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

Sendelbach, Sue; Wahl, Sharon; Anthony, Anita; Shotts, Pam

doi:10.4037/ccn2015858

Cited by 64Healthcare Technology and Patient MonitoringPatient Safety and Medication ErrorsCardiac pacing and defibrillation studies

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

Sendelbach, Sue, Wahl, Sharon, Anthony, Anita, Shotts, Pam·2015·Critical Care Nurse

DOI 10.4037/ccn2015858

Open this paper in CoChat — free account

Abstract

BACKGROUND: As many as 99% of alarm signals may not need any intervention and can result in patients’ deaths. Alarm management is now a Joint Commission National Patient Safety Goal. OBJECTIVES: To reduce the number of nuisance electrocardiographic alarm signals in adult patients on the medical cardiovascular care unit. METHODS: A quality improvement process was used that included eliminating duplicative alarms, customizing alarms, changing electrocardiography electrodes daily, standardizing skin preparation, and using disposable electrocardiography leads. RESULTS: In the cardiovascular care unit, the mean number of electrocardiographic alarm signals per day decreased from 28.5 (baseline) to 3.29, an 88.5% reduction. CONCLUSION: Use of a bundled approach to managing alarm signals decreased the mean number of alarm signals in a cardiovascular care unit. (Critical Care Nurse. 2015;35[4]:15–23)

Integrity signals

Registry

Crossref · 10.4037/ccn2015858

Cites

29 of 29 references verified0 citation errors · 0 not checkable

Statistics

Recomputing p-values needs the paper’s full text.

Claims the paper makes

This paper’s full text isn’t openly available, so its claims and self-check weren’t run. The registry and citation checks still apply.

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?

Reduction of alarms due to alarm management strategies ranges from 24% to 88.5% per ICU, indicating effectiveness of such strategies, including staff training for any ward that uses patient monitoring devices.
“Notably, the reduction of alarms due to alarm management strategies ranges from 24% to 88.5% per ICU, indicating the effectiveness of such strategies, including staff training for any ward that uses patient monitoring devices [32-34].”
From Clinical requirements of future patient monitoring in the intensive care unit: qualitative study (2019) · cites this paper as [33]

