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- QUESTION
Distractions are everywhere. They may include cellphones, multiple alarms sounding, overhead paging, monitors beeping, and various interruptions that disrupt your clinical practice.
Give an example of an ethical or legal issue that may arise if a patient has a poor outcome or sentinel event because of a distraction such as alarm fatigue. What does evidence reveal about alarm fatigue and distractions in healthcare when it comes to patient safety?
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Subject |
Nursing |
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2 |
Style |
APA |
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Answer
Distractions in Healthcare
In idyllic clinical setting, many of the medical devices utilized to monitor patients characteristically have an alarm system established for alerting care providers in case of issues with the patients or machines. Nonetheless, a plethora of previous research has found out that numerous alarms can result in sensory overload for care providers (Maresco, 2017). One of the legal or ethical issues which may arise if a patient has a poor outcome or sentinel event due to a distraction such as alarm fatigue includes patient safety. Alarm management is very important in the provision of safe and high-quality healthcare for positive patient outcome. The Joint Commission in its report claimed that of 97 alarm-associated patient events recounted from 2009 to 2012, 5 resulted in prolonged hospital stay and care, 13 resulted in permanent functional disability, and 85 led to death (Maresco, 2017). Any form of disability or complication caused by an alarm is unethical and can further result in legal battles between the healthcare facility and the patient. An alarm can be disturbing to staff, caregivers, and patients, however, to a greater extent they improve enhanced patient safety. The alarms alert nurses to attend to patients in critical conditions, therefore, reducing the risk of complications. On the other hand, they cause noise pollution which can be harmful especially to patients in the intensive care units. Some of the noise caused by the alarms exceeds the WHO's recommendation of 30 dB during the night and 35 decibels during the day (Maresco, 2017). The high number of alarms in a hospital setting may also cause alarm fatigue to nurses, making them not respond promptly. As such, it is important for healthcare facilities to employ alarm sensitivity to ensure patient safety.
References
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Maresco, M. (2017). Nurse Distractions in the Intensive Care Unit (Doctoral dissertation, The Ohio State University).
Appendix
Appendix A:
Communication Plan for an Inpatient Unit to Evaluate the Impact of Transformational Leadership Style Compared to Other Leader Styles such as Bureaucratic and Laissez-Faire Leadership in Nurse Engagement, Retention, and Team Member Satisfaction Over the Course of One Year
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