Bold Voices - August 2012 - (Page 9)

AT THE BEDSIDE FDA, The Joint Commission Aim to Reduce Alarm Fatigue o reduce “alarm fatigue” in hospitals, the Food and Drug Administration (FDA), Silver Spring, Md., will intensify its pre-market review of medical devices that sound alarms and, because of high noise levels, can hinder the performance of the healthcare staff, The Boston Globe reports. FDA is providing Focus includes additional training on alarms that monitor alarm standards and several physiological safety for its reviewers, who evaluate 4,000 applications per year parameters from manufacturers simultaneously. seeking permission to sell their medical devices, including heart and oxygen monitors. The goal: to prevent new products that do not serve an important function from raising noise levels even higher. William Maisel, deputy director and chief scientist at the FDA Center for Devices and Radiological Health, tells the newspaper that reviewers examine new applications “with increased awareness” about whether alarms provide information important to patient care and truly measure what the manufacturer claims they measure. The Joint Commission, Washington, D.C., also is tackling the problem, The Boston Globe reports, with a nationwide hospital and nursing home survey to support development of recommendations that reduce the number of hospital alarms in use. FDA’s Maisel tells the e-pill medication reminder device newspaper the agency is particularly focused on “new alarms trying to measure new things,” such as alarms that monitor several physiological functions simultaneously. While many monitors measure one function, such as heart rate and rhythm, new devices that monitor multiple parameters are said to better predict when a patient is in trouble. “If a company says they have developed an alarm that is a combination of … things and is linked to outcomes, we want to see the data that supports that,” Maisel adds. FDA also is considering more comprehensive measures, such as guidance documents that communicate to industry a “significant changing expectation” regarding the use of alarms. T Yogurt May Ease Antibiotic-linked Diarrhea Probiotic-rich foods such as yogurt have been associated with a 42 percent decrease in patients who have antibiotic-linked diarrhea, finds a study published in The Journal of the American Medical Association. According to “Probiotics for the Prevention and Treatment of Antibiotic-Associated Diarrhea: A Systematic Review and Meta-Analysis,” 30 percent of patients on antibiotics will have diarrhea, because the treatment can disrupt their gut microbes. As a result, many patients will stop following their antibiotic regimen. However, probiotic use may offer some relief since it can help restore the intestinal balance of beneficial bacteria, the study adds. “We are learning how our beneficial bacteria can protect us not only from gastrointestinal diseases but perhaps other conditions as well,” NYU Langone Medical Center gastroenterologist Roshini Rajapaksa — who was not connected to the study — tells HealthDay. The study, which was led by Susanne Hempel of RAND Health in Santa Monica, Calif., reviewed the findings of 63 clinical trials involving nearly 12,000 participants. Although the study showed a positive association with probiotic use, it was not designed to prove a cause-and-effect relationship. Further research is needed to determine which probiotic strains and doses will be most helpful, the study’s authors say. Beneficial bacteria may protect from more than GI diseases. AACN BOLD VOICES AUGUST 2012 9

Table of Contents for the Digital Edition of Bold Voices - August 2012

Front/Digital Edition Viewing Guide
Another Angle
‘AACN CSI Academy’ National Leadership Program Launches
Canadian Dynamics 2012: ‘Speak Up, Speak Out’
Grana Padano May Lower Blood Pressure
New Medicare Patient Satisfaction Requirement Misses Mark, Nurse Argues
FDA, The Joint Commission Aim to Reduce Alarm Fatigue
Fast Food in Hospitals Counters Goal of Healthy Eating
New Federal Hospital Visitation Standards
Nurse Obesity Linked to Long Hours
First-Ever Nurses Float Joins the 2013 Tournament of Roses Parade
AMA Urges Greater Focus on Ambulatory Patient Safety
Minimally Invasive Heart Valve Procedure Increases Patient Survival
Older Patients' in ICU at High Risk for HAI
Tele-ICU Symposium Explores Leading-Edge Technology
In Our Journals
Certification Capsules
Dare To
Contribute to the Evidence: Apply for an AACN Research Grant by Nov. 1
From the President

Bold Voices - August 2012