Preliminary Report: Effect of Encainide and Flecainide on Mortality in a Randomized Trial of Arrhythmia Suppression after Myocardial Infarction
The Cardiac Arrhythmia Suppression Trial (CAST) Investigators (1989) · New England Journal of Medicine · doi:10.1056/nejm198908103210629 · Cited by 3,289 · see citing works
The Cardiac Arrhythmia Suppression Trial Investigators: Preliminary Report: Effect of Encainide and Flecainide on Mortality in a Randomized Trial of Arrhythmia Suppression After Myocardial Infarction.
Weir, M. (1990) · Cardiopulmonary Physical Therapy Journal · doi:10.1097/01823246-199001020-00009 · Cited by 1,059 · see citing works
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: 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
Insights into the Problem of Alarm Fatigue with Physiologic Monitor Devices: A Comprehensive Observational Study of Consecutive Intensive Care Unit Patients
Drew, B. J., Harris, P., Zègre-Hemsey, J. K., Mammone, T., Schindler, D., Salas-Boni, R., Bai, Y., Tinoco, A., Ding, Q., & Hu, X. (2014) · PLoS ONE · doi:10.1371/journal.pone.0110274 · Cited by 438 · see citing works
Untitled work
Lawless (1994) · doi:10.1097/00003246-199406000-00017 · Cited by 406 · see citing works
Cry Wolf: The Psychology of False Alarms
Breznitz, S. (1984) · Cited by 370 · see citing works
Poor prognosis for existing monitors in the intensive care unit
Tsien, C. L., & Fackler, J. C. (1997) · Critical Care Medicine · doi:10.1097/00003246-199704000-00010 · Cited by 309 · see citing works
Human probability matching behaviour in response to alarms of varying reliability
Bliss, J. P., Gilson, R. D., & Deaton, J. E. (1995) · Ergonomics · doi:10.1080/00140139508925269 · Cited by 297 · 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
Alarms in the intensive care unit: how can the number of false alarms be reduced?
Chambrin, M.-C. (2001) · Critical Care · doi:10.1186/cc1021 · Cited by 176 · see citing works
Behavioural implications of alarm mistrust as a function of task workload
Bliss, J. P., & Dunn, M. C. (2000) · Ergonomics · doi:10.1080/001401300421743 · Cited by 172 · see citing works
AACN procedure manual for critical care
Lynn-McHale, D. J., & Carlson, K. J. (2001) · Elsevier eBooks · Cited by 127 · 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
Fewer but better auditory alarms will improve patient safety
Edworthy, J. R. (2005) · BMJ Quality & Safety · doi:10.1136/qshc.2004.013052 · Cited by 108 · see citing works
ALARMED: Adverse events in low risk patients with chest pain receiving continuous electrocardiographic monitoring in the emergency department: A pilot study
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 · see citing works
An Evidence-Based Approach to Reduce Nuisance Alarms and Alarm Fatigue
Welch, J. (2011) · Biomedical Instrumentation & Technology · doi:10.2345/0899-8205-45.s1.46 · Cited by 94 · see citing works
Top 10 Health Technology Hazards
(2016) · Journal of Radiology Nursing · doi:10.1016/s1546-0843(16)00014-6 · Cited by 93 · 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
Nurses? reactions to alarms in a neonatal intensive care unit
Bitan, Y., Meyer, J., Shinar, D., & Zmora, E. (2004) · Cognition Technology & Work · doi:10.1007/s10111-004-0162-2 · Cited by 86 · see citing works
Novel Approach to Cardiac Alarm Management on Telemetry Units
Whalen, D., Covelle, P., PIEPENBRINK, J. C., Villanova, K., Cuneo, C. L., & Awtry, E. H. (2013) · The Journal of Cardiovascular Nursing · doi:10.1097/jcn.0000000000000114 · Cited by 79 · see citing works
Daily Electrode Change and Effect on Cardiac Monitor Alarms: An Evidence-Based Practice Approach
Cvach, M. M., Biggs, M., Rothwell, K. J., & Charles-Hudson, C. (2013) · Journal of Nursing Care Quality · doi:10.1097/ncq.0b013e31827993bc · Cited by 75 · see citing works
Nurses’ response to frequency and types of electrocardiography alarms in a non-critical care setting: A descriptive study
GAZARIAN, P. K. (2013) · International Journal of Nursing Studies · doi:10.1016/j.ijnurstu.2013.05.014 · Cited by 59 · see citing works
Joint Commission Announces 2007 National Patient Safety Goals
Jcaho (2006) · Journal of Radiology Nursing · doi:10.1016/j.jradnu.2006.10.007 · Cited by 19 · see citing works
New Alert promotes medical device alarm safety in hospitals.
(2013) · PubMed · Cited by 6 · see citing works
Alert fatigue leads to OR fatalities.
(2011) · PubMed · Cited by 5 · see citing works
Are clinical alarms still an issue?
Catalano, K. (2007) · PubMed · doi:10.2345/0899-8205(2005)39[434:acasai]2.0.co;2 · Cited by 3 · see citing works
Physiologic Monitoring
Hyman, J. B., & Reich, D. L. (2012) · Springer eBooks · doi:10.1007/978-1-4614-4184-7_5 · Cited by 1 · see citing works

