{"id":"https://openalex.org/W3161696343","doi":"https://doi.org/10.1177/00187208211018883","title":"Applying Human Factors Engineering to Address the Telemetry Alarm Problem in a Large Medical Center","display_name":"Applying Human Factors Engineering to Address the Telemetry Alarm Problem in a Large Medical Center","publication_year":2021,"publication_date":"2021-05-19","ids":{"openalex":"https://openalex.org/W3161696343","doi":"https://doi.org/10.1177/00187208211018883","mag":"3161696343","pmid":"https://pubmed.ncbi.nlm.nih.gov/34011195"},"language":"en","primary_location":{"id":"doi:10.1177/00187208211018883","is_oa":false,"landing_page_url":"https://doi.org/10.1177/00187208211018883","pdf_url":null,"source":{"id":"https://openalex.org/S83386566","display_name":"Human Factors The Journal of the Human Factors and Ergonomics Society","issn_l":"0018-7208","issn":["0018-7208","1547-8181"],"is_oa":false,"is_in_doaj":false,"is_core":true,"host_organization":"https://openalex.org/P4310320017","host_organization_name":"SAGE Publishing","host_organization_lineage":["https://openalex.org/P4310320017"],"host_organization_lineage_names":["SAGE Publishing"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Human Factors: The Journal of the Human Factors and Ergonomics Society","raw_type":"journal-article"},"type":"article","indexed_in":["crossref","pubmed"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5075972955","display_name":"Emily S. Patterson","orcid":"https://orcid.org/0000-0002-4514-2075"},"institutions":[{"id":"https://openalex.org/I52357470","display_name":"The Ohio State University","ror":"https://ror.org/00rs6vg23","country_code":"US","type":"education","lineage":["https://openalex.org/I52357470"]}],"countries":["US"],"is_corresponding":true,"raw_author_name":"Emily S. Patterson","raw_affiliation_strings":["The Ohio State University, Columbus, USA"],"raw_orcid":"https://orcid.org/0000-0002-4514-2075","affiliations":[{"raw_affiliation_string":"The Ohio State University, Columbus, USA","institution_ids":["https://openalex.org/I52357470"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5065651467","display_name":"Michael F. Rayo","orcid":"https://orcid.org/0000-0003-0180-058X"},"institutions":[{"id":"https://openalex.org/I52357470","display_name":"The Ohio State University","ror":"https://ror.org/00rs6vg23","country_code":"US","type":"education","lineage":["https://openalex.org/I52357470"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Michael F. Rayo","raw_affiliation_strings":["The Ohio State University, Columbus, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"The Ohio State University, Columbus, USA","institution_ids":["https://openalex.org/I52357470"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5026999435","display_name":"Judy Edworthy","orcid":"https://orcid.org/0000-0002-2884-5780"},"institutions":[{"id":"https://openalex.org/I897542642","display_name":"University of Plymouth","ror":"https://ror.org/008n7pv89","country_code":"GB","type":"education","lineage":["https://openalex.org/I897542642"]}],"countries":["GB"],"is_corresponding":false,"raw_author_name":"Judy Reed Edworthy","raw_affiliation_strings":["University of Plymouth, UK"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"University of Plymouth, UK","institution_ids":["https://openalex.org/I897542642"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5061757764","display_name":"Susan D. Moffatt\u2010Bruce","orcid":"https://orcid.org/0000-0002-0999-5505"},"institutions":[{"id":"https://openalex.org/I52357470","display_name":"The Ohio State University","ror":"https://ror.org/00rs6vg23","country_code":"US","type":"education","lineage":["https://openalex.org/I52357470"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Susan D. Moffatt-Bruce","raw_affiliation_strings":["The Ohio State University, Columbus, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"The Ohio State