Impact of an Alarm Management Protocol on Noise Pollution and Patient Safety in Intensive Care Units
REALARM
2 other identifiers
interventional
514
1 country
1
Brief Summary
Resuscitation patients are monitored for various physiological parameters. When these parameters exceed abnormal thresholds, an audible alarm is triggered. Given the complexity of physiological situations and the number of monitored parameters, the number of alarms within an intensive care unit is significant. In the literature, the number ranges from 100 to 350 alarms per patient per day. Among these alarms, 74 to 99% are deemed irrelevant as they provide false or insignificant information. This study will enable to assess the efficacy of a restrictive protocol for managing alarms as a means of rationalizing their use.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for not_applicable
Started Feb 2024
Longer than P75 for not_applicable
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
November 20, 2023
CompletedFirst Posted
Study publicly available on registry
December 18, 2023
CompletedStudy Start
First participant enrolled
February 8, 2024
CompletedPrimary Completion
Last participant's last visit for primary outcome
January 31, 2028
ExpectedStudy Completion
Last participant's last visit for all outcomes
February 28, 2028
March 10, 2026
March 1, 2026
4 years
November 20, 2023
March 9, 2026
Conditions
Keywords
Outcome Measures
Primary Outcomes (2)
efficiency criterion: the number of alarms per patient per day
An efficiency criterion: the number of alarms per patient per day
1 month
A safety criterion: the length of time patients have potentially dangerous heart rate, blood pressure or oxygen saturation values
A safety criterion: the length of time patients have potentially dangerous heart rate, blood pressure or oxygen saturation values.
1 month
Secondary Outcomes (4)
Incidence of serious adverse events
1 month
Alarm response time
1 month
Evaluation of patient perception using the Discomforts of intensive care patients questionnaire
1 month
Sound level measurement using a sound level meter
7 days
Study Arms (2)
control group
ACTIVE COMPARATORUsual management, i.e. alarm management left to the discretion of the nurse caring for the patient.
intervention group
EXPERIMENTALrestrictive alarm strategy
Interventions
more restrictive protocol for the use of alarms
alarm management left to the discretion of the nurse in charge of the patient
Eligibility Criteria
You may qualify if:
- Patient aged ≥ 18 years
- Patient admitted to the intensive care unit of the ST-ETIENNE University Hospital
- Patient affiliated or entitled to a social security system
- Patient having received informed information about the study and having co-signed, with the investigator, a consent to participate in the study or, for patients who are unable to consent due to health condition, a trusted person/family member who has been informed about the study and has who has co-signed, with the investigator, a consent to participate
You may not qualify if:
- Pregnant and nursing women
- Persons of legal age under guardianship
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
CHU de Saint-Etienne
Saint-Etienne, 42055, France
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Guillaume Thiéry, PhD
Centre Hospitalier Universitaire de Saint Etienne
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- HEALTH SERVICES RESEARCH
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
November 20, 2023
First Posted
December 18, 2023
Study Start
February 8, 2024
Primary Completion (Estimated)
January 31, 2028
Study Completion (Estimated)
February 28, 2028
Last Updated
March 10, 2026
Record last verified: 2026-03