{"id":"https://openalex.org/W3134070086","doi":"https://doi.org/10.1097/pq9.0000000000000386","title":"Reducing Alarm Burden in a Level IV Neonatal Intensive Care Unit","display_name":"Reducing Alarm Burden in a Level IV Neonatal Intensive Care Unit","publication_year":2021,"publication_date":"2021-02-12","ids":{"openalex":"https://openalex.org/W3134070086","doi":"https://doi.org/10.1097/pq9.0000000000000386","mag":"3134070086","pmid":"https://pubmed.ncbi.nlm.nih.gov/38571516","pmcid":"https://www.ncbi.nlm.nih.gov/pmc/articles/10990340"},"language":"en","primary_location":{"id":"doi:10.1097/pq9.0000000000000386","doi":"https://doi.org/10.1097/pq9.0000000000000386","is_oa":true,"landing_page_url":"https://doi.org/10.1097/pq9.0000000000000386","pdf_url":null,"source":{"id":"https://openalex.org/S4210210253","display_name":"Pediatric Quality and Safety","issn_l":"2472-0054","issn":["2472-0054"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-c","ki-jl-1","poland-20","russia-white-list-3"],"host_organization":"https://openalex.org/P4310318547","host_organization_name":"Wolters Kluwer","host_organization_lineage":["https://openalex.org/P4310318547"],"host_organization_lineage_names":["Wolters Kluwer"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Pediatric Quality &amp; Safety","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","doaj","pubmed"],"open_access":{"is_oa":true,"oa_status":"diamond","oa_url":"https://doi.org/10.1097/pq9.0000000000000386","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5062304837","display_name":"Kortany E. McCauley","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I1330342723","display_name":"Mayo Clinic","ror":"https://ror.org/02qp3tb03","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1330342723"]}],"countries":["US"],"is_corresponding":true,"raw_author_name":"Kortany E. McCauley","raw_affiliation_strings":["Division of Neonatal Medicine, Mayo Clinic, Rochester, Minn"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Division of Neonatal Medicine, Mayo Clinic, Rochester, Minn","institution_ids":["https://openalex.org/I1330342723"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5061342065","display_name":"Alissa A. Schroeder","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I1330342723","display_name":"Mayo Clinic","ror":"https://ror.org/02qp3tb03","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1330342723"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Alissa A. Schroeder","raw_affiliation_strings":["Department of Nursing, Mayo Clinic, Rochester, Minn"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Nursing, Mayo Clinic, Rochester, Minn","institution_ids":["https://openalex.org/I1330342723"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5001467836","display_name":"Tawney K. DeBoth","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I1330342723","display_name":"Mayo Clinic","ror":"https://ror.org/02qp3tb03","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1330342723"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Tawney K. DeBoth","raw_affiliation_strings":["Department of Nursing, Mayo Clinic, Rochester, Minn"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Nursing, Mayo Clinic, Rochester, Minn","institution_ids":["https://openalex.org/I1330342723"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5057275738","display_name":"Alexander M. Wiebe","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I1330342723","display_name":"Mayo Clinic","ror":"https://ror.org/02qp3tb03","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1330342723"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Alexander M. Wiebe","raw_affiliation_strings":["Mayo Clinic Healthcare Technology Management, Rochester, Minn"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Mayo Clinic Healthcare Technology Management, Rochester, Minn","institution_ids":["https://openalex.org/I1330342723"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5044732430","display_name":"Christopher