Implementation of Data Driven Heart Rate and ... - Semantic Scholar
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Implementation of Data Driven Heart Rate and ... - Semantic Scholar
In 2014, The Joint Commission declared alarm safety as a National Patient Safety ... medical/surgical step-down unit at a quarternary-care children's hospital.
HHS Public Access Author manuscript Author Manuscript
Stud Health Technol Inform. Author manuscript; available in PMC 2016 April 08. Published in final edited form as: Stud Health Technol Inform. 2015 ; 216: 918.
Implementation of Data Driven Heart Rate and Respiratory Rate Parameters on a Pediatric Acute Care Unit Veena Goela,b, Sarah Pooleb, Alaina Kippsa,b, Jonathan Palmaa,b, Terry Platcheka,b, Natalie Pagelera,b, Christopher Longhursta,b, and Paul Shareka,b
Author Manuscript
aStanford
Children’s Health, Palo Alto, CA
bStanford
University School of Medicine, Palo Alto, CA
Abstract The majority of hospital physiologic monitor alarms are not clinically actionable and contribute to alarm fatigue. In 2014, The Joint Commission declared alarm safety as a National Patient Safety Goal and urged prompt action by hospitals to mitigate the issue [1]. It has been demonstrated that vital signs in hospitalized children are quite different from currently accepted reference ranges [2]. Implementation of data-driven, age stratified vital sign parameters (Table 1) for alarms in this patient population could reduce alarm frequency.
Keywords
Author Manuscript
Clinical Alarms; Vital Signs
Methods
Author Manuscript
This is a prospective study of alarm frequency after bedside monitor implementation of age stratified data-driven heart rate (HR) and respiratory rate (RR) parameters on a cardiac medical/surgical step-down unit at a quarternary-care children’s hospital. The data-driven parameters were derived using nurse-documented HR and RR vital signs (62,508 unique measurements) of all non-ICU hospitalized patients