University, Columbus, USA","institution_ids":["https://openalex.org/I52357470"]}]}],"institutions":[],"countries_distinct_count":2,"institutions_distinct_count":4,"corresponding_author_ids":["https://openalex.org/A5075972955"],"corresponding_institution_ids":["https://openalex.org/I52357470"],"apc_list":null,"apc_paid":null,"fwci":1.8928,"has_fulltext":false,"cited_by_count":14,"citation_normalized_percentile":{"value":0.85412047,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":94,"max":98},"biblio":{"volume":"64","issue":"1","first_page":"126","last_page":"142"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T13248","display_name":"Healthcare Technology and Patient Monitoring","score":0.9975000023841858,"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":0.9975000023841858,"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/T13690","display_name":"Quality and Safety in Healthcare","score":0.0005000000237487257,"subfield":{"id":"https://openalex.org/subfields/3607","display_name":"Medical Laboratory Technology"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10350","display_name":"Electronic Health Records Systems","score":0.00019999999494757503,"subfield":{"id":"https://openalex.org/subfields/3605","display_name":"Health Information Management"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/alarm","display_name":"ALARM","score":0.913925290107727},{"id":"https://openalex.org/keywords/leaps","display_name":"LEAPS","score":0.7035132646560669},{"id":"https://openalex.org/keywords/computer-science","display_name":"Computer science","score":0.6191477179527283},{"id":"https://openalex.org/keywords/ontology","display_name":"Ontology","score":0.5883424878120422},{"id":"https://openalex.org/keywords/telemetry","display_name":"Telemetry","score":0.5002193450927734},{"id":"https://openalex.org/keywords/health-care","display_name":"Health care","score":0.4324708580970764},{"id":"https://openalex.org/keywords/medical-emergency","display_name":"Medical emergency","score":0.4312903881072998},{"id":"https://openalex.org/keywords/medicine","display_name":"Medicine","score":0.2740567922592163},{"id":"https://openalex.org/keywords/engineering","display_name":"Engineering","score":0.14614364504814148},{"id":"https://openalex.org/keywords/telecommunications","display_name":"Telecommunications","score":0.11808979511260986},{"id":"https://openalex.org/keywords/business","display_name":"Business","score":0.09578409790992737}],"concepts":[{"id":"https://openalex.org/C2779119184","wikidata":"https://www.wikidata.org/wiki/Q294350","display_name":"ALARM","level":2,"score":0.913925290107727},{"id":"https://openalex.org/C2777705401","wikidata":"https://www.wikidata.org/wiki/Q6457570","display_name":"LEAPS","level":2,"score":0.7035132646560669},{"id":"https://openalex.org/C41008148","wikidata":"https://www.wikidata.org/wiki/Q21198","display_name":"Computer science","level":0,"score":0.6191477179527283},{"id":"https://openalex.org/C25810664","wikidata":"https://www.wikidata.org/wiki/Q44325","display_name":"Ontology","level":2,"score":0.5883424878120422},{"id":"https://openalex.org/C183121708","wikidata":"https://www.wikidata.org/wiki/Q209867","display_name":"Telemetry","level":2,"score":0.5002193450927734},{"id":"https://openalex.org/C160735492","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health care","level":2,"score":0.4324708580970764},{"id":"https://openalex.org/C545542383","wikidata":"https://www.wikidata.org/wiki/Q2751242","display_name":"Medical emergency","level":1,"score":0.4312903881072998},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.2740567922592163},{"id":"https://openalex.org/C127413603","wikidata":"https://www.wikidata.org/wiki/Q11023","display_name":"Engineering","level":0,"score":0.14614364504814148},{"id":"https://openalex.org/C76155785","wikidata":"https://www.wikidata.org/wiki/Q418","display_name":"Telecommunications","level":1,"score":0.11808979511260986},{"id":"https://openalex.org/C144133560","wikidata":"https://www.wikidata.org/wiki/Q4830453","display_name":"Business","level":0,"score":0.09578409790992737},{"id":"https://openalex.org/C50522688","wikidata":"https://www.wikidata.org/wiki/Q189833","display_name":"Economic