Nurses' Perceptions and Practices Toward Clinical Alarms in a Transplant Cardiac Intensive Care Unit: Exploring Key Issues Leading to Alarm Fatigue
Open accessAbstract
BACKGROUND: Intensive care units (ICUs) are complex work environments where false alarms occur more frequently than on non-critical care units. The Joint Commission National Patient Safety Goal .06.01.01 targeted improving the safety of clinical alarm systems and required health care facilities to establish alarm systems safety as a hospital priority by July 2014. An important initial step toward this requirement is identifying ICU nurses' perceptions and common clinical practices toward clinical alarms, where little information is available. OBJECTIVE: Our aim was to determine perceptions and practices of transplant/cardiac ICU (TCICU) nurses toward clinical alarms and benchmark the results against the 2011 Healthcare Technology Foundation's (HTF) Clinical Alarms Committee Survey. METHODS: A quality improvement project was conducted on a 20-bed TCICU with 39 full- and part-time nurses. Nurses were surveyed about their perceptions and attitudes toward and practices on clinical alarms using an adapted HTF clinical alarms survey. Results were compared to the 2011 HTF data. Correlations among variables were examined. RESULTS: All TCICU nurses provided usable responses (N=39, 100%). Almost all nurses (95%-98%) believed that false alarms are frequent, disrupt care, and reduce trust in alarm systems, causing nurses to inappropriately disable them. Unlike the 2011 HTF clinical alarms survey results, a significantly higher percentage of our TCICU nurses believed that existing devices are complex, questioned the ability and adequacy of the new monitoring systems to solve alarm management issues, pointed to the lack of prompt response to alarms, and indicated the lack of clinical policy on alarm management (P<.01). Major themes in the narrative data focused on nurses' frustration related to the excessive number of alarms and poor usability of the cardiac monitors. A lack of standardized approaches exists in changing patients' electrodes and individualizing parameters. Around 60% of nurses indicated they received insufficient training on bedside and central cardiac monitors. A correlation also showed the need for training on cardiac monitors, specifically for older nurses (P=.01). CONCLUSIONS: False and non-actionable alarms continue to desensitize TCICU nurses, perhaps resulting in missing fatal alarms. Nurses' attitudes and practices related to clinical alarms are key elements for designing contextually sensitive quality initiatives to fight alarm fatigue. Alarm management in ICUs is a multidimensional complex process involving usability of monitoring devices, and unit, clinicians, training, and policy-related factors. This indicates the need for a multi-method approach to decrease alarm fatigue and improve alarm systems safety.
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
Several strategies have been developed to reduce false alarms in the ICU, but implementation into clinical routine is still lacking.
“Although several strategies have been developed to reduce false alarms in the ICU [12,28-31], implementation into a clinical routine is still lacking.”
From Clinical requirements of future patient monitoring in the intensive care unit: qualitative study (2019) · cites this paper as [30]
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
The self-check needs the paper’s full text.
Cites
The association for the advancement of medical instrumentation
(1974) · Ultrasound in Medicine & Biology · doi:10.1016/0301-5629(74)90035-0 · Cited by 1,031 · see citing works
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
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
Alarm Algorithms in Critical Care Monitoring
Imhoff, M., & Kuhls, S. (2006) · Anesthesia & Analgesia · doi:10.1213/01.ane.0000204385.01983.61 · Cited by 266 · see citing works
Improving Alarm Performance in the Medical Intensive Care Unit Using Delays and Clinical Context
Görges, M., Markewitz, B. A., & Westenskow, D. R. (2009) · Anesthesia & Analgesia · doi:10.1213/ane.0b013e31819bdfbb · Cited by 212 · see citing works
Intensive care unit alarms—How many do we need?*
Siebig, S., Kuhls, S., Imhoff, M., Ursula Gather, C., Schölmerich, J., & Wrede, C. E. (2010) · Critical Care Medicine · doi:10.1097/ccm.0b013e3181cb0888 · Cited by 206 · see citing works
Reducing false alarm rates for critical arrhythmias using the arterial blood pressure waveform
Aboukhalil, A., Nielsen, L., Saeed, M., Mark, R. G., & Clifford, G. D. (2008) · Journal of Biomedical Informatics · doi:10.1016/j.jbi.2008.03.003 · Cited by 204 · see citing works
Medical device alarm safety in hospitals.
