Alarm Fatigue: Use of an Evidence-Based Alarm Management Strategy

Monitor Alarm Fatigue : An Integrative Review

Cvach, M. M. (2012) · Biomedical Instrumentation & Technology · doi:10.2345/0899-8205-46.4.268 · Cited by 641 · see citing works

Practice Standards for Electrocardiographic Monitoring in Hospital Settings: An American Heart Association Scientific Statement From the Councils on Cardiovascular Nursing, Clinical Cardiology, and Cardiovascular Disease in the Young: Endorsed by the International Society of Computerized Electrocardiology and the American Association of Critical-Care Nurses

Drew, B. J., Califf, R. M., Funk, M., Kaufman, E. S., Krucoff, M. W., Laks, M. M., Macfarlane, P. W., Sommargren, C., Swiryn, S., & Van Hare, G. F. (2004) · Circulation · doi:10.1161/01.cir.0000145144.56673.59 · Cited by 609 · see citing works

Monitor Alarm Fatigue: Standardizing Use of Physiological Monitors and Decreasing Nuisance Alarms

Graham, K. C., & Cvach, M. M. (2010) · American Journal of Critical Care · doi:10.4037/ajcc2010651 · Cited by 460 · see citing works

A national online survey on the effectiveness of clinical alarms.

Korniewicz, D., Clark, T., & David, Y. (2008) · American Journal of Critical Care · doi:10.4037/ajcc2008.17.1.36 · Cited by 117 · see citing works

Altering Overuse of Cardiac Telemetry in Non–Intensive Care Unit Settings by Hardwiring the Use of American Heart Association Guidelines

Dressler, R. M., Dryer, M. M., Coletti, C., Mahoney, D. D., & Doorey, A. J. (2014) · JAMA Internal Medicine · doi:10.1001/jamainternmed.2014.4491 · Cited by 102 · see citing works

Reducing Hospital Noise: A Review of Medical Device Alarm Management

Konkani, A., Oakley, B. A., & Bauld, T. J. (2012) · Biomedical Instrumentation & Technology · doi:10.2345/0899-8205-46.6.478 · Cited by 85 · see citing works

Stop the Noise: A Quality Improvement Project to Decrease Electrocardiographic Nuisance Alarms

Sendelbach, S., Wahl, S., Anthony, A., & Shotts, P. (2015) · Critical Care Nurse · doi:10.4037/ccn2015858 · Cited by 64 · see citing works

Physiologic Monitoring Alarm Load on Medical/Surgical Floors of a Community Hospital

Gross, B. D., Dahl, D., & Nielsen, L. (2011) · Biomedical Instrumentation & Technology · doi:10.2345/0899-8205-45.s1.29 · Cited by 59 · see citing works

Unnecessary arrhythmia monitoring and underutilization of ischemia and QT interval monitoring in current clinical practice: baseline results of the Practical Use of the Latest Standards for Electrocardiography trial

Funk, M., Winkler, C. G., May, J. L., Stephens, K., Fennie, K., Rose, L., Turkman, Y., & Drew, B. J. (2010) · Journal of Electrocardiology · doi:10.1016/j.jelectrocard.2010.07.018 · Cited by 49 · see citing works

Impact of Alarm Fatigue on the Work of Nurses in an Intensive Care Environment—A Systematic Review

Lewandowska, K., Weisbrot, M., Cieloszyk, A., Mędrzycka-Dąbrowska, W. A., Krupa, S., & Ozga, D. (2020) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph17228409 · Cited by 252 · see citing works

Technological Distractions (Part 2): A Summary of Approaches to Manage Clinical Alarms With Intent to Reduce Alarm Fatigue

Winters, B. D., Cvach, M. M., Bonafide, C. P., Hu, X., Konkani, A., O’Connor, M. F., Rothschild, J. M., Selby, N. M., Pelter, M. M., McLean, B. A., et al. (2017) · Critical Care Medicine · doi:10.1097/ccm.0000000000002803 · Cited by 174 · see citing works

Clinical requirements of future patient monitoring in the intensive care unit: qualitative study

Poncette, A.-S., Spies, C., Mosch, L., Schieler, M., Weber-Carstens, S., Krampe, H., & Balzer, F. (2019) · JMIR Medical Informatics · doi:10.2196/13064 · Cited by 136 · see citing works

A call to alarms: Current state and future directions in the battle against alarm fatigue

