Organization Recommendations

pdf The Joint Commission National Safety Goal
Medical Device Alarm Safety in Hospitals
The Joint Commission Sentinel Event Alert
Medical Device Alarm Safety in Hospitals
The Joint Commission Sentinel Event Alert
Safe Use of Opioids in Hospitals
APSF 2011 Guidelines
Weinger et al. No Patient Shall Be Harmed By Opioid-Induced Respiratory Depression


Clinical Studies

Dartmouth-Hitchcock 2011 Nursing Annual Report: Continuous Patient Surveillance Monitoring, Published on May 2, 2012 by Dartmouth-Hitchcock
As part of Dartmouth-Hitchcock's 2011 Nursing Annual Report, Nancy Karon, BSN, RN, ONC at Dartmouth-Hitchcock discusses the impact of SafetyNet™.


Taenzer et al. Impact of Pulse Oximetry Surveillance on Rescue Events and Intensive Care Unit Transfers: A Before-and-After Concurrence Study. 2010.
APSF Newsletter 2012
Taenzer et al. Postoperative Monitoring–The Dartmouth Experience
aami Surveillance Monitoring
Learning from the Dartmouth-Hitchcock Medical Center Experience

Alarm Management

pulse Patient Safety & Quality Healthcare
Pyke et al. Continuous pulse oximetry monitoring in the inpatient population. 2009.
welch pdf AAMI Horizons
Welch. An evidence-based approach to reduce nuisance alarms and alarm fatigue. 2011.
PDF not viewable on mobile devices
pulse ECRI Institute Top 10 Health Technology
Hazards Report for 2015
aami AAMI Foundation HTSI Clinical Alarms Webinars
aami HTSI Webinar Series on Alarm Systems Management


  • 1Peberdy, et al. “Cardiopulmonary resuscitation of adults in the hospital: A report of 14720 cardiac arrests from the National Registry of Cardiopulmonary Resuscitation.” Resuscitation 58 (2003), 297-308.
  • 2Cashman JN, Dolin SJ. Respiratory and haemodynamic effects of acute postoperative pain management: evidence from published data. Br J Anaesth 2004;93:212-23.
  • 3Buist M, Bernard S, Nguyen TV, Moore G, Anderson J. Association between clinically abnormal observations and subsequent in-hospital mortality: a prospective study. Resuscitation 2004;62:137-41.
  • 4Meissner B et al. The Rate and Costs Attributable to Intravenous Patient-Controlled Analgesia Errors. Hospital Pharmacy Volume 44, Number 4, pp 312–324 2009
  • 5Santell J. Parenteral Medication Errors, ASHP Summit on Preventing Death and Harm from Use of Intravenous Medications. ASHP July 2008
  • 6Hendrich et al. A 36-Hospital Time and Motion Study: How Do Medical-Surgical Nurses Spend Their Time? The Permanente Journal/ Summer 2008/ Volume 12 No. 3
  • 7HealthGrades. The Eighth Annual HealthGrades Patient Safety in American Hospitals Study. March 2011. Golden Col. HealthGrades Inc.
  • 8 Finkel KJ et al. Prevalence of undiagnosed obstructive sleep apnea among adult surgical patients in an academic medical center, Sleep Med 2009 107:753-758
  • 9Ramachandran K, Josephs L. A Meta-analysis of Clinical Screening Tests for Obstructive Sleep Apnea. Anesthesiology 2009; 110:928-39