Implementation of Data Drive Heart Rate and Respiratory Rate parameters on a Pediatric Acute Care Unit.
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.
Stanford Children's Health, Palo Alto, CA.
Veena
V
Goel
Stanford University School of Medicine, Palo Alto, CA.
Sarah
S
Poole
Stanford Children's Health, Palo Alto, CA.
Alaina
A
Kipps
Stanford Children's Health, Palo Alto, CA.
Jonathan
J
Palma
Stanford Children's Health, Palo Alto, CA.
Terry
T
Platchek
Stanford Children's Health, Palo Alto, CA.
Natalie
N
Pageler
Stanford Children's Health, Palo Alto, CA.
Christopher
C
Longhurst
Stanford Children's Health, Palo Alto, CA.
Paul
P
Sharek
D000293:Adolescent; D000367:Age Factors; D002648:Child; D002675:Child, Preschool; D056902:Clinical Alarms / Q000592:standards; D006339:Heart Rate; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D015278:Intensive Care Units, Pediatric; D012016:Reference Values; D056152:Respiratory Rate; D055986:Vital Signs