Hravnak, M., Pellathy, T., Chen, L., Dubrawski, A. W., Wertz, A., Clermont, G., & Pinsky, M. R. (2018) · Journal of Electrocardiology · doi:10.1016/j.jelectrocard.2018.07.024 · Cited by 113 · see citing works

Critical care nurses’ knowledge of alarm fatigue and practices towards alarms: A multicentre study

Casey, S., Avalos, G., & Dowling, M. (2018) · Intensive and Critical Care Nursing · doi:10.1016/j.iccn.2018.05.004 · Cited by 93 · see citing works

Critical care nurses’ clinical reasoning about physiologic monitor alarm customisation: An interpretive descriptive study

Ruppel, H., Funk, M., Whittemore, R., Wung, S., Bonafide, C. P., & Kennedy, H. P. (2019) · Journal of Clinical Nursing · doi:10.1111/jocn.14866 · Cited by 52 · see citing works

Ten Years Later, Alarm Fatigue Is Still a Safety Concern

Albanowski, K., Burdick, K. J., Bonafide, C. P., Kleinpell, R. M., & Schlesinger, J. J. (2023) · AACN Advanced Critical Care · doi:10.4037/aacnacc2023662 · Cited by 50 · see citing works

Attitudes and Practices Related to Clinical Alarms: A Follow-up Survey

Ruppel, H., Funk, M., Clark, J. T., Gieras, I. A., David, Y. B., Bauld, T. J., Coss, P., & Holland, M. L. (2018) · American Journal of Critical Care · doi:10.4037/ajcc2018185 · Cited by 42 · see citing works

Determining the Impact of an Alarm Management Program on Alarm Fatigue among ICU and Telemetry RNs: An Evidence Based Research Project

Dee, S. A., Tucciarone, J., Plotkin, G., & Mallilo, C. (2022) · SAGE Open Nursing · doi:10.1177/23779608221098713 · Cited by 38 · see citing works

Effect of bundle set interventions on physiologic alarms and alarm fatigue in an intensive care unit: A quality improvement project

Seifert, M., Tola, D. H., Thompson, J. A., McGugan, L., & Smallheer, B. (2021) · Intensive and Critical Care Nursing · doi:10.1016/j.iccn.2021.103098 · Cited by 36 · see citing works

Nurses’ responses to monitor alarms in an intensive care unit: An observational study

Ergezen, F. D., & Kol, E. (2020) · Intensive and Critical Care Nursing · doi:10.1016/j.iccn.2020.102845 · Cited by 35 · see citing works

Intensive care unit nurses' perceptions and practices regarding clinical alarms: A descriptive study

Wang, L., He, W., Chen, Y., Wu, Q., Du, X., Li, Q., & Song, C. (2023) · Nursing Open · doi:10.1002/nop2.1792 · Cited by 32 · see citing works

A Framework to Assess Alarm Fatigue Indicators in Critical Care Staff

Claudio, D., Deb, S., & Diegel, E. (2021) · Critical Care Explorations · doi:10.1097/cce.0000000000000464 · Cited by 32 · see citing works

Levels and Factors of Nurses’ Alarm Fatigue in Critical Care Settings in Saudi Arabia: A Multicenter Cross-Sectional Study

Alkubati, S. A., Alsaqri, S., Alrubaiee, G. G., almoliky, M. A., Alqalah, T. A. H., Pasay-an, E. A., Alrasheeday, A., & Elsayed, S. M. (2024) · Journal of Multidisciplinary Healthcare · doi:10.2147/jmdh.s452933 · Cited by 31 · see citing works

A grounded theory study of alarm fatigue among nurses in intensive care units

Movahedi, A., Sadooghiasl, A., Ahmadi, F., & Vaismoradi, M. (2023) · Australian Critical Care · doi:10.1016/j.aucc.2022.12.004 · Cited by 30 · see citing works

Managing Alarms in Acute Care Across the Life Span: Electrocardiography and Pulse Oximetry

(2018) · Critical Care Nurse · doi:10.4037/ccn2018468 · Cited by 31 · see citing works

Determinants of Medical Equipment Alarm Fatigue in Practicing Nurses: A Systematic Review

Shaoru, C., Hui, Z., Su, W., Ruxin, J., Huiyi, Z., Zhang, H., & Zhang, H. (2023) · SAGE Open Nursing · doi:10.1177/23779608231207227 · Cited by 32 · see citing works

Alarm Management in Intensive Care: Qualitative Triangulation Study

Mosch, L. K., Sümer, M., Flint, A. R., Feufel, M. A., Balzer, F., Mörike, F., & Poncette, A.-S. (2024) · JMIR Human Factors · doi:10.2196/55571 · Cited by 26 · see citing works