Flagged first, then by citations

Sorted by citations

Update to Practice Standards for Electrocardiographic Monitoring in Hospital Settings: A Scientific Statement From the American Heart Association
Sandau, K. E., Funk, M., Auerbach, A. D., Barsness, G. W., Blum, K., Cvach, M. M., Lampert, R., May, J. L., McDaniel, G. M., Perez, M. V., et al. (2017) · Circulation · doi:10.1161/cir.0000000000000527 · Cited by 354 · see citing works
Self-citation
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
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
Alarm Fatigue: Use of an Evidence-Based Alarm Management Strategy
Turmell, J. W., Coke, L., Catinella, R., Hosford, T., & Majeski, A. (2017) · Journal of Nursing Care Quality · doi:10.1097/ncq.0000000000000223 · Cited by 59 · see citing works
Testing physiologic monitor alarm customization software to reduce alarm rates and improve nurses’ experience of alarms in a medical intensive care unit
Ruppel, H., Vaux, L. D., Cooper, D. A., Kunz, S., Duller, B., & Funk, M. (2018) · PLoS ONE · doi:10.1371/journal.pone.0205901 · Cited by 54 · see citing works
Computational approaches to alleviate alarm fatigue in intensive care medicine: A systematic literature review
Chromik, J., Klopfenstein, S. A. I., Pfitzner, B., Sinno, Z.-C., Bert Arnrich, A., Balzer, F., & Poncette, A.-S. (2022) · Frontiers in Digital Health · doi:10.3389/fdgth.2022.843747 · Cited by 54 · 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
Patient Monitoring Alarms in an Intensive Care Unit: Observational Study With Do-It-Yourself Instructions
Poncette, A.-S., Wunderlich, M. M., Spies, C., Heeren, P., Vorderwülbecke, G., Salgado, E., Kastrup, M., Feufel, M. A., & Balzer, F. (2021) · Journal of Medical Internet Research · doi:10.2196/26494 · Cited by 51 · see citing works
Measurement of Physiological Monitor Alarm Accuracy and Clinical Relevance in Intensive Care Units
Ruppel, H., Funk, M., & Whittemore, R. (2018) · American Journal of Critical Care · doi:10.4037/ajcc2018385 · Cited by 49 · see citing works
Nurse Competence on Physiologic Monitors Use: Toward Eliminating Alarm Fatigue in Intensive Care Units
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
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
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
Epidemiology of patient monitoring alarms in the neonatal intensive care unit
Li, T., Matsushima, M., Timpson, W. L., Young, S., Miedema, D., Gupta, M., & Heldt, T. (2018) · Journal of Perinatology · doi:10.1038/s41372-018-0095-x · Cited by 36 · see citing works
“Noise Factory”: A qualitative study exploring healthcare providers’ perceptions of noise in the intensive care unit
Kebapçı, A., & Güner, P. (2020) · Intensive and Critical Care Nursing · doi:10.1016/j.iccn.2020.102975 · Cited by 36 · see citing works
Promoting Sleep in the Intensive Care Unit
Edvardsen, J. B., & Hetmann, F. (2020) · SAGE Open Nursing · doi:10.1177/2377960820930209 · Cited by 34 · see citing works
Nurses Perceptions of Pediatric Intensive Care Unit Environment and Work Experience After Transition to Single-Patient Rooms
Kudchadkar, S. R., Beers, M. C., Ascenzi, J. A., Jastaniah, E., & Punjabi, N. M. (2016) · American Journal of Critical Care · doi:10.4037/ajcc2016463 · Cited by 31 · 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
Clinical Trial of an Educational Program to Decrease Monitor Alarms in a Medical Intensive Care Unit
Brantley, A., Collins-Brown, S., Kirkland, J., Knapp, M., Pressley, J., Higgins, M. K., & McMurtry, J. P. (2016) · AACN Advanced Critical Care · doi:10.4037/aacnacc2016110 · Cited by 29 · see citing works
Nurses’ Sedation Practices During Weaning of Adults From Mechanical Ventilation in an Intensive Care Unit
Borkowska, M., Labeau, S. O., Schepens, T., Vandijck, D. M., de Vyver, K. V., Christiaens, D., Lizy, C., Blackwood, B., & Blot, S. I. (2018) · American Journal of Critical Care · doi:10.4037/ajcc2018959 · Cited by 25 · 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
Addressing vital sign alarm fatigue using personalized alarm thresholds
Poole, S. F., & Shah, N. H. (2017) · Pacific Symposium on Biocomputing (PSB) · doi:10.1142/9789813235533_0043 · Cited by 18 · see citing works
Quality improvement initiative for reduction of false alarms from multiparameter monitors in neonatal intensive care unit