(2013) · PubMed · Cited by 117 · see citing works
The Wolf Is Crying in the Operating Room
Schmid, F., Goepfert, M. S., Kuhnt, D., Eichhorn, V., Diedrichs, S., Reichenspurner, H. C., Goetz, A. E., & Reuter, D. A. (2010) · Anesthesia & Analgesia · doi:10.1213/ane.0b013e3181fcc504 · Cited by 114 · see citing works
Atzema, C., Schull, M. J., Borgundvaag, B., Slaughter, G. R. D., & Lee, C. K. (2006) · The American Journal of Emergency Medicine · doi:10.1016/j.ajem.2005.05.015 · Cited by 98 · cited 1× · see citing works
“5%) produced by physiological monitors [2-4].”
Siebig, S., Kuhls, S., Imhoff, M., Langgartner, J., Reng, M., Schölmerich, J., Ursula Gather, C., & Wrede, C. E. (2009) · Journal of Critical Care · doi:10.1016/j.jcrc.2008.09.001 · Cited by 96 · see citing works
Attitudes and Practices Related to Clinical Alarms
Funk, M., Clark, J. T., Bauld, T. J., Ott, J. C., & Coss, P. (2014) · American Journal of Critical Care · doi:10.4037/ajcc2014315 · Cited by 91 · see citing works
Use of Pagers With an Alarm Escalation System to Reduce Cardiac Monitor Alarm Signals
Cvach, M. M., Frank, R. J., Doyle, P. A., & Khouri-Stevens, Z. (2013) · Journal of Nursing Care Quality · doi:10.1097/ncq.0b013e3182a61887 · Cited by 63 · see citing works
Managing alarm fatigue in cardiac care
Solet, J. M., & Barach, P. R. (2012) · Progress in Pediatric Cardiology · doi:10.1016/j.ppedcard.2011.12.014 · Cited by 61 · see citing works
Christensen, M., Dodds, A., Sauer, J., & Watts, N. (2014) · Intensive and Critical Care Nursing · doi:10.1016/j.iccn.2014.02.003 · Cited by 54 · see citing works
Phillips, J. K., & Barnsteiner, J. (2005) · Critical Care Nursing Quarterly · doi:10.1097/00002727-200510000-00003 · Cited by 45 · see citing works
Alarm limit settings for early warning systems to identify at risk patients
Burgess, L. P. A., Herdman, T. H., Berg, B. W., Feaster, W. W., & Hebsur, S. (2009) · Journal of Advanced Nursing · doi:10.1111/j.1365-2648.2009.05048.x · Cited by 42 · see citing works
Patient Monitors in Critical Care: Lessons for Improvement
Drews, F. A. (2008) · Cited by 20 · see citing works
Biot, L., Holzapfel, L., Becq, G., Mélot, C., & Baconnier, P. (2003) · Journal of Critical Care · doi:10.1016/j.jcrc.2003.10.004 · Cited by 15 · see citing works
The hazards of alarm overload. Keeping excessive physiologic monitoring alarms from impeding care.
(2007) · PubMed · Cited by 11 · see citing works
Human Factors: Should Your Medical Devices Require Intensive Care?
Hyman, W. A. (2010) · Critical Care Nursing Clinics of North America · doi:10.1016/j.ccell.2010.03.005 · Cited by 6 · see citing works
Flagged first, then by citations
Cited by
Sorted by citations
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
A dataset of clinically recorded radar vital signs with synchronised reference sensor signals
Schellenberger, S., Shi, K., Steigleder, T., Malessa, A., Michler, F., Hameyer, L., Neumann, N., Lurz, F., Weigel, R., Ostgathe, C., et al. (2020) · Scientific Data · doi:10.1038/s41597-020-00629-5 · Cited by 153 · 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
Alarm Safety and Alarm Fatigue
Johnson, K. R., Hagadorn, J. I., & Sink, D. W. (2017) · Clinics in Perinatology · doi:10.1016/j.clp.2017.05.005 · Cited by 115 · see citing works
A nurses’ alarm fatigue questionnaire: development and psychometric properties
Torabizadeh, C., Yousefinya, A., Zand, F., Rakhshan, M., & Fararouei, M. (2016) · Journal of Clinical Monitoring and Computing · doi:10.1007/s10877-016-9958-x · Cited by 104 · 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
Sowan, A. K., Gomez, T. M., Tarriela, A. F., Reed, C. C., & Paper, B. M. (2016) · JMIR Human Factors · doi:10.2196/humanfactors.5098 · Cited by 83 · see citing works