Impact of Hospital Nurses’ Perception on Clinical Alarms and Patient Safety Culture on Alarm Management Practice

Lee, S.-J., Lee, Y. M., Seo, E. J., & Son, Y. (2021) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph18084018 · Cited by 24 · see citing works

An Evidence-Based Initiative to Reduce Alarm Fatigue in a Burn Intensive Care Unit

Gorisek, R., Mayer, C. M., Hicks, W. B., & Barnes, J. (2021) · Critical Care Nurse · doi:10.4037/ccn2021166 · Cited by 22 · see citing works

Challenges of customizing electrocardiography alarms in intensive care units: A mixed methods study

Ruppel, H., Funk, M., Kennedy, H. P., Bonafide, C. P., Wung, S., & Whittemore, R. (2018) · Heart & Lung · doi:10.1016/j.hrtlng.2018.06.010 · Cited by 22 · see citing works

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

Bonafide, C. P., Localio, A. R., Stemler, S., Ahumada, L. M., Dewan, M. L., Ely, E., & Keren, R. (2018) · Journal of Hospital Medicine · doi:10.12788/jhm.2956 · Cited by 17 · see citing works

Diagnostic and prognostic significance of premature ventricular complexes in community and hospital-based participants: A scoping review

Suba, S., Fleischmann, K. E., Schell-Chaple, H. M., Prasad, P. A., Marcus, G. M., Hu, X., & Pelter, M. M. (2021) · PLoS ONE · doi:10.1371/journal.pone.0261712 · Cited by 13 · see citing works

Impact of Alarm Management Training on Adult ICU Nurses' Knowledge, Behaviour, and Fatigue: A Quasi‐Experimental Study

Kibar, D., & Özsaban, A. (2025) · Journal of Evaluation in Clinical Practice · doi:10.1111/jep.70127 · Cited by 11 · see citing works

Reducing Cardiac Telemetry Nuisance Alarms Through Evidence-Based Interventions

Karapas, E. T., & Bobay, K. L. (2021) · Journal of Nursing Care Quality · doi:10.1097/ncq.0000000000000556 · Cited by 9 · see citing works

ECG alarms during left ventricular assist device (LVAD) therapy in the ICU

Watanakeeree, K., Suba, S., Mackin, L. A., Badilini, F., & Pelter, M. M. (2021) · Heart & Lung · doi:10.1016/j.hrtlng.2021.03.080 · Cited by 9 · see citing works

Burnout among nurses practicing in critical care units: Predicting the contributing factors

Yousif, S. Y., & AL‐Fayyadh, S. (2025) · Journal of Education and Health Promotion · doi:10.4103/jehp.jehp_926_24 · Cited by 8 · see citing works

Emergency Nurses’ Knowledge, Perceptions, and Practices Toward Alarm Fatigue and the Obstacles to Alarm Management: A Path Analysis

Alkubati, S. A., Alrubaiee, G. G., Alqalah, T. A. H., almoliky, M. A., Alsaqri, S., Pasay-an, E. A., Saleh, K. A., Albaqawi, H., Alboliteeh, M., Alshammari, M. H., et al. (2024) · Journal of Emergency Nursing · doi:10.1016/j.jen.2024.11.007 · Cited by 7 · see citing works

Does alarm fatigue start in nursing school?

Weeks, K. A., Timalonis, J., & Donovan, L. M. (2021) · Nursing · doi:10.1097/01.nurse.0000743284.73649.7a · Cited by 7 · see citing works

Thoracic Impedance Pneumography–Derived Respiratory Alarms and Associated Patient Characteristics

Bawua, L. K., Miaskowski, C. A., Suba, S., Badilini, F., Rodway, G. W., Hu, X., & Pelter, M. M. (2022) · American Journal of Critical Care · doi:10.4037/ajcc2022295 · Cited by 7 · see citing works

Improving alarm management to reduce alarm fatigue in critical care: a mixed-methods study

Lewandowska, K., Mędrzycka-Dąbrowska, W. A., Mikłas, M., & Wujtewicz, M. A. (2025) · Intensive and Critical Care Nursing · doi:10.1016/j.iccn.2025.104254 · Cited by 6 · see citing works

Battling Alarm Fatigue in the Pediatric Intensive Care Unit

Herrera, H., & Wood, D. A. (2023) · Critical Care Nursing Clinics of North America · doi:10.1016/j.cnc.2023.05.003 · Cited by 5 · see citing works

