Health Personnel Alert Fatigue

Mental fatigue experienced by health care providers who encounter numerous alerts and reminders from the use of CLINICAL DECISION SUPPORT SYSTEMS. As the numbers of alerts and reminders designed to provide meaningful assistance to the patient care process increases, many health personnel may ignore them.

Also Known As:

Networked: 74 relevant articles (4 outcomes, 11 trials/studies)

Relationship Network

Disease Context: Research Results

Related Diseases

1.	COVID-19
2.	Compassion Fatigue
3.	Neoplasms (Cancer)
4.	Chronic Kidney Failure (Chronic Renal Failure)
5.	Hypoglycemia (Reactive Hypoglycemia)

Experts

1.	Hu, Xiao: 3 articles (06/2022 - 01/2018)
2.	Bonafide, Christopher P: 3 articles (01/2018 - 05/2014)
3.	Pelter, Michele M: 2 articles (06/2022 - 01/2018)
4.	Hessler, Danielle: 2 articles (12/2021 - 03/2015)
5.	Miles, Simon: 2 articles (05/2020 - 11/2019)
6.	Glover, Kevin R: 2 articles (11/2018 - 06/2018)
7.	Schuster, Catherine: 2 articles (11/2018 - 06/2018)
8.	Vitoux, Rachel R: 2 articles (11/2018 - 06/2018)
9.	Poole, Sarah: 2 articles (01/2018 - 01/2015)
10.	Bridi, Adriana Carla: 2 articles (11/2017 - 11/2014)

Drugs and Biologics

Drugs and Important Biological Agents (IBA) related to Health Personnel Alert Fatigue:

1.	SolutionsIBA 05/20/2020 - "This paper's main goal is to propose a solution to mitigate alarm fatigue by using an automatic reasoning mechanism to decide how to calculate false alarm probability (FAP) for alarms and whether to include an indication of the FAP (ie, FAP_LABEL) with a notification to be visualized by health care team members designed to help them prioritize which alerts they should respond to next. " 11/26/2019 - "The main goal of this paper was to propose a feasible solution for the alarm fatigue problem by using an automatic reasoning mechanism to decide how to notify members of the health care team. " 01/01/2019 - "Alarm fatigue is well recognized but no solution has been widely successful. " 01/01/2019 - "Therefore, a solution to patient monitor alarm fatigue is to open the black-box of patient monitors to integrate physiologic data with clinical data from EHR under a four-element algorithm strategy to be described in this paper. "
2.	Insulin (Novolin)FDA Link 07/01/2018 - "In these roles, certified CNLs are reviewing literature, conducting research, and/or writing commentaries on CNL education and practice and other health foci such as alarm fatigue, insulin practices, and physical exercise for cancer-related fatigue. " 03/01/2015 - "The available data suggest that greater satisfaction with accuracy is linked to better RT-CGM adherence, more confident and aggressive insulin adjustments, improvements in quality of life, reduced reliance on self-monitoring of blood glucose, and--potentially--less alarm fatigue. " 04/01/2015 - "Technical problems included sensor inaccuracy and unreliability, and "alarm fatigue." The advantages of CGM used with an insulin pump with automatic suspension of insulin delivery during hypoglycemia were recorded by several participants, noting reduced hypoglycemia frequency and fear of nocturnal hypoglycemia. "
3.	Glucose (Dextrose)FDA LinkGeneric 06/13/2022 - "Maximizing model performance for glucose risk prediction and management is crucial to reduce the burden of alarm fatigue on CGM users. " 12/01/2021 - "Background: Continuous glucose monitoring (CGM) can improve glycemic control for adults with type 1 diabetes (T1D) but certain barriers interfere with consistent use including cost, data overload, alarm fatigue, physical discomfort, and unwanted social attention. "
4.	ElementsIBA 01/01/2023 - "Polish Adaptation of the Alarm Fatigue Assessment Questionnaire as an Element of Improving Patient Safety." 01/01/2019 - "Therefore, a solution to patient monitor alarm fatigue is to open the black-box of patient monitors to integrate physiologic data with clinical data from EHR under a four-element algorithm strategy to be described in this paper. "
5.	SuspensionsIBA 04/01/2015 - "Technical problems included sensor inaccuracy and unreliability, and "alarm fatigue." The advantages of CGM used with an insulin pump with automatic suspension of insulin delivery during hypoglycemia were recorded by several participants, noting reduced hypoglycemia frequency and fear of nocturnal hypoglycemia. "
6.	Polyvinyl Chloride (PVC)IBA 07/01/2023 - "However, PVC alarms are common and can contribute to alarm fatigue. "
7.	Blood Glucose (Blood Sugar)IBA 03/01/2015 - "The available data suggest that greater satisfaction with accuracy is linked to better RT-CGM adherence, more confident and aggressive insulin adjustments, improvements in quality of life, reduced reliance on self-monitoring of blood glucose, and--potentially--less alarm fatigue. "
8.	Opioid Analgesics (Opioids)IBA 03/01/2022 - "Monitoring the patient for opioid-induced ventilatory impairment poses challenges in the areas of reliability, avoidance of alarm fatigue, cost, and personnel demands. "
9.	mesoglycanIBA 01/01/2022 - "With this systematic review, we are following the Preferred Reporting Items for Systematic Reviews (PRISMA) checklist in order to summarise scientific efforts that aimed to develop IT systems to reduce alarm fatigue in ICUs. "

