TABLE 3.
ICU nurses' perceptions and practices regarding clinical alarms (n = 1191).
| Items | No. (%) |
|---|---|
| 1. Nuisance alarms occur frequently | 491 (41.23) a |
| 2. Nuisance alarms disturb the nurses' care of patients | 744 (62.47) a |
| 3. Nuisance alarms reduce the nurses' trust in the alarms, causing them to turn off the alarms instead of setting them as required | 584 (49.03) a |
| 4. For the existing equipment, the reasonable setting of alarm parameters and alarms is too complex | 468 (39.29) a |
| 5. New equipment (such as those purchased within the last 3 years) has solved most of the problems encountered in clinical alarms | 610 (51.22) a |
| 6. The alarm system used in the ward is sufficient to alert the nurses to potential or actual changes in the patients' conditions | 851 (71.45) a |
| 7. It often happens that the alarms cannot be heard and are missed. | 297 (24.94) a |
| 8. The nurses are sensitive to alarms and respond quickly | 968 (81.28) a |
| 9. It is difficult to identify which one is in alarm when several pieces of equipment are used to monitor a patient | 447 (37.53) a |
| 10. Environmental noise interferes with nurses' recognition of the alarms | 585 (49.12) a |
| 11. Does your ward use alarm notification systems, such as pagers, cell phones or other wireless device to communicate alarm conditions? | 634 (53.23) b |
| 12. Alarm notification systems are useful for improving the management and response of nurses to alarms | 858 (72.04) a |
| 13. Does your ward set up a special person (alarm administrator) in the central viewing area to manage the alarms and to observe, record or communicate the alarm messages to clinical nurses in time? | 387 (32.49) b |
| 14. It is meaningful to set up a special person (alarm administrator) to manage the alarms | 708 (59.45) a |
| 15. Does your ward use smart alarm systems (such as multiparameter monitoring, parameter changes and parameter signals that can be automatically evaluated)? | 574 (48.19) b |
| 16. The use of smart alarm systems can effectively reduce the false alarms | 807 (67.76) a |
| 17. The use of smart alarm systems can effectively improve nurses' response to important patient alarms | 888 (74.56) a |
| 18. Have you received education on the purpose and proper operation of alarm systems of equipment? | 770 (64.65) b |
| 19. Does your ward require to document the appropriate setting of alarm parameters for each patient in the nursing record sheets? | 531 (44.58) b |
| 20. Clinical policies and procedures regarding alarm management have been implemented effectively in your ward | 710 (59.61) a |
| 21. Has your hospital developed clinical alarms management improvement projects over the past 2 years (e.g., policies and procedures, education, special projects, new technology)? | 555 (46.60) b |
| 22. Has your ward developed new technological solutions to improve the security of clinical alarm management? | 606 (50.88) b |
| 23. Have any alarm‐related patient adverse events happened at your ward in the past 2 years? | 290 (24.35) b |
| 24. Since the Chinese Hospital Association implemented the alarm management projects in the 2019 Patient Safety Goals, the incidence of alarm‐related adverse events has decreased in your hospital | 624 (52.39) a |
Frequencies and percentages people who agree and strongly agree with the items.
Frequencies and percentages who choose yes for the items.