Skip to content
  • About
  • Contact
  • Contribute
  • Book
  • Careers
  • Podcast
  • Recommended
  • Speaking
  • All
  • Physician
  • Practice
  • Policy
  • Finance
  • Conditions
  • .edu
  • Patient
  • Meds
  • Tech
  • Social
  • Video
    • All
    • Physician
    • Practice
    • Policy
    • Finance
    • Conditions
    • .edu
    • Patient
    • Meds
    • Tech
    • Social
    • Video
    • About
    • Contact
    • Contribute
    • Book
    • Careers
    • Podcast
    • Recommended
    • Speaking

Alarm fatigue can cause mistakes and harm patients

Kevin Pho, MD
Physician
August 16, 2010
Share
Tweet
Share

The hospital is never a quiet place.

Walk through the wards on a typical day, and you’ll hear a cacophony of alarms, bells, and other tones coming from both computers and medical equipment.

American Medical News recently discussed so-called “alarm fatigue.”  They cite a study showing find that “16,934 alarms sounded in [a medical] unit during an 18-day period.”

That’s astounding, and for those who are wondering, that’s about 40 alarms an hour.

It’s not surprising that doctors become desensitized to these alarms, and that has potential to harm patients, as physicians may miss legitimate, emergent findings.

Alarm fatigue is also prevalent in electronic medical records.  For instance, take drug interactions.  Many EMRs aren’t sophisticated enough to differentiate between drug interactions that are minor in nature, versus those that are absolute contraindications.  The result is a plethora of alarms — not dissimilar to the Window Vista’s flawed User Account Control option — which numbs the user due to sheer amount of alerts.

The answer, of course, is to tier alerts.  Absolute emergencies should be different from those that are less important.  Adding that simple layer of nuance can highlight more critical alerts, thus ensuring more doctors will pay attention to them.

Sadly, it’s not a straightforward solution:

Solving the problem requires long-term dedication. Hospitals and their care units must evaluate their needs and develop alarm management plans. Responsibilities should be delegated and staff should be able to tailor alarm defaults for particular units or patients, such as adjusting a monitor alarm for a long-distance runner with a lower heart rate than average.

But it’s a problem that’s worth tackling, as more clinics and hospitals become reliant on digital equipment.

Kevin Pho is an internal medicine physician and on the Board of Contributors at USA Today.  He is founder and editor of KevinMD.com, also on Facebook, Twitter, Google+, and LinkedIn.

Prev

Stop calling doctors fleas and teaching professionalism

August 15, 2010 Kevin 10
…
Next

Why radiology should become more like McDonald's

August 16, 2010 Kevin 17
…

Tagged as: Health IT, Hospital-Based Medicine, Patients

Post navigation

< Previous Post
Stop calling doctors fleas and teaching professionalism
Next Post >
Why radiology should become more like McDonald's

ADVERTISEMENT

More by Kevin Pho, MD

  • Surgeon General’s warning: the dark side of social media on children’s mental health

    Kevin Pho, MD
  • Unmasking wage disparity in health care: the truth behind the Elmhurst Hospital physician strike

    Kevin Pho, MD
  • Is FDA-approved Veozah a game-changer in menopause hot flash treatment?

    Kevin Pho, MD

More in Physician

  • Disruptive physician labeling: a symptom of systemic burnout

    Jessie Mahoney, MD
  • Medicine changed me by subtraction: a physician’s evolution

    Justin Sterett, MD
  • The hidden costs of the physician non-clinical career transition

    Carlos N. Hernandez-Torres, MD
  • The poet who changed my DNA

    Ryan McCarthy, MD
  • Why the real flex in life is freedom of time and self

    Preyasha Tuladhar, MD
  • Clinical attachment in medicine: How familiarity creates safety

    Nesrin Abu Ata, MD
  • Most Popular

  • Past Week

    • Alex Pretti: a physician’s open letter defending his legacy

      Mousson Berrouet, DO | Physician
    • The hidden costs of the physician non-clinical career transition

      Carlos N. Hernandez-Torres, MD | Physician
    • The elephant in the room: Why physician burnout is a relationship problem

      Tomi Mitchell, MD | Physician
    • ADHD and cannabis use: Navigating the diagnostic challenge

      Farid Sabet-Sharghi, MD | Conditions
    • Why private equity is betting on employer DPC over retail

      Dana Y. Lujan, MBA | Policy
    • Leading with love: a physician’s guide to clarity and compassion

      Jessie Mahoney, MD | Physician
  • Past 6 Months

    • Physician on-call compensation: the unpaid labor driving burnout

      Corinne Sundar Rao, MD | Physician
    • How environmental justice and health disparities connect to climate change

      Kaitlynn Esemaya, Alexis Thompson, Annique McLune, and Anamaria Ancheta | Policy
    • Will AI replace primary care physicians?

