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Alarm Fatigue
Ethics Committee Proposal: Alarm Fatigue
Alarm fatigue is a serious issue that is faced by nurses and other medical staff on a daily basis. It is not just a concern for the staff, but also for the patients. There is a possibility that they will not get the proper care in a timely manner if the medical personnel are not responding quickly and accurately to the alarms that go off in patient rooms (Blum & Tremper, 2010). If that is the case, then the issue also becomes one of ethics, as it impacts whether patients are being mistreated or whether their outcomes may be different (McNeer, et al., 2007). That has to be carefully addressed, and solutions need to be found, in order to make sure alarm fatigue does not result in patient injury or death due to missed cues by medical personnel.
Objectives
There are two proposal objectives discussed here. Both of these are vital to the removal of alarm fatigue from the medical equation and the benefit to patients who are trusting these personnel for their care. These objectives are:
1. To make adjustments to the sounds of alarms in order to eliminate the alarm fatigue felt by medical personnel within one year.
2. To ensure patient safety by using proper reporting techniques to reduce the amount of alarm fatigue that is seen and that can lead to harmful behaviors within six months.
While these objectives will...
The most important one here is fidelity. For the people who work in the medical field and take care of others, making sure they focus on the proper care of those people for as long as it takes and to the best of their ability is important. Unfortunately, alarm fatigue can make it very difficult to treat patients with the care they really deserve, because the alarms set off when they need something can go unnoticed (Bustamante, Bliss, & Anderson, 2007). These alarms are "tuned out" by the medical staff because there are many false alarms that occur every day (Blum & Tremper, 2010). Running to check them every time would become highly stressful for the staff, and could actually lead to more problems in caring for patients who actually have legitimate alarms occurring (McNeer, et al., 2007).
Rational for Principle Selection
The ethical principle of fidelity was chosen because of the value of caring for others and the commitment that medical personnel make when they are hired. Making a commitment to caring for others is a huge responsibility, and it is not one that should be taken lightly. Unfortunately, there are problems with caring for people…
References
Blum, J.M., & Tremper, K.K. (2010). Alarms in the intensive care unit: Too much of a good thing is dangerous: Is it time to add some intelligence to alarms? Critical Care Medicine, 38(2): 702 -- 703.
Bustamante, E.A., Bliss, J.P., & Anderson, B.L. (2007). Effects of varying the threshold of alarm systems and workload on human performance. Ergonomics, 50(7):1127-1147.
McNeer, R.R., Bohorquez, J., Ozdamar, O., Varon, A.J., & Barach, P. (2007). A new paradigm for the design of audible alarms that convey urgency information. Journal of Clinical Monitoring and Computing, 21(6):353-363.
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