L. Bosley","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I1330342723","display_name":"Mayo Clinic","ror":"https://ror.org/02qp3tb03","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1330342723"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Christopher L. Bosley","raw_affiliation_strings":["Department of Anesthesiology, Mayo Clinic, Rochester, Minn"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Anesthesiology, Mayo Clinic, Rochester, Minn","institution_ids":["https://openalex.org/I1330342723"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5040324579","display_name":"Diane D. Ballweg","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I1330342723","display_name":"Mayo Clinic","ror":"https://ror.org/02qp3tb03","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1330342723"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Diane D. Ballweg","raw_affiliation_strings":["Department of Nursing, Mayo Clinic, Rochester, Minn"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Nursing, Mayo Clinic, Rochester, Minn","institution_ids":["https://openalex.org/I1330342723"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5103572545","display_name":"Jennifer L. Fang","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I1330342723","display_name":"Mayo Clinic","ror":"https://ror.org/02qp3tb03","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1330342723"]}],"countries":["US"],"is_corresponding":true,"raw_author_name":"Jennifer L. Fang","raw_affiliation_strings":["Division of Neonatal Medicine, Mayo Clinic, Rochester, Minn"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Division of Neonatal Medicine, Mayo Clinic, Rochester, Minn","institution_ids":["https://openalex.org/I1330342723"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":["https://openalex.org/A5062304837","https://openalex.org/A5103572545"],"corresponding_institution_ids":["https://openalex.org/I1330342723"],"apc_list":null,"apc_paid":null,"fwci":0.6835,"has_fulltext":false,"cited_by_count":7,"citation_normalized_percentile":{"value":0.6490814,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":88,"max":97},"biblio":{"volume":"6","issue":"2","first_page":"e386","last_page":"e386"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T13248","display_name":"Healthcare Technology and Patient Monitoring","score":0.9994999766349792,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T13248","display_name":"Healthcare Technology and Patient Monitoring","score":0.9994999766349792,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10508","display_name":"Patient Safety and Medication Errors","score":9.999999747378752e-05,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10549","display_name":"Neonatal Respiratory Health Research","score":0.0,"subfield":{"id":"https://openalex.org/subfields/2740","display_name":"Pulmonary and Respiratory Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/alarm-fatigue","display_name":"alarm fatigue","score":0.9330000281333923},{"id":"https://openalex.org/keywords/neonatal-intensive-care","display_name":"neonatal intensive care","score":0.8270000219345093},{"id":"https://openalex.org/keywords/patient-safety","display_name":"patient safety","score":0.3240000009536743},{"id":"https://openalex.org/keywords/quality-improvement","display_name":"quality improvement","score":0.5419999957084656}],"concepts":[{"id":"https://openalex.org/C2779119184","wikidata":"https://www.wikidata.org/wiki/Q294350","display_name":"ALARM","level":2,"score":0.9240936040878296},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.6496869325637817},{"id":"https://openalex.org/C2777091541","wikidata":"https://www.wikidata.org/wiki/Q9008292","display_name":"Neonatal intensive care unit","level":2,"score":0.4522935152053833},{"id":"https://openalex.org/C2776376669","wikidata":"https://www.wikidata.org/wiki/Q5094647","display_name":"Intensive care