Authors

  1. Colton, Katharine BA
  2. Dinardo, Theresa RN, MSN, CCRN
  3. Hu, Peter F. PhDc
  4. Xiong, Wei PhD
  5. Hu, Eric Z. MS
  6. Reed, George BA
  7. DuBose, Joseph J. MD
  8. Stansbury, Lynn G. MD, MPH
  9. Mackenzie, Colin F. MD
  10. Chiu, William C. MD
  11. Miller, Catriona PhD
  12. Fang, Raymond MD
  13. Stein, Deborah M. MD, MPH
  14. Scalea, Thomas M. MD
  15. the ONPOINT Study Group

Abstract

We examined the types of patient monitor alarms encountered in the trauma resuscitation unit of a major level 1 trauma center. Over a 1-year period, 316688 alarms were recorded for 6701 trauma patients (47 alarms/patient). Alarms were more frequent among patients with a Glasgow Coma Scale of 8 or less. Only 2.4% of all alarms were classified as "patient crisis," with the rest in the presumably less critical categories "patient advisory," "patient warning," and "system warning." Nearly half of alarms were <=5 seconds in duration. In this patient population, a 2-second delay would reduce alarms by 25%, and a delay of 5 seconds would reduce all alarms by 49%.