      P. Dileep Kumar, MD, MBA | Tech
    • A physician father on the Dobbs decision and reproductive rights

      Travis Walker, MD, MPH | Physician
    • What is the minority tax in medicine?

      Tharini Nagarkar and Maranda C. Ward, EdD, MPH | Education
    • Why the U.S. health care system is failing patients and physicians

      John C. Hagan III, MD | Policy
  • Recent Posts

    • Waking up at 4 a.m. is not required for success [PODCAST]

      The Podcast by KevinMD | Podcast
    • Medical education’s blind spot: the cost of diagnostic testing

      Helena Kaso, MPA | Education
    • Disruptive physician labeling: a symptom of systemic burnout

      Jessie Mahoney, MD | Physician
    • Medicine changed me by subtraction: a physician’s evolution

      Justin Sterett, MD | Physician
    • Genetic mutations and racial disparities in leukemia survival

      Kurt Miceli, MD, MBA | Conditions
    • The hidden costs of the physician non-clinical career transition

      Carlos N. Hernandez-Torres, MD | Physician

Subscribe to KevinMD and never miss a story!

Get free updates delivered free to your inbox.


Find jobs at
Careers by KevinMD.com

Search thousands of physician, PA, NP, and CRNA jobs now.

Learn more

View 1 Comments >

Founded in 2004 by Kevin Pho, MD, KevinMD.com is the web’s leading platform where physicians, advanced practitioners, nurses, medical students, and patients share their insight and tell their stories.

Social

  • Like on Facebook
  • Follow on Twitter
  • Connect on Linkedin
  • Subscribe on Youtube
  • Instagram

ADVERTISEMENT

ADVERTISEMENT

  • Most Popular

  • Past Week

    • Alex Pretti: a physician’s open letter defending his legacy

      Mousson Berrouet, DO | Physician
    • The hidden costs of the physician non-clinical career transition

      Carlos N. Hernandez-Torres, MD | Physician
    • The elephant in the room: Why physician burnout is a relationship problem

      Tomi Mitchell, MD | Physician
    • ADHD and cannabis use: Navigating the diagnostic challenge

      Farid Sabet-Sharghi, MD | Conditions
    • Why private equity is betting on employer DPC over retail

      Dana Y. Lujan, MBA | Policy
    • Leading with love: a physician’s guide to clarity and compassion

      Jessie Mahoney, MD | Physician
  • Past 6 Months

    • Physician on-call compensation: the unpaid labor driving burnout

      Corinne Sundar Rao, MD | Physician
    • How environmental justice and health disparities connect to climate change

      Kaitlynn Esemaya, Alexis Thompson, Annique McLune, and Anamaria Ancheta | Policy
    • Will AI replace primary care physicians?

      P. Dileep Kumar, MD, MBA | Tech
    • A physician father on the Dobbs decision and reproductive rights

      Travis Walker, MD, MPH | Physician
    • What is the minority tax in medicine?

      Tharini Nagarkar and Maranda C. Ward, EdD, MPH | Education
    • Why the U.S. health care system is failing patients and physicians

      John C. Hagan III, MD | Policy
  • Recent Posts

    • Waking up at 4 a.m. is not required for success [PODCAST]

      The Podcast by KevinMD | Podcast
    • Medical education’s blind spot: the cost of diagnostic testing

      Helena Kaso, MPA | Education
    • Disruptive physician labeling: a symptom of systemic burnout

      Jessie Mahoney, MD | Physician
    • Medicine changed me by subtraction: a physician’s evolution

      Justin Sterett, MD | Physician
    • Genetic mutations and racial disparities in leukemia survival

      Kurt Miceli, MD, MBA | Conditions
    • The hidden costs of the physician non-clinical career transition

      Carlos N. Hernandez-Torres, MD | Physician

MedPage Today Professional

An Everyday Health Property Medpage Today
  • Terms of Use | Disclaimer
  • Privacy Policy
  • DMCA Policy
All Content © KevinMD, LLC
Site by Outthink Group

Alarm fatigue can cause mistakes and harm patients
1 comments

Comments are moderated before they are published. Please read the comment policy.

Loading Comments...