Self-citationNyarko, B. A., Yin, Z., Chai, X., & Yue, L. (2023) · Australian Critical Care · doi:10.1016/j.aucc.2023.06.010 · Cited by 75 · see citing works
Research Outcomes of Implementing CEASE
Lewis, C. L., & Oster, C. A. (2019) · Dimensions of Critical Care Nursing · doi:10.1097/dcc.0000000000000357 · Cited by 72 · see citing works
Shi, K., Schellenberger, S., Will, C., Steigleder, T., Michler, F., Fuchs, J., Weigel, R., Ostgathe, C., & Koelpin, A. (2020) · Scientific Data · doi:10.1038/s41597-020-0390-1 · Cited by 64 · see citing works
Assessment of Clinical Alarms Influencing Nurses’ Perceptions of Alarm Fatigue
Petersen, E. M., & Costanzo, C. L. (2016) · Dimensions of Critical Care Nursing · doi:10.1097/dcc.0000000000000220 · Cited by 62 · see citing works
False Alarms and Overmonitoring
Simpson, K. R., & Lyndon, A. (2018) · Journal of Nursing Care Quality · doi:10.1097/ncq.0000000000000335 · Cited by 53 · see citing works
Sowan, A. K., Vera, A., Fonseca, E., Reed, C. C., Tarriela, A., & Berndt, A. (2017) · The Open Medical Informatics Journal · doi:10.2174/1874431101711010001 · Cited by 43 · see citing works
Self-citationAttitudes 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
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
Xu, D., Liu, F., Ding, X., Ma, J., Suo, Y., Peng, Y.-Y., Li, J., & Fu, X. (2025) · BMC Nursing · doi:10.1186/s12912-025-03084-y · 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
Degree of Alarm Fatigue and Mental Workload of Hospital Nurses in Intensive Care Units
Seok, Y., Cho, Y. K., Kim, N., & Suh, E. E. (2023) · Nursing Reports · doi:10.3390/nursrep13030083 · Cited by 31 · see citing works
Vreman, J., van Loon, L. M., van den Biggelaar, W., van der Hoeven, J. G., Lemson, J., & van den Boogaard, M. (2020) · Intensive and Critical Care Nursing · doi:10.1016/j.iccn.2020.102901 · Cited by 30 · see citing works
Evaluating the Alarm Fatigue and its Associated Factors among Clinicians in Critical Care Units
Bourji, H., Sabbah, H., Al’Jamil, A., Khamis, R., Sabbah, S., Droubi, N., & Sabbah, I. (2020) · European Journal of Clinical Medicine · doi:10.24018/clinicmed.2020.1.1.8 · Cited by 29 · 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
Perceptions of Infusion Pump Alarms
Vitoux, R. R., Schuster, C., & Glover, K. R. (2018) · Journal of Infusion Nursing · doi:10.1097/nan.0000000000000295 · Cited by 24 · see citing works
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
A brief questionnaire for measuring alarm fatigue in nurses and physicians in intensive care units
Wunderlich, M. M., Amende-Wolf, S., Krampe, H., Kruppa, J., Spies, C., Weiß, B., Memmert, B., Balzer, F., & Poncette, A.-S. (2023) · Scientific Reports · doi:10.1038/s41598-023-40290-7 · Cited by 23 · see citing works
Nurse–Technology Interactions and Patient Safety
Ruppel, H., & Funk, M. (2018) · Critical Care Nursing Clinics of North America · doi:10.1016/j.cnc.2018.02.003 · Cited by 22 · see citing works
Sensory Overload and Technology in Critical Care
Wung, S., Malone, D. C., & Szalacha, L. A. (2018) · Critical Care Nursing Clinics of North America · doi:10.1016/j.cnc.2018.02.001 · Cited by 20 · see citing works
Ruettgers, N., Naef, A. C., Rossier, M., Knobel, S. E. J., Jeitziner, M., Holtforth, M. G., Zante, B., Schefold, J. C., Nef, T., & Gerber, S. M. (2022) · PLoS ONE · doi:10.1371/journal.pone.0279603 · Cited by 20 · see citing works
Critical Care Nurses’ Cognitive Ergonomics Related to Medical Device Alarms
Wung, S., & Schatz, M. R. (2018) · Critical Care Nursing Clinics of North America · doi:10.1016/j.cnc.2018.02.002 · Cited by 20 · see citing works
Perceptions and practices related to clinical alarms
