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Analysis

Mobile App Reduces Alarm Fatigue

By smace@healthleadersmedia.com  
   January 31, 2017

A mobile app that integrates clinicians' phone with infusion pump alerts is reducing alarm fatigue among staff at a small Wyoming hospital.

Alarm fatigue is a common condition among clinical staff in hospitals. Symptoms of the affliction may include sensory overload, desensitization, and missed alarms.

Now mobile apps that can pre-empt alarms and improve workflow are being tested as possible remedies.

An 88-bed hospital in tiny Sheridan, WY, (population 17,828) is a beta site for one such app.

Sheridan Memorial Hospital has integrated its infusion pump technology with Cerner's CareAware Connect app residing on clinicians' mobile phones. As a result, nurses, physicians, and pharmacists at the hospital can now track the progress of infusions using the same interface they use to securely communicate with each other.

Five years ago, everything at Sheridan was paper-based. But with the recent opening of the hospital's ICU, the ability to connect CareAware Connect to the hospital's infusion systems supplied by Pfizer subsidiary Hospira was an opportunity to move this small hospital toward greater interoperability and technological workflow integration.

Problem: Alarm Fatigue
Alarm fatigue was a concern at Sheridan, as it is at many hospitals. Nurses who could see just how soon those alarms would begin to sound are now able to attend to infusions whose supplies need restocking, or which have run their course.

"We've been on this journey for the last five years, layer upon layer, adding the different clinical components and integration opportunities along the way," says Charlotte Mather, the hospital's chief nursing officer.

"This now allows better teamwork. The alarm is sent electronically to the phone or to the [nursing station] hub, and you get a real good idea about what it is you're needing for that patient before you're making a trip into that patient's room."

The messages on the app are specific: A bag of fluid is depleted; an infusion tube has a kink in it. The app also presents a subset of the kind of data one would find in an EHR, such as an allergy list, as well as telemetry data such as vital signs, all aimed at assisting nurses with knowing more about the patients in the ICU or other hospital beds.

Scott Mace is the former senior technology editor for HealthLeaders Media. He is now the senior editor, custom content at H3.Group.

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