Publications by authors named "H van de Mortel"

Aim: To address alarm fatigue, a new alarm management system which ensures a quicker delivery of alarms together with waveform information on nurses' handheld devices was implemented and settings optimised. The effects of this clinical implementation on alarm rates and nurses' responsiveness were measured in an 18-bed single family rooms neonatal intensive care unit (NICU).

Methods: The technical implementation of the alarm management system was followed by clinical workflow optimisation.

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A multidisciplinary guideline is available for the care for patients suffering from schizophrenia. In 2009 (most recent statistics) 50-75% of the patients were treated according to this guideline.
AIM: To quantify the difference between the desired treatment according to the multidisciplinary guideline and the daily practice in teams for flexible assertive community (FACT) treatment before and after the introduction of the new guideline in 2012.

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Objectives: To determine differences in alarm pressure between two otherwise comparable neonatal intensive care units (NICUs) differing in architectural layout-one of a single-family room (SFR) design and the other of an open bay area (OBA) design.

Design: Retrospective audit of more than 2000 patient days from each NICU cataloguing the differences in the number and duration of alarms for critical and alerting alarms, as well as the interaction of clinicians with the patient monitor.

Setting: Two level 3 NICUs.

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Aim: Alarm fatigue is a well-recognized patient safety concern in intensive care settings. Decreased nurse responsiveness and slow response times to alarms are the potentially dangerous consequences of alarm fatigue. The aim of this study was to determine the factors that modulate nurse responsiveness to critical patient monitor and ventilator alarms in the context of a private room neonatal intensive care setting.

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Aim: Patient monitoring generates a large number of alarms. The aim of this study was to evaluate the rate, type and management of alarms and to determine the risks of a distributed alarm system in a neonatal intensive care unit (NICU) with single family rooms.

Methods: A risk analysis was performed before implementation.

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