Cardiorespiratory and Pulse Oximetry Monitoring in Hospitalized Children: A Delphi Process.

Objectives: Cardiorespiratory and pulse oximetry monitoring in children who are hospitalized should balance benefits of detecting deterioration with potential harms of alarm fatigue. We developed recommendations for monitoring outside the ICU on the basis of available evidence and expert opinion.

Methods: We conducted a comprehensive literature search for studies addressing the utility of cardiorespiratory and pulse oximetry monitoring in common pediatric conditions and drafted candidate monitoring recommendations based on our findings.

Nurse Responses to Physiologic Monitor Alarms on a General Pediatric Unit.

Background: Hospitalized children generate up to 152 alarms per patient per day outside of the intensive care unit. In that setting, as few as 1% of alarms are clinically important. How nurses make decisions about responding to alarms, given an alarm's low specificity for detecting clinical deterioration, remains unclear.

Factors Influencing Use of Continuous Physiologic Monitors for Hospitalized Pediatric Patients.

Objectives: Continuous physiologic monitors (CPMs) generate frequent alarms and are used for up to 50% of children who are hospitalized outside of the ICU. Our objective was to assess factors that influence the decision to use CPMs.

Methods: In this qualitative study, we used group-level assessment, a structured method designed to engage diverse stakeholder groups.