Stop the Noise
A quality improvement project to decrease electrocardiographic nuisance alarms
The purpose of this quality improvement project was to reduce the number of unnecessary ECG and pulse oximetry alarms in adult medical cardio-vascular care unit. The study question:- Can a bundled approach of interventions decrease the number of nuisance ECG alarm signals?
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The quality process comprised the following elements
- Eliminating duplicative alarms
- Customising alarms
- Changing electrocardiography electrodes daily
- Standardising skin preparation
- Using disposable electrocardiography leads
These measures decreased the number of alarm signals by 88.5%
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