Case Study - Non Compliance... kelvin777 - 77948

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Read the article, "Alarm Fatigue Sets Off Bells: Mass. Incident Highlights Need for Protocols Check" (below) in regards to noncompliance. In a 2 to 3 page paper, discuss the following:

  1. What regulatory agencies were involved in the disciplinary action?
  2. What incident or series of incidents resulted in noncompliance?
  3. What were the penalties and consequences?
  4. What steps should have been taken to avoid/prevent this type of noncompliance?

 

Alarm Fatigue Sets Off Bells: Mass. Incident Highlights Need for Protocols Check

Abstract

After a recent CMS report ruled that nurses' desensitization to monitor alarms played a role in the death of a cardiac patient, more hospitals are taking heed and examining the problem, known as alarm fatigue, in their own organizations. A review of cardiac monitor logs showed that during a 20-minute period, the patient's heart rate dropped rapidly and eventually stopped, and subsequent resuscitation efforts were unsuccessful. Alarm fatigue is not unique to Massachusetts General. The increasing focus on alarm fatigue is just one part of a larger trend of patient-safety awareness, said Andrea Kline, pediatric nurse practitioner at Riley Hospital for Children, part of 1,385-bed Clarian Health Partners, Indianapolis.

 

 


     

     
 
After a recent CMS report ruled that nurses' desensitization to monitor alarms played a role in the death of a cardiac patient, more hospitals are taking heed and examining the problem, known as alarm fatigue, in meir own organizations.

 

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