ORIGINAL RESEARCH article
Front. Med.
Sec. Intensive Care Medicine and Anesthesiology
Volume 12 - 2025 | doi: 10.3389/fmed.2025.1551222
Evidence-based practices for prevention and management of medical device alarm fatigue in anesthesia professionals
Provisionally accepted
- 1Henan Provincial People's Hospital, Zhengzhou, China
- 2Henan Provincial Key Medicine Laboratory of Nursing, Zhengzhou, China
- 3Zhengzhou University People’s Hospital, Zhengzhou, China
- 4Henan University People’s Hospital, Zhengzhou, China
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Objective: To assess efficacy and implement the best available evidence for managing and preventing alarm fatigue in a healthcare context.Methods: Four phases of evidence acquisition, status review, evidence application, and effect evaluation were used to apply evidence-based practice to medical care in the PACU between January and June 2024. Prior to and following the application of evidence, the occurrence of unfavorable outcomes pertaining to the management of surgical patient monitors and anesthesia alarm reports, the degree of evidence-based organizational culture, the implementation rate of review indicators, and the associated knowledge level of alarm fatigue prevention and management were all compared.Results: Following the implementation of evidence-based practice, the indicators related to Anesthesiologists and nurses were reviewed, and the implementation rate was improved compared with the baseline. The frequency of negative outcomes associated with surgical patient monitoring and anesthesia alarm management was considerably decreased. Anesthesiology physicians' and nurses' knowledge of alarm fatigue management (t=-7.027, P<0.001) and evidence-based practice skills (t=-52.804, P<0.001) improved. The degree of evidence-based organizational culture was higher than baseline (t=-23.864, P<0.001), while clinical alarm fatigue (t=37.454, P<0.001) and barriers to evidence-based nursing practice (t=41.508, P<0.001) were lower than baseline. Conclusion: Continuous quality improvement is still required in subsequent clinical settings, but evidence-based practice in the Department of Anesthesiology and Perioperative Medicine can effectively standardize the alarm practice behaviors of healthcare professionals, enhance evidence-based competence, and lower the incidence of patient-related adverse events in alarm management.
Keywords: alarm fatigue, Anesthesiology, Evidence-Based Practice, Management, prevention
Received: 16 Jan 2025; Accepted: 28 Jul 2025.
Copyright: © 2025 Chen, Wang, Zhi and Zhang. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
* Correspondence:
Shaoru Chen, Henan Provincial People's Hospital, Zhengzhou, China
Hongmei Zhang, Henan Provincial People's Hospital, Zhengzhou, China
Disclaimer: All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.