unit","level":2,"score":0.4195694625377655},{"id":"https://openalex.org/C545542383","wikidata":"https://www.wikidata.org/wiki/Q2751242","display_name":"Medical emergency","level":1,"score":0.3920131325721741},{"id":"https://openalex.org/C194828623","wikidata":"https://www.wikidata.org/wiki/Q2861470","display_name":"Emergency medicine","level":1,"score":0.3732672333717346},{"id":"https://openalex.org/C177713679","wikidata":"https://www.wikidata.org/wiki/Q679690","display_name":"Intensive care medicine","level":1,"score":0.19706934690475464},{"id":"https://openalex.org/C187212893","wikidata":"https://www.wikidata.org/wiki/Q123028","display_name":"Pediatrics","level":1,"score":0.13006705045700073},{"id":"https://openalex.org/C127413603","wikidata":"https://www.wikidata.org/wiki/Q11023","display_name":"Engineering","level":0,"score":0.08897238969802856},{"id":"https://openalex.org/C146978453","wikidata":"https://www.wikidata.org/wiki/Q3798668","display_name":"Aerospace engineering","level":1,"score":0.0}],"mesh":[],"locations_count":3,"locations":[{"id":"doi:10.1097/pq9.0000000000000386","doi":"https://doi.org/10.1097/pq9.0000000000000386","is_oa":true,"landing_page_url":"https://doi.org/10.1097/pq9.0000000000000386","pdf_url":null,"source":{"id":"https://openalex.org/S4210210253","display_name":"Pediatric Quality and Safety","issn_l":"2472-0054","issn":["2472-0054"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-c","ki-jl-1","poland-20","russia-white-list-3"],"host_organization":"https://openalex.org/P4310318547","host_organization_name":"Wolters Kluwer","host_organization_lineage":["https://openalex.org/P4310318547"],"host_organization_lineage_names":["Wolters Kluwer"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Pediatric Quality &amp; Safety","raw_type":"journal-article"},{"id":"pmh:oai:pubmedcentral.nih.gov:10990340","doi":null,"is_oa":true,"landing_page_url":"https://www.ncbi.nlm.nih.gov/pmc/articles/10990340","pdf_url":null,"source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Pediatr Qual Saf","raw_type":"Text"},{"id":"pmid:38571516","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/38571516","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Pediatric quality & safety","raw_type":"Journal Article"}],"best_oa_location":{"id":"doi:10.1097/pq9.0000000000000386","doi":"https://doi.org/10.1097/pq9.0000000000000386","is_oa":true,"landing_page_url":"https://doi.org/10.1097/pq9.0000000000000386","pdf_url":null,"source":{"id":"https://openalex.org/S4210210253","display_name":"Pediatric Quality and Safety","issn_l":"2472-0054","issn":["2472-0054"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-c","ki-jl-1","poland-20","russia-white-list-3"],"host_organization":"https://openalex.org/P4310318547","host_organization_name":"Wolters Kluwer","host_organization_lineage":["https://openalex.org/P4310318547"],"host_organization_lineage_names":["Wolters Kluwer"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Pediatric Quality &amp; Safety","raw_type":"journal-article"},"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being","score":1.0}],"study_designs":[{"id":"https://openalex.org/study-designs/clinical-trial","display_name":"Clinical Trial"}],"awards":[{"id":"https://openalex.org/G9000868933","display_name":"Mayo Clinic Center for Clinical and Translational Science (CCaTS)","funder_award_id":"UL1TR002377","funder_id":"https://openalex.org/F4320332161","funder_display_name":"National Institutes of Health"}],"funders":[{"id":"https://openalex.org/F4320332161","display_name":"National Institutes of Health","ror":"https://ror.org/01cwqze88"},{"id":"https://openalex.org/F4320337472","display_name":"National Center for Advancing Translational