Max Ebensperger , Tadzio R. Roche , Arend Rahrisch , Craig S. Webster , David W. Tscholl
{"title":"The future of sound in patient monitoring: a call to action to embrace the evidence and move forward","authors":"Max Ebensperger , Tadzio R. Roche , Arend Rahrisch , Craig S. Webster , David W. Tscholl","doi":"10.1016/j.bja.2025.03.012","DOIUrl":null,"url":null,"abstract":"<div><div>Patient monitoring systems have relied on beeping alarm sounds for the past 70 years, yet evidence suggests that these conventional tones limit alarm effectiveness, informativeness, and user situation awareness. More advanced alarm modalities, such as auditory icons and voice alerts, offer more intuitive approaches, and were found to improve alarm detection and reduce caregiver workload. Made possible by adoptions of international standards, and supported by evidence, the future of patient monitoring alarm sounds might incorporate conventional alarm tones with auditory icons, voice alerts, and advanced visualisations to better support caregivers and reduce alarm fatigue in patients and caregivers. Sound examples for advanced alarm modalities, comparisons with conventional alarm sounds, and alarm sound examples from aviation are provided in an online supplementary video.</div></div>","PeriodicalId":9250,"journal":{"name":"British journal of anaesthesia","volume":"134 6","pages":"Pages 1616-1619"},"PeriodicalIF":9.1000,"publicationDate":"2025-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"British journal of anaesthesia","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S0007091225001710","RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"ANESTHESIOLOGY","Score":null,"Total":0}
引用次数: 0
Abstract
Patient monitoring systems have relied on beeping alarm sounds for the past 70 years, yet evidence suggests that these conventional tones limit alarm effectiveness, informativeness, and user situation awareness. More advanced alarm modalities, such as auditory icons and voice alerts, offer more intuitive approaches, and were found to improve alarm detection and reduce caregiver workload. Made possible by adoptions of international standards, and supported by evidence, the future of patient monitoring alarm sounds might incorporate conventional alarm tones with auditory icons, voice alerts, and advanced visualisations to better support caregivers and reduce alarm fatigue in patients and caregivers. Sound examples for advanced alarm modalities, comparisons with conventional alarm sounds, and alarm sound examples from aviation are provided in an online supplementary video.
期刊介绍:
The British Journal of Anaesthesia (BJA) is a prestigious publication that covers a wide range of topics in anaesthesia, critical care medicine, pain medicine, and perioperative medicine. It aims to disseminate high-impact original research, spanning fundamental, translational, and clinical sciences, as well as clinical practice, technology, education, and training. Additionally, the journal features review articles, notable case reports, correspondence, and special articles that appeal to a broader audience.
The BJA is proudly associated with The Royal College of Anaesthetists, The College of Anaesthesiologists of Ireland, and The Hong Kong College of Anaesthesiologists. This partnership provides members of these esteemed institutions with access to not only the BJA but also its sister publication, BJA Education. It is essential to note that both journals maintain their editorial independence.
Overall, the BJA offers a diverse and comprehensive platform for anaesthetists, critical care physicians, pain specialists, and perioperative medicine practitioners to contribute and stay updated with the latest advancements in their respective fields.