Mirhafez, S. R., Movahedi, A., Pasha, A. M., Mohammadi, G., Moeini, V., Zahra, M., Kavosi, A., & Far, M. R. A. (2019) · Nursing Forum · doi:10.1111/nuf.12338 · Cited by 20 · see citing works
A contactless system for continuous vital sign monitoring in palliative and intensive care
Shi, K., Will, C., Steigleder, T., Michler, F., Weigel, R., Ostgathe, C., & Koelpin, A. (2018) · IEEE International Systems Conference (SysCon) · doi:10.1109/syscon.2018.8369507 · Cited by 20 · see citing works
Hwang, T.-H., Shi, J., & Lee, K. Y. (2023) · IEEE Access · doi:10.1109/access.2023.3328641 · Cited by 19 · see citing works
What motivates and demotivates emergency response volunteers? A survey-based factor analysis study
Prytz, E. G., Norrblom, P., Pilemalm, S., Granberg, T. A., & Jonson, C. (2023) · Scandinavian Journal of Trauma Resuscitation and Emergency Medicine · doi:10.1186/s13049-023-01101-0 · Cited by 17 · see citing works
Nurses' Perceptions and Practices Related to Alarm Management: A Quality Improvement Initiative
Cameron, H., & Little, B. B. (2018) · The Journal of Continuing Education in Nursing · doi:10.3928/00220124-20180417-05 · Cited by 17 · see citing works
Improved Patient Monitoring with a Novel Multisensory Smartwatch Application
Burdick, K. J., Gupta, M., Sangari, A., & Schlesinger, J. J. (2022) · Journal of Medical Systems · doi:10.1007/s10916-022-01869-1 · Cited by 14 · see citing works
Alarm-Fatigue – wieviel Alarm verträgt der Mensch?
Lorenz, B., Peters, J., & Frey, U. H. (2017) · AINS - Anästhesiologie · Intensivmedizin · Notfallmedizin · Schmerztherapie · doi:10.1055/s-0042-118618 · Cited by 13 · see citing works
Combating Alarm Fatigue: The Quest for More Accurate and Safer Clinical Monitoring Equipment
Nguyen, J., Davis, K. R., Guglielmello, G., & Stawicki, S. P. (2019) · IntechOpen eBooks · doi:10.5772/intechopen.84783 · Cited by 14 · see citing works
Aysha, Z. M., & Ahmed, S. E. S. (2019) · American journal of nursing research · doi:10.12691/ajnr-7-5-16 · Cited by 13 · see citing works
A Complex Phenomenon in Complex Adaptive Health Care Systems—Alarm Fatigue
Sowan, A. K., & Reed, C. C. (2017) · Archives of Pediatrics and Adolescent Medicine · doi:10.1001/jamapediatrics.2016.5137 · Cited by 13 · see citing works
Self-citationFarajalla, F., Batran, A., Malak, M. Z., & Ayed, A. (2026) · SAGE Open Nursing · doi:10.1177/23779608251410070 · Cited by 12 · see citing works
Alarm fatigue in nurses working in intensive care units: A multicenter study
Carelli, L., Terzoni, S., Destrebecq, A. L. L., Formenti, P., Soumahoro, F., Esposito, A. A., & Ferrara, P. (2022) · Work · doi:10.3233/wor-210552 · Cited by 12 · see citing works
Nurses' Attitudes Related To Alarm Fatigue in Critical Care Units: A Systematic Review
Salous, M., Alkhawaldeh, J. M., Kewan, S., Aburashideh, H., Hani, D. B., & Alzayyat, A. (2017) · IOSR Journal of Nursing and health Science · doi:10.9790/1959-0602076266 · Cited by 12 · see citing works
Nusair, H. A., Fonbuena, M., Chew, C., Alnjadat, R. M., Muhammed, N. N., Perinchery, S., Mayo, M., Rashid, M. A., Dadalla, M., Nada, M. I., et al. (2025) · International Emergency Nursing · doi:10.1016/j.ienj.2025.101584 · Cited by 10 · see citing works
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
Critical Care Nurses' Perceptions of Clinical Alarm Management on Nursing Practice
Shih, Y.-S., Lee, T.-T., & Mills, M. E. (2022) · CIN Computers Informatics Nursing · doi:10.1097/cin.0000000000000886 · Cited by 9 · see citing works
Nurses’ use of monitors in patient surveillance: an ethnographic study on a coronary care unit
Freysdóttir, G. R., Björnsdóttir, K., & Svavarsdóttir, M. H. (2018) · European Journal of Cardiovascular Nursing · doi:10.1177/1474515118816930 · Cited by 8 · see citing works