growth","level":1,"score":0.0},{"id":"https://openalex.org/C10138342","wikidata":"https://www.wikidata.org/wiki/Q43015","display_name":"Finance","level":1,"score":0.0},{"id":"https://openalex.org/C111472728","wikidata":"https://www.wikidata.org/wiki/Q9471","display_name":"Epistemology","level":1,"score":0.0},{"id":"https://openalex.org/C162324750","wikidata":"https://www.wikidata.org/wiki/Q8134","display_name":"Economics","level":0,"score":0.0},{"id":"https://openalex.org/C146978453","wikidata":"https://www.wikidata.org/wiki/Q3798668","display_name":"Aerospace engineering","level":1,"score":0.0},{"id":"https://openalex.org/C138885662","wikidata":"https://www.wikidata.org/wiki/Q5891","display_name":"Philosophy","level":0,"score":0.0}],"mesh":[{"descriptor_ui":"D006761","descriptor_name":"Hospitals","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006761","descriptor_name":"Hospitals","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006761","descriptor_name":"Hospitals","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006804","descriptor_name":"Ergonomics","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006804","descriptor_name":"Ergonomics","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006804","descriptor_name":"Ergonomics","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008991","descriptor_name":"Monitoring, Physiologic","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008991","descriptor_name":"Monitoring, Physiologic","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008991","descriptor_name":"Monitoring, Physiologic","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D013016","descriptor_name":"Sound","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D013016","descriptor_name":"Sound","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D013016","descriptor_name":"Sound","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D013686","descriptor_name":"Telemetry","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D013686","descriptor_name":"Telemetry","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D013686","descriptor_name":"Telemetry","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D056902","descriptor_name":"Clinical Alarms","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D056902","descriptor_name":"Clinical Alarms","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D056902","descriptor_name":"Clinical Alarms","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true}],"locations_count":2,"locations":[{"id":"doi:10.1177/00187208211018883","is_oa":false,"landing_page_url":"https://doi.org/10.1177/00187208211018883","pdf_url":null,"source":{"id":"https://openalex.org/S83386566","display_name":"Human Factors The Journal of the Human Factors and Ergonomics Society","issn_l":"0018-7208","issn":["0018-7208","1547-8181"],"is_oa":false,"is_in_doaj":false,"is_core":true,"host_organization":"https://openalex.org/P4310320017","host_organization_name":"SAGE Publishing","host_organization_lineage":["https://openalex.org/P4310320017"],"host_organization_lineage_names":["SAGE Publishing"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Human Factors: The Journal of the Human Factors and Ergonomics Society","raw_type":"journal-article"},{"id":"pmid:34011195","is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/34011195","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,"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":"Human factors","raw_type":null}],"best_oa_location":null,"sustainable_development_goals":[{"display_name":"Reduced inequalities","id":"https://metadata.un.org/sdg/10","score":0.7200000286102295}],"awards":[{"id":"https://openalex.org/G1679123914","display_name":null,"funder_award_id":"P30HS024379","funder_id":"https://openalex.org/F4320332177","funder_display_name":"Agency for Healthcare Research and Quality"}],"funders":[{"id":"https://openalex.org/F4320332177","display_name":"Agency for Healthcare Research and