Alarm fatigue is a practice problem that applies to hospitalized patients and the nurses who care for them. Addressing alarm fatigue is important to promote alarm safety and to decrease the risk of patient harm or death. The purpose of this study was to decrease alarm fatigue and improve alarm safety in a regional neonatal intensive care unit (RNICU). Guided by the conceptual model for alarm fatigue and alarm safety, this study addressed whether or not alarm management protocols designed to decrease false and nuisance alarms in the physiological monitoring of neonates improve alarm safety via decreased alarm burden and alarm fatigue as evidenced by statistically significant reductions in false and nuisance alarms. A quantitative, time series quasi-experimental design was used with 4 waves of data collection. One wave was baseline data collected preintervention, and 3 waves of data were postprotocol implementation to obtain an initial indication of sustainability. Alarm observation data collection sheets were developed and used to track numbers and types of alarms pre- and post-protocol implementation. The data analysis showed statistically significant decreases in both false alarms and nuisance alarms related to the physiological monitoring protocol and lead changing protocol. Overall, high protocol adherence was noted, and the total number of alarms per hour per bed was reduced by 42% (p < .001), 46% (p < .001), and 50% (p < .001) from baseline at Weeks 2, 4, and 6, respectively. Implications from this study include impact on practice and policy, direction for future study, and a call for social change to promote alarm safety in the care of neonates.

No description available.

Photocopy of typescript. / Digitized by Kansas Correctional Industries

Thesis ((MEng(ElectroSys))--University of South Australia, 1999

Thesis (M.S.)--Worcester Polytechnic Institute. / Keywords: acoustic agglomeration; smoke detector response; enhanced deposition; soot deposition. Includes bibliographical references (p. 146-147).

Based on cross-modal learning and multiple resources theory, human performance can be improved by receiving and processing additional streams of information from the environment. In alarm situations, alarm meanings need to be distinguishable from each other and learnable for users. In audible alarms, by manipulating the temporal characteristics of sounds different audible signals can be generated. However, in some cases such as in using discrete medical alarms, when there are too many audible signals to manage, changes in temporal characteristics may not generate discriminable signals that would be easy for listeners to learn. Multimodal displays can be developed to generate additional auditory, visual, and tactile stimuli for helping humans benefit from cross-modal learning and multiple attentional resources for a better understanding of the alarm situations. In designing multimodal alarm displays in work domains where the alarms are predominantly auditory-based and where accessing visual displays is not possible at all times, tactile displays can enhance the effectiveness of alarms by providing additional streams of information for understanding the alarms. However, because of low information density of tactile information presentation, the use of tactile alarms has been limited. In this thesis, by using human subjects, the learnability of auditory and tactile alarms, separately and together in an audio-tactile display were studied. The objective of the study was to test cross-modal learning when messages of an alarm (i.e. meaning, urgency level) were conveyed simultaneously in audible, tactile and audio-tactile alarm displays. The alarm signals were designed by using spatial characteristics of tactile, and temporal characteristics of audible signals separately in audible and tactile displays as well as together in an audio-tactile display. This study explored if using multimodal alarms (tactile and audible) would help learning unimodal (audible or tactile) alarm meanings and urgency levels. The findings of this study can help for design of more efficient discrete audio-tactile alarms that promote learnability of alarm meanings and urgency levels.

No description available.

Thesis (Ph.D)--Stanford University, 1999. / Title from pdf t.p. (viewed April 3, 2002). "March 1999." "Adminitrivia V1/Prg/19990407"--Metadata.

Thesis (M.S. of B.C. & I.F.M.)--College of Architecture, Georgia Institute of Technology, 2004. Directed by Linda Thomas-Mobley. / Includes bibliographical references (leaves 69-70).

Thesis (Ph. D.)--Victoria University (Melbourne, Vic.), 2007. / Includes bibliographical references.