarm fatigue alarm monitor quality improvement project used alarm frequency nurse surveys implementation determine effectiveness interventions multimodal interventions included nurse training sessions informational flyers organizational policies alarm monitor training video unexpected results inspired extensive investigation secondary analysis included examining datacapturing capabilities alarm monitors impact context factors alarm frequencies unexpectedly increased intervention software datacapturing features alarm monitors determining frequency accurately measure nurse interactions monitors measured increases patient census nurse staffing data input medical devices intervention substantially affected project results alarm frequencies proved unreliable measure nurse skills practices alarm customization documented changes context factors provided strong anecdotal evidence changed circumstances clarified project results underscored critical importance contemporaneous collection context data designs methods used quality improvement projects must include reliable outcome measures achieve meaningful results