Safety Huddle Intervention for Reducing Physiologic Monitor Alarms: A Hybrid Effectiveness-Implementation Cluster Randomized Trial.

Journal of Hospital Medicine : an Official Publication of the Society of Hospital Medicine
Christopher P BonafideRon Keren

Abstract

Monitor alarms occur frequently but rarely warrant intervention. This study aimed to determine if a safety huddle-based intervention reduces unit-level alarm rates or alarm rates of individual patients whose alarms are discussed, as well as evaluate implementation outcomes. Unit-level, cluster randomized, hybrid effectiveness-implementation trial with a secondary patient-level analysis. Children's hospital. Unit-level: all patients hospitalized on 4 control (n = 4177) and 4 intervention (n = 7131) units between June 15, 2015 and May 8, 2016. Patient-level: 425 patients on randomly selected dates postimplementation. Structured safety huddle review of alarm data from the patients on each unit with the most alarms, with a discussion of ways to reduce alarms. Unit-level: change in unit-level alarm rates between baseline and postimplementation periods in intervention versus control units. Patient-level: change in individual patients' alarm rates between the 24 hours leading up to huddles and the 24 hours after huddles in patients who were discussed versus not discussed in huddles. Alarm data informed 580 huddle discussions. In unit-level analysis, intervention units had 2 fewer alarms/patient-day (95% CI: 7 fewer to 6 more, P = .50)...Continue Reading

Citations

Aug 28, 2020·Journal of Hospital Medicine : an Official Publication of the Society of Hospital Medicine·Blaise T SoberanoMaya Dewan

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