Here's a simple change that worked surprisingly well. We started reviewing telemetry alarms during the night shift handoff, and alarm fatigue dropped off a cliff. The problem was that alarm parameters were often set too broadly for the actual patient. My team worked with clinical leads to check and adjust them each night. Suddenly there was less noise, less stress, and people actually noticed the alarms that needed attention.
Turning down the volume on non-critical alerts in the recovery room at night made a huge difference with alarm fatigue. We also started customizing alerts based on each patient's actual risk, which cut down on the false alarms and kept the team focused. Getting the nurses and techs involved with regular check-ins was key, it meant everyone was on board and the changes just stuck.