Quality","ror":"https://ror.org/03jmfdf59"}],"has_content":{"grobid_xml":false,"pdf":false},"content_urls":null,"referenced_works_count":46,"referenced_works":["https://openalex.org/W1497286318","https://openalex.org/W1971556657","https://openalex.org/W2004732425","https://openalex.org/W2006128682","https://openalex.org/W2007798022","https://openalex.org/W2031347071","https://openalex.org/W2052216394","https://openalex.org/W2058281934","https://openalex.org/W2068084117","https://openalex.org/W2094065989","https://openalex.org/W2096457720","https://openalex.org/W2104166306","https://openalex.org/W2128178009","https://openalex.org/W2167235473","https://openalex.org/W2169618819","https://openalex.org/W2278682337","https://openalex.org/W2432973960","https://openalex.org/W2607630613","https://openalex.org/W2620916946","https://openalex.org/W2797400727","https://openalex.org/W2798625560","https://openalex.org/W2800094886","https://openalex.org/W2803196939","https://openalex.org/W2810373511","https://openalex.org/W2811122446","https://openalex.org/W2883553581","https://openalex.org/W2888065160","https://openalex.org/W2896716162","https://openalex.org/W2902285400","https://openalex.org/W2924706891","https://openalex.org/W2929359750","https://openalex.org/W2946591055","https://openalex.org/W2965064065","https://openalex.org/W2973582598","https://openalex.org/W2973834617","https://openalex.org/W2973969590","https://openalex.org/W2979424284","https://openalex.org/W2979830676","https://openalex.org/W2984414134","https://openalex.org/W3003491006","https://openalex.org/W3028219528","https://openalex.org/W3042358928","https://openalex.org/W3080833898","https://openalex.org/W3085049425","https://openalex.org/W3135903890","https://openalex.org/W3183311502"],"related_works":["https://openalex.org/W2492014775","https://openalex.org/W2381023742","https://openalex.org/W4403958025","https://openalex.org/W2373297822","https://openalex.org/W2371221548","https://openalex.org/W2388543165","https://openalex.org/W2533958670","https://openalex.org/W2741632929","https://openalex.org/W2977999572","https://openalex.org/W1967754852"],"abstract_inverted_index":{"OBJECTIVE:":[0],"Address":[1],"the":[2,45,62,108,134],"alarm":[3,13,67,80,109,135],"problem":[4,136],"by":[5,57,137,160],"redesigning,":[6],"reorganizing,":[7],"and":[8,15,28,33,40,73,85,121,144,156,163],"reprioritizing":[9],"to":[10,69,130,165],"better":[11,157],"discriminate":[12,158],"sounds":[14,68],"displays":[16],"in":[17,22,61],"a":[18],"hospital.":[19],"BACKGROUND:":[20],"Alarms":[21],"hospitals":[23],"are":[24],"frequently":[25],"misunderstood,":[26],"disregarded,":[27],"overridden.":[29],"METHOD:":[30],"Discovery-oriented,":[31],"intervention,":[32],"translational":[34],"studies":[35],"were":[36],"conducted.":[37],"Study":[38],"objectives":[39],"measures":[41],"varied,":[42],"but":[43],"had":[44],"shared":[46],"goals":[47],"of":[48,54,97],"increasing":[49],"positive":[50],"predictive":[51],"value":[52],"(PPV)":[53],"critical":[55],"alarms":[56,60,159],"reducing":[58],"low-PPV":[59],"background,":[63],"prioritizing":[64],"alarms,":[65],"redesigning":[66],"increase":[70],"information":[71],"content,":[72],"transparently":[74],"conveying":[75],"who":[76,106],"initiated":[77],"alarms.":[78],"An":[79],"ontology":[81,93],"was":[82,89],"iteratively":[83],"generated":[84],"refined":[86],"until":[87],"consensus":[88],"achieved.":[90],"RESULTS:":[91],"The":[92],"distinguishes":[94],"five":[95],"levels":[96],"urgency":[98],"that":[99],"incorporate":[100],"likely":[101],"PPV,":[102,162],"three":[103],"categories":[104],"for":[105],"initiates":[107],"(hospital":[110],"staff,":[111],"patient,":[112],"or":[113,119],"machine),":[114],"whether":[115],"it":[116],"is":[117],"clinical":[118,122],"technical,":[120],"functions.":[123],"CONCLUSION:":[124],"This":[125],"unique":[126],"collaboration":[127],"allowed":[128],"us":[129],"make":[131],"progress":[132],"on":[133],"making":[138],"unintuitive":[139],"leaps,":[140],"avoiding":[141],"common":[142],"missteps,":[143],"refuting":[145],"conventional":[146],"healthcare":[147],"approaches.":[148],"APPLICATION:":[149],"Hospitals":[150],"can":[151],"consistently":[152],"redesign,":[153],"reorganize,":[154],"reprioritize,":[155],"priority,":[161],"content":[164],"reduce":[166],"nurse":[167],"response":[168],"times.":[169]},"counts_by_year":[{"year":2025,"cited_by_count":5},{"year":2024,"cited_by_count":4},{"year":2022,"cited_by_count":2},{"year":2021,"cited_by_count":3}],"updated_date":"2026-05-21T06:26:12.895304","created_date":"2025-10-10T00:00:00"}