Technological Intervention to Improve Alarm Management in Acute Care Telemetry Units

Lehet, C. R., Lopez, J. A., Frank, R. J., & Cvach, M. M. (2023) · Biomedical Instrumentation & Technology · doi:10.2345/0899-8205-57.2.67 · Cited by 5 · see citing works

AF among Nurses Working in Neonatal and Paediatric Intensive Care Units: A Cross-Sectional Study

Ali, T. M., & Alharbi, M. F. (2024) · Healthcare · doi:10.3390/healthcare12161574 · Cited by 4 · see citing works

Model establishment based on clinical data from patient monitors: Optimising night-time alarms in intensive care units

Fang, J., Xiong, C., Xia, S., & Ding, P. (2025) · Intensive and Critical Care Nursing · doi:10.1016/j.iccn.2025.104192 · Cited by 3 · see citing works

Minimizing Alarm Fatigue: Pediatric Perspective

Williams, L. (2018) · AACN Advanced Critical Care · doi:10.4037/aacnacc2018946 · Cited by 3 · see citing works

Nursing Perspectives on Alarm Fatigue: An Integrative Review

Nyarko, B. A., Wuni, A., & Giuliano, K. K. (2025) · Nursing and Health Sciences · doi:10.1111/nhs.70253 · Cited by 2 · see citing works

Adaptation and validation of the Turkish version of the alarm fatigue assessment questionnaire

Dallı, Ö. E., & Derinpınar, K. B. (2023) · Enfermería Intensiva (English ed ) · doi:10.1016/j.enfie.2023.09.001 · Cited by 2 · see citing works

Experiences and Challenges for Critical Care Nurses in Work Related to Medical Device Alarms

Li, M., He, S., Peng, M., Liu, H., Chen, C., Liu, X., & Tan, L. (2024) · CIN Computers Informatics Nursing · doi:10.1097/cin.0000000000001214 · Cited by 2 · see citing works

Performance comparison of 6 in-hospital patient monitoring systems in the detection and alarm of ventricular cardiac arrhythmias

Cosentino, N., Zhang, X., Farrar, E. J., Yapici, H. O., Coffeng, R., Vaananen, H., & Beard, J. W. (2024) · Cardiovascular Digital Health Journal · doi:10.1016/j.cvdhj.2024.02.002 · Cited by 2 · see citing works

Improving Alarm Management Practices

Clodfelter, A. D. (2025) · CIN Computers Informatics Nursing · doi:10.1097/cin.0000000000001324 · Cited by 1 · see citing works

SAFETY IN THE GASTROENTEROLOGY SETTING

Bocian, S., Granato, A., Cain, M., Friis, C. M., Fonkalsrud, L., Loyola, M., Robertson, L., Foliacci, T., & Wahinehookae, C. (2021) · Gastroenterology Nursing · doi:10.1097/sga.0000000000000626 · Cited by 1 · see citing works

Adaptation and validation of the Turkish version of the alarm fatigue assessment questionnaire

Dallı, Ö. E., & Derinpınar, K. B. (2024) · Enfermería Intensiva · doi:10.1016/j.enfi.2023.06.002 · Cited by 1 · see citing works

Physiotherapists’ attitudes and practices towards physiologic monitor alarms in critical care: A single-centre pilot study

O’Dowd, D., Harte, A., & O’Sullivan, C. (2021) · Physiotherapy Practice and Research · doi:10.3233/ppr-200468 · Cited by 1 · see citing works

Telemetry Nurses Knowledge of Alarm Fatigue and Interventions for Change: An Education Program DevelopmentPreprint

Cruz, S. (2018) · doi:10.28971/532018cs118 · Cited by 1 · see citing works

The Relationship Between Alarm Fatigue with Clinical Competence in Neonatal Intensive Care Nurses in Kermanshah-Iran, 2022.Preprint

Begjani, J., Moheb, N. B., Haghani, S., & Takhtgahi, H. B. (2023) · Research Square · doi:10.21203/rs.3.rs-3423571/v1 · Cited by 1 · see citing works

The role of organizational and ethical factors in developing evidence-based strategic decision making in hospitals of Tehran University of Medical Sciences in Iran

Sohrabi, S., Mahfozpoor, S., Vahdat, S., Mahmodi, M., & Rabiyi, M. (2020) · Revista Eletrônica em Gestão Educação e Tecnologia Ambiental · doi:10.5902/2236117043409