Sahoo, T., Joshi, M., Madathil, S., Verma, A., Sankar, M. J., & Thukral, A. (2019) · Journal of Education and Health Promotion · doi:10.4103/jehp.jehp_226_19 · Cited by 18 · see citing works
Double Trouble: Patients With Both True and False Arrhythmia Alarms
Nguyen, S. C., Suba, S., Hu, X., & Pelter, M. M. (2020) · Critical Care Nurse · doi:10.4037/ccn2020363 · Cited by 17 · see citing works
Cardiovascular nurses' adherence to practice standards in in‐hospital telemetry monitoring
Fålun, N., Oterhals, K., Pettersen, T. R., Brørs, G., Olsen, S. S., Norekvål, T. M., & On behalf of the TELMON‐NOR investigators (2019) · Nursing in Critical Care · doi:10.1111/nicc.12425 · Cited by 15 · see citing works
Research : Association of Low-Amplitude QRSs with False-Positive Asystole Alarms
Pelter, M. M., Fidler, R., & Hu, X. (2016) · Biomedical Instrumentation & Technology · doi:10.2345/0899-8205-50.5.329 · Cited by 15 · see citing works
The effect of interventions made in intensive care units to reduce alarms: A systematic review and meta-analysis study
Gül, G., İntepeler, Ş. S., & Bektaş, M. (2022) · Intensive and Critical Care Nursing · doi:10.1016/j.iccn.2022.103375 · Cited by 16 · see citing works
Actionable Ventricular Tachycardia During In-Hospital ECG Monitoring and Its Impact on Alarm Fatigue
Pelter, M. M., Suba, S., Sandoval, C. P., Zègre‐Hemsey, J. K., Berger, S., Larsen, A. M., Badilini, F., & Hu, X. (2020) · Critical Pathways in Cardiology A Journal of Evidence-Based Medicine · doi:10.1097/hpc.0000000000000216 · Cited by 14 · see citing works
The Effect of Implementing Clinical Alarm Nursing Intervention Program on Nurses' Knowledge, Practice and Patient Outcomes at Intensive Care Unit
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
Effect of a Nurse-Managed Telemetry Discontinuation Protocol on Monitoring Duration, Alarm Frequency, and Adverse Patient Events
Perrin, K., Ernst, N., Nelson, T. S., Sawyer, M. D., Pfoh, E. R., & Cvach, M. M. (2016) · Journal of Nursing Care Quality · doi:10.1097/ncq.0000000000000230 · Cited by 12 · 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
Prospective Study of Use of Edmonton Symptom Assessment Scale Versus Routine Symptom Management During Weekly Radiation Treatment Visits
Goyal, U. D., Riegert, K., Davuluri, R., Ong, S. Y., Yi, S. K., Dougherty, S. T., & Hsu, C. C.-C. (2020) · JCO Oncology Practice · doi:10.1200/jop.19.00465 · Cited by 11 · see citing works
Among Unstable Angina and Non–ST-Elevation Myocardial Infarction Patients, Transient Myocardial Ischemia and Early Invasive Treatment Are Predictors of Major In-hospital Complications
Pelter, M. M., Loranger, D. L., Kozik, T. M., Kedia, A., Ganchan, R. P., Ganchan, D., Hu, X., & Carey, M. G. (2015) · The Journal of Cardiovascular Nursing · doi:10.1097/jcn.0000000000000310 · 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
Alarm fatigue among nurses working in intensive care and other inpatient clinics
Karahan, A., Kav, S., Çevik, B., Çıtak, E. A., Uğurlu, Z., & Fulser, B. (2023) · Work · doi:10.3233/wor-220466 · Cited by 8 · see citing works
Generalizability of SuperAlarm via Cross-Institutional Performance Evaluation
Xiao, R., Do, D. H., Ding, C., Meisel, K. M., Lee, R. J., & Hu, X. (2020) · IEEE Access · doi:10.1109/access.2020.3009667 · Cited by 7 · see citing works
Premature ventricular complexes during continuous electrocardiographic monitoring in the intensive care unit: Occurrence rates and associated patient characteristics
Suba, S., Hoffmann, T. J., Fleischmann, K. E., Schell-Chaple, H. M., Prasad, P. A., Marcus, G. M., Badilini, F., Hu, X., & Pelter, M. M. (2022) · Journal of Clinical Nursing · doi:10.1111/jocn.16408 · Cited by 6 · see citing works
Exploring the factors influencing alarm fatigue in intensive care units nurses: A cross-sectional study based on latent profile analysis
Li, L., Zhang, W., & Chen, Y. (2025) · PLoS ONE · doi:10.1371/journal.pone.0327644 · Cited by 5 · see citing works
Intensive Care Unit False Alarm Identification Based on Convolution Neural Network
Yu, Q., Wang, C., Xi, J., Chen, Y., Li, W., Ge, Y., & Huang, X. (2021) · IEEE Access · doi:10.1109/access.2021.3086862 · Cited by 5 · see citing works
Computer Assisted Patient Monitoring: Associated Patient, Clinical and ECG Characteristics and Strategy to Minimize False Alarms