Sowan, A. K., Reed, C. C., & Staggers, N. (2016) · JMIR Human Factors · doi:10.2196/humanfactors.6427 · Cited by 8 · see citing works
Self-citationBower, R., Coad, J. E., Manning, J. C., & Pengelly, T. (2017) · Intensive and Critical Care Nursing · doi:10.1016/j.iccn.2017.04.012 · Cited by 8 · see citing works
Ede, J., Vollam, S., Darbyshire, J. L., Gibson, O., Tarassenko, L., & Watkinson, P. (2020) · Applied Ergonomics · doi:10.1016/j.apergo.2020.103149 · Cited by 7 · see citing works
Nurses’ use of auditory alarms and alerts in high dependency units: A field study
Deschamps, M.-L., & Sanderson, P. M. (2021) · Applied Ergonomics · doi:10.1016/j.apergo.2021.103475 · Cited by 7 · see citing works
Nursing attitudes towards continuous capnographic monitoring of floor patients
Clark, C. L., Weavind, L., Nelson, S. E., Wilkie, J., Conway, J. T., & Freundlich, R. E. (2018) · BMJ Open Quality · doi:10.1136/bmjoq-2018-000416 · Cited by 6 · see citing works
Ceylan, B., Baran, L., & Güneş, Ü. Y. (2021) · American Journal of Critical Care · doi:10.4037/ajcc2021382 · Cited by 6 · see citing works
Standard practices in cardiac monitoring: training needs of intensive care unit nurses
Giusti, A. C. B. D. S., Cornélio, M. E., de Oliveira, É. M., Giguère, J.-F., & Gallani, M. C. B. J. (2024) · BMC Nursing · doi:10.1186/s12912-024-01742-1 · Cited by 6 · see citing works
Sarioğlu, E., & Amarat, M. (2025) · Nursing in Critical Care · doi:10.1111/nicc.70121 · Cited by 5 · see citing works
Noise level analysis in adult intensive care unit
Christofel, H. K., Madeiras, J. G., Bertolini, S. M. M. G., & de Oliveira, J. M. (2016) · Rev Rene · doi:10.15253/2175-6783.2016000400016 · Cited by 5 · see citing works
Vreman, J., Lanting, C., Frenzel, T., van der Hoeven Johannes, G., Lemson, J., & Mark, V. D. B. (2024) · Intensive and Critical Care Nursing · doi:10.1016/j.iccn.2024.103810 · Cited by 4 · see citing works
Sanz-Segura, R., Pérez, E. M., & Özcan, E. (2019) · Proceedings of the ... International Conference on Engineering Design · doi:10.1017/dsi.2019.88 · Cited by 4 · see citing works
Exploring intensive care unit nurses’ decision-making in alarm management: A qualitative study
Haskell, N., Banner, D., Bouchal, S. R., & King‐Shier, K. M. (2025) · Heart & Lung · doi:10.1016/j.hrtlng.2025.09.013 · Cited by 3 · see citing works
The effect of applying alarm fatigue strategies related to nursing performance
Paredath, M. S., & Aljarary, K. L. (2023) · International Journal of Research in Medical Sciences · doi:10.18203/2320-6012.ijrms20230846 · Cited by 3 · see citing works
Service Design and Sound: A Chance for Exploration in Oncological Treatment Rooms
Sanz-Segura, R., Romero-Piqueras, C., Pérez, E. M., & Özcan, E. (2019) · Lecture notes in mechanical engineering · doi:10.1007/978-3-030-12346-8_62 · 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
Sayed, Z. A., Mostafa, A. R. E. R., Elnaeem, M. M. A., & Abdelafar, R. A. S. (2026) · Nursing in Critical Care · doi:10.1111/nicc.70313 · Cited by 2 · see citing works
Milhomme, D., & Pomerleau, É. (2020) · Recherche en soins infirmiers · doi:10.3917/rsi.140.0057 · Cited by 2 · see citing works
Choi, J., Park, C. H., Lim, H., Kwon, S., Koo, T. W., Ryu, Y., Cho, S., Kim, S. G., Lee, S., Huh, H., et al. (2025) · Expert Review of Medical Devices · doi:10.1080/17434440.2025.2561925 · Cited by 1 · see citing works
Management of medical device alarms in intensive care units: A scoping review
Leigh, V., Grech, C., Roderick, A., Kelly, M., & Pelentsov, L. J. (2026) · Australian Critical Care · doi:10.1016/j.aucc.2025.101511 · Cited by 1 · see citing works