Alarm Fatigue

Trotman, S. (2019) · Springer eBooks · doi:10.1007/978-3-030-32679-1_17

Meaningless Use: Assessing Compliance With a Clinically Meaningless Emergency Department Documentation Requirement

Guilherme, S., Iyeke, L. O., Chen, Y., Catanzarita, A., Sierra, M. O. M., Clouden, R., Puca, D., & Richman, M. J. (2023) · Cureus · doi:10.7759/cureus.37244

A Focus on Alarms that Matter to Reduce Telemetry Alarm Fatigue: A Pilot StudyPreprint

McCoy, M. (2024) · doi:10.28971/532024mm78

Enhancing Personal Protection in Dealing With Nurses’ Alarm Fatigue: A Prescriptive Model

Movahedi, A., Sadooghiasl, A., Ahmadi, F., & Vaismoradi, M. (2025) · Nursing Forum · doi:10.1155/nuf/6937479

Nurses' responses to monitor alarms during intra-hospital transports: an observational studyPreprint

Li, T., Hu, H., & Wu, X. (2022) · Research Square · doi:10.21203/rs.3.rs-2365820/v1

Yoğun bakım hemşirelerinde alarm yorgunluğu ve klinik karar verme arasındaki ilişki: Bir üniversite hastanesi örneği

Kırca, K., & Uymaz, N. Y. (2025) · Turkish Journal of Clinics and Laboratory · doi:10.18663/tjcl.1701434

Intensive Care Unit Nurses' Experience in Human–Computer Interaction: A Qualitative Meta‐Synthesis

Zhu, Y., Song, H., Xb, W., Yun, Z., Bian, X., Peng, C., Zhao, J., & Wei, J. (2026) · Nursing in Critical Care · doi:10.1111/nicc.70333

The Effect of Monitor Alarm Management Training on the Level of Alarm Fatigue of Nurses in Intensive Care Units

Barzegar, M., Fallah, B., & Bakhshi, F. (2026) · Critical Care Nursing Quarterly · doi:10.1097/cnq.0000000000000615

Nurses’ Experiences Related to Nontechnological Alarm Fatigue in Intensive Care Units: A Qualitative Content Analysis

Movahedi, A., Alikhah, H., Rezaiy, S. G., Partash, N., Abavisani, M., Zirak, M., & Maghsoodi, E. (2026) · Nursing Forum · doi:10.1155/nuf/3997936

Mejora del desempeño del personal de enfermería en la gestión de alarmas mediante un recordatorio conductual

Topçu, S., Sarı, M. K., Yilmaz, M. Ş., & Ürkmez, D. Ö. (2026) · Revista da Escola de Enfermagem da USP · doi:10.1590/1980-220x-reeusp-2025-0579es

Improving nurses’ alarm-management performance with a behavioral reminder

Topçu, S., Sarı, M. K., Yilmaz, M. Ş., & Ürkmez, D. Ö. (2026) · Revista da Escola de Enfermagem da USP · doi:10.1590/1980-220x-reeusp-2025-0579en

Needs and barriers of healthcare teams to implement real-time AI & predictive analytics in cardiothoracic ICU: a field study

Barry, C., Purdue, S. K., Nourani, M., Forlines, C., Goodwin, M. S., & Tory, M. (2026) · Frontiers in Digital Health · doi:10.3389/fdgth.2026.1943663

Sounds good: the bright future of clinical alarm management initiatives

Ruppel, H., & Bonafide, C. P. (2020) · BMJ Quality & Safety · doi:10.1136/bmjqs-2019-010561 · Cited by 10 · see citing works

Monitor Alarm Fatigue: Standardizing Use of Physiological Monitors and Decreasing Nuisance Alarms

Graham, K. C., & Cvach, M. M. (2010) · American Journal of Critical Care · doi:10.4037/ajcc2010651 · Cited by 460 · see citing works

Effectiveness of Physiological Alarm Management Strategies to Prevent Alarm Fatigue

Clemens, A. (2019) · ScholarWorks (Walden University) · Cited by 1 · see citing works

Skin Preparation and Electrode Replacement to Reduce Alarm Fatigue in a Community Hospital Intensive Care Unit

Leigher, D., Kemppainen, P., & Neyens, D. M. (2020) · American Journal of Critical Care · doi:10.4037/ajcc2020120 · Cited by 16 · see citing works

An Investigation into the Efficacy of Alarm Fatigue Reduction Strategies

Peterson, J. T. (2013) · OpenCommons - UConn (University of Connecticut)