The Joint Commission, the American Association of Critical-Care Nurses (AACN), the Food and Drug Administration (FDA), the ECRI Institute, and the Association for the Advancement of Medical Instrumentation (AAMI) have all identified the need to address alarm management and alarm fatigue. In 2011, AAMI convened a Medical Device Alarms Summit, and after the summit, created an alarm best practices workgroup to address the problem of clinical alarm fatigue. In 2012, 2013, and 2014, the ECRI Institute identified clinical alarm hazards as the top potential danger area in hospitals and health systems (ECRI, 2013). In 2013, The Joint Commission issued a sentinel event alert on alarm-related events, citing 98 clinical alarm-related events that were reported between 2009 and 2012 (80 patients died, 13 individuals experienced permanent loss of function, and five events led -to unexpected additional health care and extended hospital stay).
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