Copy and paste the following into PubMed to run the search.
((“teaching”[MeSH Terms] OR “teaching”[All Fields] OR “teach”[All Fields]) AND (“back”[MeSH Terms] OR “back”[All Fields])) AND (((call[All Fields] AND (“light”[MeSH Terms] OR “light”[All Fields])) OR (call[All Fields] AND (“light”[MeSH Terms] OR “light”[All Fields] OR “lights”[All Fields]))) OR ((“patients”[MeSH Terms] OR “patients”[All Fields] OR “patient”[All Fields]) AND questions[All Fields]))
Here is the search technique that was used in PubMed to find articles on reducing use of call lights/bed alarms. A similar technique was used in Embase.
(“call light” OR “call lights” OR alarm OR alarms) AND (reduce OR reduces OR reduced OR reducing OR decrease OR decreases OR decreased OR decreasing) AND (use OR used OR usage OR frequency OR utilize OR utilizes OR utilized OR utilizing OR utilization) AND (patient OR patients OR inpatient OR inpatients)
Here are articles on reducing use of call lights/bed alarms. Not included are articles on automated artifact filtering, a possible technique for decreasing false alarms.
Walsh Irwin, Colleen, and Corrine YJurgens. “Proper skin preparation and electrode placement decreases alarms on a telemetry unit.” Dimensions of Critical Care Nursing 34.3 (2015):134-9.
Mitchell, Matthew D, et al. “Hourly rounding to improve nursing responsiveness: a systematic review.” The Journal of Nursing Administration 44.9 (2014):462-72.
Siebig, S, et al. “Users’ opinions on intensive care unit alarms–a survey of German intensive care units.” Anaesthesia and Intensive Care 37.1 (2009):112-6.
Culley, Tom. “Reduce call light frequency with hourly rounds.” Nursing Management 39.3 (2008):50-2.
Meade, Christine M, Amy LBursell, and LynKetelsen. “Effects of nursing rounds: on patients’ call light use, satisfaction, and safety.” American Journal of Nursing 106.9 (2006):58-70; quiz 70.
Fiterau, M, et al. “Automatic Identification of Artifacts in Monitoring Critically Ill Patients.” Intensive Care Medicine 39.2 (2013):S470.
Beep, Beep, Beep: Rescuing patients and nurses from pump alarms on an Inpatient Bone Marrow Transplant Unit. Biology of Blood and Marrow Transplantation,Volume 20, Issue 2, Supplement, February 2014, Page S306. Pamela Grant-Navarro, Marianne Wallace, Kathleen Choo, Jennifer Feustel.
Implementation of a Standardized Cardiac Monitor Care Process to Reduce Nuisance Alarms. Biology of Blood and Marrow Transplantation, Volume 20, Issue 2, Supplement, February 2014, Page S298. Kristen Coleman, Kristen Coleman, Laura Flesch, Melissa Hayward, Connie Koons, Lori Ann McKenna, Christopher Dandoy
An alarm ward round reduces the frequency of false alarms on the ICU at night. Koerber J.P., Walker J., Worsley M., Thorpe C.M. Journal of the Intensive Care Society 2011, 12:1 75-76.
Graham, Kelly C, and MariaCvach. “Monitor alarm fatigue: standardizing use of physiological monitors and decreasing nuisance alarms.” American journal of critical care 19.1 (2010):28-34; quiz 35.
Sendelbach, Sue, et al. “Stop the Noise: A Quality Improvement Project to Decrease Electrocardiographic Nuisance Alarms.” Critical Care Nurse 35.4 (2015):15-22; quiz 1p following 22.
Cvach, Maria M, et al. “Use of pagers with an alarm escalation system to reduce cardiac monitor alarm signals.” Journal of Nursing Care Quality 29.1 (2014):9-18.
Murray, Terri, et al. “Perceptions of reasons call lights are activated pre- and postintervention to decrease call light use.” Journal of Nursing Care Quality 25.4 (2010):366-72.
A search of PubMed, CINAHL, and ECRI (a quality and risk management resource) for combinations of these terms:
Call lights, call buttons, intercoms, stimuli
Patients, beds, rooms
Nurses, nursing
Response time, reaction time, attention
(call lights OR call buttons OR alarms) AND (patients OR beds OR rooms) AND (nurses OR nursing) AND (response time OR reaction time)…identified many articles about reducing the rate of call light use by implementing hourly/intentional/comfort rounding, as well as the association between call light use and falls. Below are a couple of references that explore how psychological factors may be associated with response time.
A Google search for no pass zone patient call lights identified several hospitals that have rolled out campaigns with this name, but there doesn’t seem to be anything in the traditional published literature about them. Here is information from a couple of hospitals in case you want to contact them directly for additional information.
http://healthleadersmedia.com/content/NRS-250810/Nurses-Find-Simple-Ways-to-Improve-Satisfaction##
http://1199seiubenefits.org/wp-content/uploads/2012/01/Mt.-Sinai-Powerpoint.pdf
This question seems to be similar to alert fatigue with use of alerts in clinical systems. After browsing some of those references in PubMed, I applied the subject headings
(“Human engineering”[mesh] OR “Hospital communication systems”[mesh]) AND (“Reaction time”[mesh] OR “time factors”[mesh]) AND nurses AND (falls OR patient satisfaction)
The most relevant reference in this search is below. It discusses use of a different technology.
Guarascio-Howard L. Examination of wireless technology to improve nurse communication, response time to bed alarms, and patient safety. HERD. 2011 Winter;4(2):109-20.
The Bottom Line: Intentional rounding can have a positive effect on call light use, patient falls, satisfaction and other criteria.
Searching PsychInfo, CINAHL and PubMed for the concepts of intentional (or hourly) rounding and patient satisfaction produced this sampling of results.
Gardner, Glenn, Measuring the effect of patient comfort rounds on practice environment and patient satisfaction: A pilot study. International Journal of Nursing Practice, Vol 15(4), Aug, 2009. pp. 287-293.
The latest evidence on hourly rounding and rapid response teams in decreasing adverse events in hospitals. Worldviews on evidence-based nursing 2007 vol:4 iss:4 pg:220
Halm, Margo Hourly rounds: what does the evidence indicate? American journal of critical care 2009 vol:18 iss:6 pg:581 -584
Baker, Stephanie. Rounding for outcomes: an evidence-based tool to improve nurse retention, patient safety, and quality of care. Journal of emergency nursing 2010 vol:36 iss:2 pg:162 -164
CHRISTINE M. MEADE, PHD, AMY L. BURSELL, PHD, LYN KETELSEN, MBA, RN Effects of Nursing Rounds on Patients’ Call Light Use, Satisfaction, and Safety
Welcome. This blog facilitates communication on issues of evidence-based practice by Emory Healthcare Nursing Quality Initiatives teams. Questions posed by the teams and information to address those questions will be documented in these posts.
Evidence Matters 