Therapies and Procedures

1.	Critical Care (Surgical Intensive Care) 04/01/2023 - "Implementation of the CEASE alarm management bundle was effective in reducing surgical intensive care unit nurses' alarm fatigue and improving their alarm management practices." 01/01/2023 - "It is necessary to reduce alarm fatigue and promote safe and effective alarm management practices among critical care nurses through sufficient education and steady training. " 11/01/2023 - "Reducing critical care nurses' alarm fatigue may help to alleviate burnout. " 11/01/2023 - "This study aimed to explore the relationship between alarm fatigue and burnout among critical care nurses. " 08/12/2023 - "The objective of this study was to investigate the level of alarm fatigue and its associated factors, as well as determine its relationship with burnout among nurses working in the critical care units of hospitals in Ghana. "
2.	Length of Stay 01/01/2018 - "The proposed personalized vital sign alarm thresholds will reduce alarm fatigue, thus contributing to improved patient outcomes, shorter hospital stays, and reduced hospital costs."
3.	Clinical Alarms 11/13/2020 - "The keywords used in the search included: "intensive care unit," "nurse," "alarm fatigue," "workload," and "clinical alarm." The review also covered studies carried out among nurses employed at an adult intensive care unit. " 07/05/2023 - "High rates of clinical alarms in the intensive care unit can result in alarm fatigue among staff. " 07/01/2023 - "The introduction of effective and continuous education and training programs for nurses concerning clinical alarm management as well as raising nurses' awareness of the occurrence of alarm fatigue is vital." 01/01/2023 - "The CAFQa is a brief questionnaire that allows clinical alarm researchers to quantify the alarm fatigue of nurses and physicians. " 01/01/2023 - "Using technology in the clinical setting where clinical alarms frequently occur, resulting in many false alarms, which is called alarm fatigue, alarm fatigue may increase nurses' distraction, and that might negatively affect patient safety. "
4.	Infusion Pumps (Infusion Pump) 08/12/2019 - "These protocols can be applied to studies on the impact of alarm fatigue and for the evaluation of protocols, infusion-monitoring strategies, and infusion pump-based medication safety software aimed at reducing alarm fatigue and ensuring the maintenance of critical short half-life infusions. " 01/01/2021 - "Smart infusion pumps affect workflows as they add alerts and alarms in an information-rich clinical environment where alarm fatigue is already a major concern. " 06/14/2018 - "Understanding the incidences and characteristics of infusion pump alarms will result in more informed quality improvement recommendations to decrease and/or modify infusion pump alarms, and potentially reduce clinical staff alarm fatigue and improve patient safety. . " 01/01/2018 - "Although smart infusion pumps are intended to prevent medication errors by alerting users about doses that exceed set thresholds, a large number of clinically insignificant alarms and alerts create the potential for alert and alarm fatigue. "
5.	Mechanical Ventilators (Ventilator) 05/24/2022 - "The results showed that there was a significant relationship between alarm fatigue and related training courses)P = .012(.So that, alarm fatigue in nurses who were trained in working with ventilators and alarm settings was significantly less than other nurses. " 10/01/2021 - "However, frequent ventilator alarms interfere with developmental care and they may lead to alarm fatigue, missed alarms and clinical incidents. " 02/24/2021 - "Big data generated from ventilators in the form of ventilator waveform analysis and images in the form of radiomics have also been leveraged for the identification of the syndrome and can be incorporated into a clinical decision support system. Although the results are promising, lack of generalizability, "black box" nature of algorithms and concerns about "alarm fatigue" should be addressed for more mainstream adoption of these models."