AlarmRedux Reduction of the acoustic load on nursing staff in intensive care units

Motivation

Essential feature of the intensiv care is monitoring of patients whose states require a close-knit control of vital body functions. With increasing development of biosensorics and related monitoring options the frequency of acoustically and visual alarms increases on the intensiv station.  Since every alarm can be caused by a critical situation or a technical problem it must be acknowledged by a intensiv caregiver or a doctor. The noise exposure and frequent interruptions of the work process put too much of the extra load and lead to cogestive stress and in the medium term to a patient’s dangerous desensitization of professional nurses for alarms (“Alarm fatigue”). This can lead to the ignoring of alarms or to a patient’s hazardous setting at the control monitors. The consequence of these effects are regular treatment failure with potential patients damage. Each critical situation and especially each patient damage leads to considerable mental stress of the staff and often affected doctors withdraw from their career.

Goal

The "AlarmRedux" project aims to improve alarm management in intensive care. To this end, methodological and technical concepts are being developed in order to reduce the workload and cognitive load of the clinical personnel by means of alarms in a measurable and sustainable manner. The aim of the group Interactive Systems in Healthcare is to develop new forms of alarm distribution and signalling interaction, e. g. via portable, multimodal devices that allow different levels of attention to be addressed by the user.

Technologies

Human Centered Design
Human Computer Interfaces
Wearable Computing
Multimodal Information Presentation

Persons

External Leader

Philips Medizin Systeme Böblingen
Publications
Towards Reducing Alarm Fatigue: Peripheral Light Pattern Design for Critical Care Alarms

Cobus, Vanessa and Meyer, Hannah and Ananthanarayan, Swamy and Boll, Susanne and Heuten, Wilko; Proceedings of the 10th Nordic Conference on Human-Computer Interaction; 2018

Requirements for a Wearable Alarm Distribution System in Intensive Care Units

Cobus, Vanessa and Boll, Suanne and Heuten, Wilko; Zukunft der Pflege , Tagungsband der 1. Clusterkonferenz 2018 - Innovative Technologien für die Pflege; 2018

Demo: Vibrotactile Alarm Display for Critical Care

Cobus, Vanessa and Ehrhardt, Bastian and Boll, Susanne and Heuten, Wilko; Proceedings of the 7th ACM International Symposium on Pervasive Displays; 2018

Vibrotactile Alarm Display for Critical Care

Cobus, Vanessa and Ehrhardt, Bastian and Boll, Susanne and Heuten, Wilko; Proceedings of the 7th ACM International Symposium on Pervasive Displays; 2018

Multimodal Head-mounted Display for Multimodal Alarms in Intensive Care Units

Cobus, Vanessa and Heuten, Wilko and Boll, Susanne; Proceedings of the 6th ACM International Symposium on Pervasive Displays; 2017

To Beep or Not to Beep? Evaluating Modalities for Multimodal ICU Alarms

Cobus, Vanessa and Heuten, Wilko; Multimodal Technologies and Interaction; Special Issue: Multimodal Medical Alarms; 2019

Targeted Conveyance of Clinical Alarms through Bone-Conductive Sound

Lunte, T. and Cobus, V. and Ferdinand, R. and Heuten, W.; 2020 IEEE International Conference on Healthcare Informatics (ICHI); 0November / 2020

Partners
Philips Medizin Systeme Böblingen GmbH
www.philips.de/healthcare
Bitsea GmbH
www.bitsea.de
Carl von Ossietzky Universität Oldenburg
www.uni-oldenburg.de
Klinikum Oldenburg gGmbH
www.klinikum-oldenburg.de
Universitätsklinikum Gießen und Marburg GmbH
www.ukgm.de

Duration

Start: 29.02.2016
End: 27.02.2019

Website of project

Source of funding

BMBF

FKZ: 16SV7503

Related projects

CSE

Interdisciplinary Research Center on Critical Systems Engineering for Socio-Technical Systems

CONTACT

Social Interaction for Palliative Patients