Clinical alarms are not well managed in the Neonatal Intensive Care Unit (NICU). Alarm parameters that are not well managed lead to insignificant alarms, missed alarms, and false alarms. An investigation of barriers to management of the physiologic monitor alarms was conducted utilizing a multidisciplinary team to investigative clinical alarm event data from the Philips Information Center Database. I he investigation is needed to reduce the abundance of alarms and decrease the cacophony of noise from alarms in the NICU environment. Identifying whether or not all audible alarms require a clinical intervention is necessary to reduce false and insignificant alarms. Clinicians can prevent alarm fatigue by adjusting the alarm default settings to each individual patient's clinical need. Prior to implementing changes in monitor configurations or alarm delays, it is necessary to identify the most prevalent alarms and identify parameters that are breached more than others. Barriers to the management of clinical alarms were identified by the multidisciplinary team during this investigation and the utilization of these results can be used to decrease the High Spitz alarms in the NICU.;Keywords: alarms, datasets, false alarms, multidisciplinary. oxygen saturation, physiologic monitor, technical alarms. |