Physiologic Monitor Alarm Burden and Nurses’ Subjective Workload in a Children’s Hospital Article Swipe
Irit R. Rasooly
,
Andrew S. Kern‐Goldberger
,
Rui Xiao
,
Siddarth Ponnala
,
Halley Ruppel
,
Brooke Luo
,
Sansanee Craig
,
Amina Khan
,
Melissa McLoone
,
Daria F. Ferro
,
Naveen Muthu
,
James Won
,
Christopher P. Bonafide
·
YOU?
·
· 2021
· Open Access
·
· DOI: https://doi.org/10.1542/hpeds.2020-003509
YOU?
·
· 2021
· Open Access
·
· DOI: https://doi.org/10.1542/hpeds.2020-003509
BACKGROUND AND OBJECTIVES Physiologic monitor alarms occur at high rates in children’s hospitals; ≤1% are actionable. The burden of alarms has implications for patient safety and is challenging to measure directly. Nurse workload, measured by using a version of the National Aeronautics and Space Administration Task Load Index (NASA-TLX) validated among nurses, is a useful indicator of work burden that has been associated with patient outcomes. A recent study revealed that 5-point increases in the NASA-TLX score were associated with a 22% increased risk in missed nursing care. Our objective was to measure the relationship between alarm count and nurse workload by using the NASA-TLX. METHODS We conducted a repeated cross-sectional study of pediatric nurses in a tertiary care children’s hospital to measure the association between NASA-TLX workload evaluations (using the nurse-validated scale) and alarm count in the 2 hours preceding NASA-TLX administration. Using a multivariable mixed-effects regression accounting for nurse-level clustering, we modeled the adjusted association of alarm count with workload. RESULTS The NASA-TLX score was assessed in 26 nurses during 394 nursing shifts over a 2-month period. In adjusted regression models, experiencing >40 alarms in the preceding 2 hours was associated with a 5.5 point increase (95% confidence interval 5.2 to 5.7; P < .001) in subjective workload. CONCLUSION Alarm count in the preceding 2 hours is associated with a significant increase in subjective nurse workload that exceeds the threshold associated with increased risk of missed nursing care and potential patient harm.
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Metadata
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.1542/hpeds.2020-003509
- OA Status
- green
- Cited By
- 32
- References
- 33
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W3165333357
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
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https://openalex.org/W3165333357Canonical identifier for this work in OpenAlex
- DOI
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https://doi.org/10.1542/hpeds.2020-003509Digital Object Identifier
- Title
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Physiologic Monitor Alarm Burden and Nurses’ Subjective Workload in a Children’s HospitalWork title
- Type
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articleOpenAlex work type
- Language
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enPrimary language
- Publication year
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2021Year of publication
- Publication date
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2021-07-01Full publication date if available
- Authors
-
Irit R. Rasooly, Andrew S. Kern‐Goldberger, Rui Xiao, Siddarth Ponnala, Halley Ruppel, Brooke Luo, Sansanee Craig, Amina Khan, Melissa McLoone, Daria F. Ferro, Naveen Muthu, James Won, Christopher P. BonafideList of authors in order
- Landing page
-
https://doi.org/10.1542/hpeds.2020-003509Publisher landing page
- Open access
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YesWhether a free full text is available
- OA status
-
greenOpen access status per OpenAlex
- OA URL
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https://www.ncbi.nlm.nih.gov/pmc/articles/8478695Direct OA link when available
- Concepts
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Workload, Medicine, ALARM, Confidence interval, Emergency medicine, Patient safety, Nursing care, Nursing, Medical emergency, Health care, Internal medicine, Composite material, Economics, Materials science, Computer science, Economic growth, Operating systemTop concepts (fields/topics) attached by OpenAlex
- Cited by
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32Total citation count in OpenAlex
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2025: 9, 2024: 10, 2023: 6, 2022: 4, 2021: 3Per-year citation counts (last 5 years)
- References (count)
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33Number of works referenced by this work
- Related works (count)
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10Other works algorithmically related by OpenAlex
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