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

  • Why every physician needs a sabbatical (and how to take one)

    Christie Mulholland, MD
  • The moral injury of “not medically necessary” denials

    Arthur Lazarus, MD, MBA
  • Is physician unionization the answer to a broken health care system?

    Allan Dobzyniak, MD
  • The decline of professionalism in medicine: a structural diagnosis

    Patrick Hudson, MD
  • The patchwork era of medical board certification

    Brian Hudes, MD
  • How neurodiversity in relationships shapes communication

    Farid Sabet-Sharghi, MD
  • Most Popular

  • Past Week

    • A physician father on the Dobbs decision and reproductive rights

      Travis Walker, MD, MPH | Physician
    • Putting health back into insurance: the case for tobacco cessation

      Edward Anselm, MD | Policy
    • Will AI replace primary care physicians?

      P. Dileep Kumar, MD, MBA | Tech
    • Why every physician needs a sabbatical (and how to take one)

      Christie Mulholland, MD | Physician
    • Why the U.S. health care system is failing patients and physicians

      John C. Hagan III, MD | Policy
    • Ghost networks in health care: Why physicians are suing insurers

      Timothy Lesaca, MD | Physician
  • Past 6 Months

    • Why patient trust in physicians is declining

      Mansi Kotwal, MD, MPH | Physician
    • Is primary care becoming a triage station?

      J. Leonard Lichtenfeld, MD | Physician
    • How environmental justice and health disparities connect to climate change

      Kaitlynn Esemaya, Alexis Thompson, Annique McLune, and Anamaria Ancheta | Policy
    • A physician father on the Dobbs decision and reproductive rights

      Travis Walker, MD, MPH | Physician
    • The blind men and the elephant: a parable for modern pain management

      Richard A. Lawhern, PhD | Conditions
    • Is tramadol really ineffective and risky?

      John A. Bumpus, PhD | Meds
  • Recent Posts

    • Why the U.S. health care system is failing patients and physicians

      John C. Hagan III, MD | Policy
    • Focusing on outcomes over novelty prevents AI failure in health care [PODCAST]

      The Podcast by KevinMD | Podcast
    • What is the minority tax in medicine?

      Tharini Nagarkar and Maranda C. Ward, EdD, MPH | Education
    • Putting health back into insurance: the case for tobacco cessation

      Edward Anselm, MD | Policy
    • Why Brooklyn’s aging population needs more vascular health specialists

      Anil Hingorani, MD | Conditions
    • Escaping the golden cage of traditional medical practice to find joy again [PODCAST]

      The Podcast by KevinMD | Podcast

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

    • A physician father on the Dobbs decision and reproductive rights

      Travis Walker, MD, MPH | Physician
    • Putting health back into insurance: the case for tobacco cessation

      Edward Anselm, MD | Policy
    • Will AI replace primary care physicians?

      P. Dileep Kumar, MD, MBA | Tech
    • Why every physician needs a sabbatical (and how to take one)

      Christie Mulholland, MD | Physician
    • Why the U.S. health care system is failing patients and physicians

      John C. Hagan III, MD | Policy
    • Ghost networks in health care: Why physicians are suing insurers

      Timothy Lesaca, MD | Physician
  • Past 6 Months

    • Why patient trust in physicians is declining

      Mansi Kotwal, MD, MPH | Physician
    • Is primary care becoming a triage station?

      J. Leonard Lichtenfeld, MD | Physician
    • How environmental justice and health disparities connect to climate change

      Kaitlynn Esemaya, Alexis Thompson, Annique McLune, and Anamaria Ancheta | Policy
    • A physician father on the Dobbs decision and reproductive rights

      Travis Walker, MD, MPH | Physician
    • The blind men and the elephant: a parable for modern pain management

      Richard A. Lawhern, PhD | Conditions
    • Is tramadol really ineffective and risky?

      John A. Bumpus, PhD | Meds
  • Recent Posts

    • Why the U.S. health care system is failing patients and physicians

      John C. Hagan III, MD | Policy
    • Focusing on outcomes over novelty prevents AI failure in health care [PODCAST]

      The Podcast by KevinMD | Podcast
    • What is the minority tax in medicine?

      Tharini Nagarkar and Maranda C. Ward, EdD, MPH | Education
    • Putting health back into insurance: the case for tobacco cessation

      Edward Anselm, MD | Policy
    • Why Brooklyn’s aging population needs more vascular health specialists

      Anil Hingorani, MD | Conditions
    • Escaping the golden cage of traditional medical practice to find joy again [PODCAST]

      The Podcast by KevinMD | Podcast

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...