2. Opening of the Austrian Cochrane Branch - Marcus Muellner

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Professor Marcus Müllner of the Austrian Agency for Health and Food Safety (AGES) presents "Does evidence-based decision making exist?" at the opening of the Austrian Cochrane Branch on December 14th, 2010 in Krems.

Gesundheit & Medizin

Does Evidence Based Decision Making exist? Examples from Austria and the EU Marcus Müllner Austrian Medicines & Medical Devices Agency (AGES PharmMed )

Is Evidence Based Decision Making possible? ,[object Object],Yes, but … no, but … yes, but … no, but …

Is Evidence Based Decision Making possible? ,[object Object],Can we ever have enough valid evidence?

Is Evidence Based Decision Making possible? ,[object Object],Can we ever have enough valid evidence? ,[object Object],[object Object],[object Object]

Two stories (1a) USA 75% 30% in 2009 70% in 2010

Two stories (1b) ,[object Object],„ Der unkontrollierte Einsatz von Generika … würde … ein nicht einschätzbares Risiko … bedeuten!

Two stories (1c) ,[object Object],CMAJ 2005 Kesselheim JAMA 2008

Two stories (2) ,[object Object],CMAJ 2005

Is Evidence Based Decision Making possible? Theoretically yes

What do we need for (more) Evidence Based Decision Making? ,[object Object],[object Object],[object Object],[object Object]

What do we need for (more) Evidence Based Decision Making? ,[object Object],[object Object],[object Object],[object Object],[object Object]

What do we need for (more) Evidence Based Decision Making? On bridges, (transparent) leaps of faith and good communication http://www.alpbach.org/fileadmin/user_upload/PDFs/Weitere_Veranstaltungen/Medizin_und_Ethik_2010/GIGERENZER_GERD.pdf

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ALARM FATIGUE in Nursing University Informatics Why is this important to me? I am completely numb to most alarms after working in acute care medical surgical. It is scary! I would like to understand more about what can be done since technology will only increase. What is Alarm Fatigue? Defined as a Desensitized response to medical alert equipment and technologies due to the frequency Sensory Overload Too many phones, pagers and overhead announcements Missed critical events Patient safety concerns Over stimulated staff Outline Define Alarm Fatigue How Alarm Fatigue effects Healthcare Share the Evidenced Based Data Explore the Adverse Events Discover a solution What are the challenges and benefits Can a solution be implemented? Potential References Citing reports of alarm-related deaths, the Joint Commission issues a sentinel event alert for hospitals to improve medical device alarm safety. ECRI Institute. Strategies to improve monitor alarm safety. Alarm fatigue sets off bells. Modern Healthcare Alarm fatigue a top patient safety hazard. Canadian Medical Association Journal Over-monitoring and alarm fatigue: For whom do the bells toll? Heart and Lung. There are so many good sources!!! 5 Why are these Relevant? These sources are directly relevant to why alarm fatigue is a problem that is only getting worse. How and why it effects healthcare. Joint Commission reporting of such incidents that have been directly related to alarm fatigue. How to change the course of alarm fatigue. Evidence based reporting and studies for reference support. What is Alarm Fatigue? Alarm Fatigue is care givers desensitized do to overwhelming amounts of alarms. The many “beeps, chimes and bells” are the reason for delayed care and even death. A 12 day study at John Hopkins determined over 350 alarms per bed. Over 80% are false alarms. No standardization of alarm technology The more false alarms the less likely someone responds. (Jones, 2014) Where do We begin? Review the Joint Commission Reports Speak to Safety Experts in Other Fields Create a Culture of Safety Leadership Buy In Staff Buy In Redefine the Framework Trust, Report and Improve- Concepts Have accountability for safety protocols (Chassin & Loeb, 2013) Joint Commission Reports -566 Alarm Related Deaths Between 1/2005-6/2010 -Most Often Reported in ER -85-95% Alarms are false -The Many False alarms desensitize Staff (Ed Manag., 2013) Summary The amounts of research and data available for alarm fatigue is overwhelming. The data supports a overhaul of the technology systems to become integrated with All of the vital sign alarms. Also to have standards in place for baseline alarm settings. Alarms should also be in reference to baseline health status of patient to prevent false alarms. I still have a lot of work to complete and will be ready to present next week! Annotated Bibliography Citing reports of alarm related deaths, the.

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