The hospital improves the safety of clinical alarm systems.

(1)

The hospital identifies the most important alarm signals to manage based on the following: - Input from the medical staff and clinical departments - Risk to patients if the alarm signal is not attended to or if it malfunctions - Whether specific alarm signals are needed or unnecessarily contribute to alarm noise and alarm fatigue - Potential for patient harm based on internal incident history - Published best practices and guidelines

(2)

The hospital establishes policies and procedures for managing the alarms identified in NPG.01.05.01, EP 1, that, at a minimum, address the following: - Clinically appropriate settings for alarm signals - When alarm signals can be disabled - When alarm parameters can be changed - Who in the organization has the authority to set alarm parameters - Who in the organization has the authority to change alarm parameters - Who in the organization has the authority to set alarm parameters to “off” - Monitoring and responding to alarm signals - Checking individual alarm signals for accurate settings, proper operation, and detectability