Ruppel, H., Hinz, E., Frey, N., Wunderlich, M. M., & Poncette, A.-S. (2026) · The Joint Commission Journal on Quality and Patient Safety · doi:10.1016/j.jcjq.2026.02.004 · Cited by 1 · see citing works
abbaszadeh, S. M., Poursaadat, N., Sadeghian, A., Karimi, N., Zarei, R., & Nayeri, N. D. (2026) · BMJ Open · doi:10.1136/bmjopen-2025-112066 · Cited by 1 · see citing works
Análise do nível de ruído em unidade de terapia intensiva adulto
Christofel, H. K., Madeiras, J. G., Bertolini, S. M. M. G., & de Oliveira, J. M. (2016) · Rev Rene · Cited by 1 · see citing works
Milhomme, D., Douville, F., Beaulieu, D., & Pomerleau, É. (2019) · Revue Francophone Internationale de Recherche Infirmière · doi:10.1016/j.refiri.2019.06.005 · Cited by 1 · see citing works
Franco, A. S., Miranda, A. M., Camerini, F. G., de Paula, V. G., Karam, M. D. A., & da Silva, R. C. L. (2020) · Revista Família Ciclos de Vida e Saúde no Contexto Social · doi:10.18554/refacs.v8i1.3897 · Cited by 1 · see citing works
A focused ethnography of how endoscopy practitioners utilize capnography in sedated patients
Aldossary, D. N., & Milton, S. (2020) · Qualitative Research in Medicine & Healthcare · doi:10.4081/qrmh.2020.9077 · Cited by 1 · see citing works
Alasmari, H. (2018) · Queensland University of Technology · doi:10.5204/thesis.eprints.122877 · Cited by 1 · see citing works
Orhan, C., & Yılmazer, S. (2024) · HERD Health Environments Research & Design Journal · doi:10.1177/19375867241229652
Prytz, E., Norrblom, P., Pilemalm, S., Andersson Granberg, T., & Jonson, C.-O. (2023) · Figshare · doi:10.6084/m9.figshare.23935797
Kırca, K., & Uymaz, N. Y. (2025) · Turkish Journal of Clinics and Laboratory · doi:10.18663/tjcl.1701434
Qing, Opie, J., Brookshaw, T., Erro, E., BLANDFORD, A. E., & Selden, C. (2026) · JMIR Human Factors · doi:10.2196/82405
Elmore, B., Ikuma, L. H., Nahmens, I., Jagneaux, T., & D’Antonio, C. (2026) · IISE Transactions on Healthcare Systems Engineering · doi:10.1080/24725579.2026.2622417
Perceptions of nurse managers regarding alarm fatigue among nurses in Malta: an exploratory study
Schembri, N., & Cassar, M. (2026) · British Journal of Nursing · doi:10.12968/bjon.2025.0067
Operationalizing Centralized Monitoring Models Across Health Systems
Hassell, A., Welsh, C. W., Lopez, L., Lopez, V., Mitchell, K., Powell, M., Brannigan, S., Garber, A., Anderson, E. M., Policicchio, B., et al. (2026) · Nurse Leader · doi:10.1016/j.mnl.2026.102839
- Authors
- Sowan, A. K., Tarriela, A. F., Gomez, T. M., Reed, C. C., & Rapp, K. M.
- Affiliations
- The University of Texas at San Antonio Health Science Center (US)
- University Health System (US)
- Corresponding author
- Sowan, Azizeh Khaled
- Venue
- JMIR Human Factors
- Publisher
- JMIR Publications Inc.
- Published
- 2015-03-16
- Volume
- 2
- Issue
- 1
- Pages
- e3
- ISSN
- 2292-9495 (ISSN-L)
- PMC
- PMC4797660
- OpenAlex
- W2018460907
- Cited by
- 79
- References
- 21
- Citations by year
- 2026: 9 · 2025: 7 · 2024: 3 · 2023: 9 · 2022: 5 · 2021: 4 · 2020: 10 · 2019: 8 · 2018: 12 · 2017: 6 · 2016: 6
- FWCI
- 8.06
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- cc-by
- Locations
- JMIR Human Factors (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Topics
- Health Sciences › Medicine › Surgery › Healthcare Technology and Patient Monitoring
- Health Sciences › Health Professions › Emergency Medical Services › Patient Safety and Medication Errors
- Health Sciences › Health Professions › Medical Laboratory Technology › Quality and Safety in Healthcare
- Keywords
- alarm fatigue, clinical alarm systems, false alarms, nurses' perceptions, alarm management, cardiac monitor, older nurses, patient safety, missed alarms
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review
