Il “Cry-Wolf Effect”. Gli infermieri ed i falsi allarmi in Terapia Intensiva

Monica Mastrogirolamo, Laura Gatta, Davide Bove

Abstract

Lo sviluppo scientifico e tecnologico ha determinato nelle Terapie Intensive un aumento esponenziale degli allarmi clinici provenienti dai diversi dispositivi e, di conseguenza, dei falsi allarmi, ai quali si aggiungono i rumori ambientali. Sempre più spesso, gli infermieri non riescono a distinguere i diversi tipi di allarme e descrivono una sensazione di affaticamento da allarme. L’elevata frequenza dei falsi allarmi può condurre al cosiddetto “Cry Wolf Effect”, che può indurre gli infermieri a considerare come falsi quegli allarmi che in realtà sono significativi

Riferimenti bibliografici

Borowski M, Görges M, Fried R, Such O, Wrede C, Imhoff M. Medical device alarms. Biomed Tech (Berl). 2011 Apr;56(2):73-83. doi: 10.1515/BMT.2011.005.

Christensen M, Dodds A, Sauer J, Watts N. Alarm setting for the critically ill patient: a descriptive pilot survey of nurses' perceptions of current practice in an Australian Regional Critical Care Unit. Intensive Crit Care Nurs. 2014 Aug;30(4):204-10. doi: 10.1016/j.iccn.2014.02.003.

AACE Health Technology Foundation, Clinical Alarm Task Force. Impact of clinical alarms on patient safety: a report from the American College of Clinical Engineering Healthcare Technology Foundation. J Clin Eng 2007 Mar; 32(1): 22-33.

Cho OM, Kim H, Lee YW, Cho I. Clinical Alarms in Intensive Care Units: Perceived Obstacles of Alarm Management and Alarm Fatigue in Nurses. Healthc Inform Res. 2016;22(1):46-53. doi:10.4258/hir.2016.22.1.46.

Bridi AC, Louro TQ, da Silva RC. Clinical Alarms in intensive care: implications of alarm fatigue for the safety of patients. Rev Lat Am Enfermagem. 2014;22(6):1034-1040. doi:10.1590/0104-1169.3488.2513.

Bell L. Monitor alarm fatigue. Am J Crit Care. 2010 Jan;19(1):38. doi: 10.4037/ajcc2010641.

Cvach MM, Frank RJ, Doyle P, Stevens ZK. Use of pagers with an alarm escalation system to reduce cardiac monitor alarm signals. J Nurs Care Qual. 2014 Jan-Mar;29(1):9-18. doi: 10.1097/NCQ.0b013e3182a61887..

Sendelbach S. Alarm fatigue. Nurs Clin North Am. 2012 Sep;47(3):375-82. doi: 10.1016/j.cnur.2012.05.009.

Chambrin MC. Alarms in the intensive care unit: how can the number of false alarms be reduced? Crit Care. 2001 Aug;5(4):184-8. doi: 10.1186/cc1021.

Cvach MM, Biggs M, Rothwell KJ, Charles-Hudson C. Daily electrode change and effect on cardiac monitor alarms: an evidence-based practice approach. J Nurs Care Qual. 2013 Jul-Sep;28(3):265-71. doi: 10.1097/NCQ.0b013e31827993bc.

ACCE Healthcare Technology Foundation. Impact of clinical alarms on patient safety. Plymouth Meeting (PA): ACCE Healthcare Technology Foundation; 2006.

Funk M, Clark JT, Bauld TJ, Ott JC, Coss P. Attitudes and practices related to clinical alarms. Am J Crit Care. 2014 May;23(3):e9-e18. doi: 10.4037/ajcc2014315.

Welch J, Kanter B, Skora B, McCombie S, Henry I, McCombie D, Kennedy R, Soller B. Multi-parameter vital sign database to assist in alarm optimization for general care units. J Clin Monit Comput. 2016 Dec;30(6):895-900. doi: 10.1007/s10877-015-9790-8.

Schmid F, Goepfert MS, Franz F, Laule D, Reiter B, Goetz AE, Reuter DA. Reduction of clinically irrelevant alarms in patient monitoring by adaptive time delays. J Clin Monit Comput. 2017 Feb;31(1):213-219. doi: 10.1007/s10877-015-9808-2..

Refback

  • Non ci sono refbacks, per ora.