Table 3. Comparison of alarm counts pre-and post-intervention.
Number of Alarms | Monitoring Hours (2 months per phase) |
Weighted Alarm Countsa | Bootstrap Means ± SD per Bed Hour | Bootstrap 95% CI of Means | Percent Alarm Reduction | Bootstrap p-value |
||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|
Alarm Types / Phase | Pre | Post | Pre | Post | Pre | Post | Pre | Post | Pre | Post | ||
All Medium and High Priority | 236507 | 240242 | 36545 | 38205 | 236507 | 229804 | 6.47 ± 0.05 | 6.29 ± 0.04 | 6.38–6.56 | 6.20–6.38 | 2.8% | 0.004 |
All High Priority | 38612 | 39888 | 36545 | 38205 | 38612 | 38155 | 1.06 ± 0.02 | 1.04 ± 0.02 | 1.02–1.10 | 1.01–1.08 | 1.2% | 0.666 |
All Medium Priority (MP) | 197895 | 200354 | 36545 | 38205 | 197895 | 191649 | 5.41 ± 0.03 | 5.24 ± 0.03 | 5.34–5.48 | 5.18–5.31 | 3.2% | <0.001 |
All Alarm Advisorb | 139682 | 139153 | 36545 | 38205 | 139682 | 133107 | 3.82 ± 0.03 | 3.64 ± 0.03 | 3.76–3.88 | 3.59–3.70 | 4.7% | <0.001 |
MP Heart Rate | 36475 | 34576 | 36545 | 38205 | 36475 | 33074 | 1.00 ± 0.02 | 0.91 ± 0.01 | 0.97–1.03 | 0.88–0.93 | 9.3% | <0.001 |
MP Respiratory Rate | 53404 | 49233 | 36545 | 38205 | 53404 | 47094 | 1.46 ± 0.02 | 1.29 ± 0.02 | 1.42–1.50 | 1.25–1.33 | 11.8% | <0.001 |
MP SpO2 | 40034 | 41722 | 36545 | 38205 | 40034 | 39909 | 1.10 ± 0.01 | 1.09 ± 0.01 | 1.07–1.12 | 1.07–1.12 | 0.3% | 0.854 |
MP Arterial | 9769 | 13622 | 1822 | 3021 | 9769 | 8216 | 5.36 ± 0.15 | 4.51 ± 0.09 | 5.07–5.67 | 4.33–4.69 | 15.9% | <0.001 |
SD, standard deviation. CI, confidence intervals.
aData were weighted according to the number of overall monitoring hours per phase (Pre: 36545 hours, Post: 38205 hours). Arterial alarm data were weighted according to the number of arterial line monitoring hours per phase (Pre: 1822 hours, Post: 3021 hours).
bConsists of alarms addressed by Alarm Advisor: medium priority heart rate, respiratory rate, SpO2, and arterial blood pressure alarms.