A root cause analysis (RCA) is asystematic process of identifying the factors that contributed to an adverse event or near miss in order to prevent recurrence and improve patient safety1.

Alarm fatigue is a condition in which clinicians become desensitized to the numerous alerts and warnings generated by medical devices, leading to longer response times or missed alarms2.

Alarm fatigue can compromise patient safety by increasing the risk of adverse events, such as delayed treatment, missed diagnosis, or cardiac arrest3.

To reduce alarm fatigue, the Joint Commission recommends a four-step approach: establish alarm system management as a priority; identify the most important alarms to manage; establish policies and procedures for alarm system management; and educate staff and patients about alarm system management4.

The most appropriate first intervention for an event related to a delayed high-priority alarm response is to review alarm signals for clinical appropriateness. This means to evaluate the alarm settings, limits, and delays for each device and patient population, and adjust them according to evidence-based guidelines and best practices5. This can help reduce the number of false or clinically insignificant alarms, and improve the specificity and sensitivity of the alarm system.

Establishing a written policy for alarm escalation is also an important intervention, but it is not the first step. A policy for alarm escalation should define the roles and responsibilities of staff, the criteria and process for escalating alarms, and the expected response time and actions for each alarm level. However, before developing such a policy, it is necessary to review the alarm signals and ensure that they are clinically relevant and meaningful.

Implementing a guideline with clear criteria for initiation of cardiac monitoring is another intervention that can reduce alarm fatigue, but it is not the first step either. A guideline for cardiac monitoring should specify the indications, duration, and discontinuation of continuous electrocardiographic (ECG) monitoring for patients at risk of cardiac arrhythmias or ischemia. However, before implementing such a guideline, it is necessary to review the alarm signals and ensure that they are appropriate forthe patient population and clinical setting. References: 1: NAHQ Code of Ethics 2: Reducing the Safety Hazards of Monitor Alert and Alarm Fatigue 3: Alarm fatigue: impacts on patient safety 4: The Joint Commission National Patient Safety Goal on clinical alarm safety 5: Alarm Management: Advancing From Failure Cause To Root Cause Analysis : [Utilization of Improvement Methodologies by Healthcare Quality Professionals During the COVID-19 Pandemic] : [The Financial Case for Quality as a Business Strategy] : [Shaping the Future of the Healthcare Quality Profession] : [PracticeStandards for Electrocardiographic Monitoring in Hospital Settings] : [Understanding the Evolving Landscape of Healthcare Quality]