Pelter, M. M., MORTARA, D. W., & Badilini, F. (2021) · Hearts · doi:10.3390/hearts2040036 · Cited by 5 · see citing works
Hospital-Based Electrocardiographic Monitoring: The Good, the Not So Good, and Untapped Potential
Pelter, M. M. (2024) · American Journal of Critical Care · doi:10.4037/ajcc2024781 · Cited by 4 · see citing works
Reduction of sound levels in the intermediate care unit; a quasi-experimental time-series design study
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
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
Research in Review: Driving Critical Care Practice Change
Bridges, E. J., McNeill, M. M., & Munro, N. (2016) · American Journal of Critical Care · doi:10.4037/ajcc2016564 · Cited by 3 · see citing works
Reducing Infusion Pump Alarms Through Structured Interventions
Matocha, D. (2018) · Journal of the Association for Vascular Access · doi:10.1016/j.java.2018.03.002 · 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
Reducing Alarm Fatigue in the Intensive Care Unit: A Quality Improvement Research Study
Speich, M. E. (2017) · OpenCommons - UConn (University of Connecticut) · Cited by 3 · see citing works
Effect of Implementing an Educational Intervention about Managing Alarm Fatigue on Improving Clinical Practices of Pediatric Critical Care Nurses
Elbilgahy, A. A., Wady, D. E. A., & Badawy, G. G. (2023) · Egyptian Journal of Health Care · doi:10.21608/ejhc.2023.331210 · Cited by 3 · see citing works
A systematic review with evidence mapping of alarm management interventions in intensive care units
Ding, Y., Zhang, M., Zhou, M., Guo, X., Zhang, Y., Pang, H., Guan, Q., & Gai, Y. (2026) · Intensive and Critical Care Nursing · doi:10.1016/j.iccn.2026.104392 · Cited by 2 · see citing works
Developing a Clinical Alarms Management Committee at an Academic Medical Center
Pelter, M. M., Stotts, J. R., Spolini, K., Nguyen, J., Sin, E., & Hu, X. (2017) · Biomedical Instrumentation & Technology · doi:10.2345/0899-8205-51.s2.21 · Cited by 2 · see citing works
Nursing Care at the Pediatric Cardiology Ward
McLellan, M. C. (2018) · Springer eBooks · doi:10.1007/978-3-319-78423-6_11 · Cited by 2 · see citing works
How to undertake and record a 12-lead electrocardiogram
Pooranachandran, V. (2024) · Nursing Standard · doi:10.7748/ns.2024.e12382 · 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
Clinical Alarms Management in the Intermediate Cardiology and Cardiovascular Intensive Care Units at the University of Iowa Hospital and Clinics
Larson, A. (2018) · Iowa Research Online (The University of Iowa) · 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
Assessing Nurses’ Knowledge of Noise in the Intensive Care Unit: An Educational Intervention ProjectPreprint
Fortes, J. (2021) · doi:10.28971/532021fj114 · Cited by 1 · see citing works
Alarm Management: A Quality Improvement Project to Decreased Non-Actionable Cardiac Telemetry Alarms
Paarlberg, T. (2016)
Sex differences in intensive care unit electrocardiographic alarms
Pelter, M. M., & Hu, X. (2020) · Elsevier eBooks · doi:10.1016/b978-0-12-817728-0.00053-x
Alarm Management In Intensive Care Units
Ergezen, F. D., Kol, E., & Ramazanoğlu, A. (2020) · Journal of Academic Research in Nursing · doi:10.5222/jaren.2020.74946
Utility and Impact Analysis of Inpatient Pediatric Physiologic Monitoring
Gourishankar, A., Evangelista, M. S., Ellsworth, M., & Hsu, J. (2022) · Journal of Pediatric Intensive Care · doi:10.1055/s-0042-1749679
Health System Redesign of Cardiac Monitoring Oversight to Optimize Alarm Management, Safety, and Staff Engagement
Engel, J. R., Lindsay, M., O'Brien, S., Granger, C. B., Moore, E. S., Hughes, T., Parker, C., Miller, C., & Fuchs, M. A. (2022) · JONA The Journal of Nursing Administration · doi:10.1097/nna.0000000000001192
Barriers to Electrocardiographic Monitoring Practice Among Nurses: A Scoping Review
Giusti, Â. C. B. D. S., de Medeiros, K. S., Chiavone, F. B. T., da Silva, W. P., Cornélio, M. E., & Gallani, M. C. B. J. (2026) · Cardiology in Review · doi:10.1097/crd.0000000000001261
Machine Learning Approach for the Determination of Arrhythmia Alarms
Anil, S., Karunakar Rai, B., & K, S. R. S. (2026) · International Conference on Emerging Research in Smart Electronics and Machine Informatics (ECMI) · doi:10.1109/ecmi68341.2026.11603176