Sciences","ror":"https://ror.org/04pw6fb54"}],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":24,"referenced_works":["https://openalex.org/W7792665","https://openalex.org/W87394711","https://openalex.org/W1180645092","https://openalex.org/W1871048676","https://openalex.org/W1980694603","https://openalex.org/W1986071115","https://openalex.org/W2031700222","https://openalex.org/W2042165338","https://openalex.org/W2078914816","https://openalex.org/W2099376575","https://openalex.org/W2128995251","https://openalex.org/W2137856482","https://openalex.org/W2142062010","https://openalex.org/W2162191950","https://openalex.org/W2322065752","https://openalex.org/W2506112685","https://openalex.org/W2735921494","https://openalex.org/W2762054475","https://openalex.org/W2763845318","https://openalex.org/W2799965566","https://openalex.org/W2803278479","https://openalex.org/W2926939937","https://openalex.org/W4292438637","https://openalex.org/W4292464411"],"related_works":["https://openalex.org/W2803278479","https://openalex.org/W4399619177","https://openalex.org/W4362602151","https://openalex.org/W3092031394","https://openalex.org/W2137856482","https://openalex.org/W4281897296","https://openalex.org/W4384922484","https://openalex.org/W3161375727","https://openalex.org/W2995669530","https://openalex.org/W2314019776"],"abstract_inverted_index":{"Introduction:":[0],"Excessive":[1],"alarm":[2,6,74,82,93,96,134,219,232,235],"burden":[3,83],"contributes":[4],"to":[5,10,15,27,40,70,80,176,248],"fatigue,":[7],"causing":[8],"staff":[9],"ignore":[11],"or":[12],"delay":[13],"response":[14],"clinically":[16],"significant":[17],"alarms.":[18],"The":[19],"objective":[20],"of":[21,36,55,73,100,168,228,239],"this":[22],"quality":[23],"improvement":[24,78,118,210],"project":[25,202],"was":[26,183,221],"reduce":[28,81],"yellow":[29,169],"self-resolving":[30,170,217],"SpO2":[31,60,130,133,171,191,218],"alarms":[32,172],"from":[33,110,174],"a":[34,47,85,101,121,179,240],"mean":[35,166],"14":[37,175],"alarms/patient-hour":[38],"(APH)":[39],"7":[41],"APH":[42,212],"(a":[43],"50%":[44],"reduction)":[45],"within":[46],"6-month":[48],"period,":[49],"without":[50,245],"significantly":[51],"decreasing":[52],"the":[53,111,165,201,226],"amount":[54],"time":[56,126,187],"spent":[57,127,188],"in":[58,84,92,128,186,189,231],"target":[59,129,190],"range":[61,192],"(90%\u201395%).":[62],"Methods:":[63],"A":[64],"multidisciplinary":[65],"team":[66],"used":[67],"Define-Measure-Analyze-Improve-Control":[68],"methodology":[69],"identify":[71],"etiologies":[72],"frequency":[75,220],"and":[76,98,237],"design":[77],"interventions":[79],"single-site":[86],"Level":[87],"IV":[88],"NICU.":[89],"Data-driven":[90],"changes":[91,230],"limit":[94,233],"settings,":[95,234],"delay,":[97],"trial":[99,238],"new":[102],"pulse":[103],"oximeter":[104,243],"probe":[105,244],"were":[106,114,136,155],"used.":[107],"Alarm":[108],"data":[109,135],"bedside":[112],"monitor":[113],"analyzed":[115],"following":[116],"each":[117,158],"cycle.":[119],"As":[120],"balancing":[122],"measure,":[123],"histograms":[124,154],"monitored":[125],"range.":[131],"Results:":[132],"collected":[137],"for":[138,157],"4,320":[139],"patient-hours":[140],"(180":[141],"patient-days)":[142],"on":[143],"40":[144],"neonatal":[145],"intensive":[146],"care":[147],"unit":[148],"patients":[149],"meeting":[150],"inclusion":[151],"criteria.":[152],"Corresponding":[153],"obtained":[156],"patient":[159],"day.":[160],"Following":[161],"5":[162,177],"Plan-Do-Study-Act":[163],"cycles,":[164],"number":[167],"decreased":[173],"APH,":[178],"64%":[180,224],"decrease.":[181],"There":[182],"no":[184],"difference":[185],"(50%":[193],"versus":[194],"50%,":[195],"P":[196],"=":[197,213],"0.93).":[198],"After":[199],"achieving":[200],"aim,":[203],"2":[204],"control":[205],"phase":[206],"measurements":[207],"demonstrated":[208],"sustained":[209],"(mean":[211],"6).":[214],"Conclusions:":[215],"Yellow":[216],"reduced":[222],"by":[223],"through":[225],"implementation":[227],"data-driven":[229],"delays,":[236],"more":[241],"sensitive":[242],"introducing":[246],"harm":[247],"patients.":[249]},"counts_by_year":[{"year":2026,"cited_by_count":3},{"year":2025,"cited_by_count":1},{"year":2024,"cited_by_count":2},{"year":2022,"cited_by_count":1}],"updated_date":"2026-11-05T12:25:35.769452","created_date":"2021-03-15T00:00:00"}
