Did you ever find yourself ignoring a patient’s monitor alarm because it had just gone off for the fifth time that night due to artifact? In this issue, Graham and Cvach describe a systematic approach to reducing nuisance alarms.

  • They identified the type and frequency of monitor alarms.

  • They individualized alarm limits for each patient and changed defaults to levels at which staff would typically intervene.

  • As a result, the number of alarms was reduced by 43%.

Alethea Sment, RN, BS, CCRN-CSC

See Article, pp 28–35

Adverse events are rarely sudden or unpredictable, do not occur in isolation, and are often preceded by warning signs. Medical emergency teams (METs) are widely used to reduce these events, but their effect on patient outcomes is not clear. In this issue, Bagshaw et al found that nurses in a Canadian hospital believed the MET system...

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