Improvement Project to Decrease Electrocardiographic Nuisance Alarms
(2016)
Novel Approach to Cardiac Alarm Management on Telemetry Units
Whalen, D., Covelle, P., PIEPENBRINK, J. C., Villanova, K., Cuneo, C. L., & Awtry, E. H. (2013) · The Journal of Cardiovascular Nursing · doi:10.1097/jcn.0000000000000114 · Cited by 79 · 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
Alarm Management: Electrocardiographic Lead Management
Ms., D., & Elaine, D. (2015) · USF Scholarship Repository (University of San Francisco)
Daily Electrode Change and Effect on Cardiac Monitor Alarms: An Evidence-Based Practice Approach
Cvach, M. M., Biggs, M., Rothwell, K. J., & Charles-Hudson, C. (2013) · Journal of Nursing Care Quality · doi:10.1097/ncq.0b013e31827993bc · Cited by 75 · see citing works

Authors: Sendelbach, S., Wahl, S., Anthony, A., & Shotts, P.
Affiliations: Abbott Northwestern Hospital (US)
Corresponding author: Sendelbach, Sue
Venue: Critical Care Nurse
Publisher: AACN Publishing
Published: 2015-08-01
Volume: 35
Issue: 4
Pages: 15-22
ISSN: 0279-5442 (ISSN-L)
1940-8250
DOI: 10.4037/ccn2015858
OpenAlex: W1915812629
Cited by: 64
References: 29
Citations by year: 2026: 3 · 2025: 2 · 2024: 3 · 2023: 3 · 2022: 5 · 2021: 8 · 2020: 8 · 2019: 6 · 2018: 12 · 2017: 6 · 2016: 7 · 2015: 1
FWCI: 8.73
Type: journal article
Language: en
Open access: closed
Locations: Critical Care Nurse (publishedVersion)
PubMed (publishedVersion)
Funders: Creations of Advanced Catalytic Transformation for the Sustainable Manufacturing at Low Energy, Low Environmental Load
Topics: Health Sciences › Medicine › Surgery › Healthcare Technology and Patient Monitoring
Health Sciences › Health Professions › Emergency Medical Services › Patient Safety and Medication Errors
Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiac pacing and defibrillation studies
Keywords: nuisance alarms, alarm management, patient safety, quality improvement, skin preparation, medical-surgical nursing
MeSH terms: Adult, Electrocardiography, Equipment Failure, Humans, Clinical Alarms, Quality Improvement, Patient Safety, Critical Care Nursing, Patient Care Bundles

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

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

Abstract

Integrity signals

Claims the paper makes

Claims other papers make about this one

Cites

Cited by

Related

Record

About these checks