Am J Crit Care 2019 05;28(3):222-229
Sukardi Suba is a doctoral student, Department of Physiological Nursing, School of Nursing, University of California, San Francisco (UCSF), San Francisco, California. Cass Piper Sandoval is an adult critical care clinical nurse specialist and clinical nurse coordinator, Interventional Cardiology, UCSF Heart and Vascular Center, UCSF Health, San Francisco, California. Jessica K. Zègre-Hemsey is an assistant professor, School of Nursing and an adjunct assistant professor, Department of Emergency Medicine, The University of North Carolina at Chapel Hill, Chapel Hill, North Carolina. Xiao Hu is a professor, Department of Physiological Nursing, School of Nursing, and Department of Neurological Surgery, and a core member, Institute for Computational Health Sciences, UCSF-UC Berkeley Joint Graduate Program in Bioengineering, UCSF. Michele M. Pelter is an assistant professor, School of Nursing, and director, ECG Monitoring Research Lab, UCSF.
Background: Excessive electrocardiographic alarms contribute to "alarm fatigue," which can lead to patient harm. In a prior study, one-third of audible electrocardiographic alarms were for accelerated ventricular rhythm (AVR), and most of these alarms were false. It is uncertain whether true AVR alarms are clinically relevant. Read More