Daily electrode change and effect on cardiac monitor alarms: an evidence-based practice approach

J Nurs Care Qual. Jul-Sep 2013;28(3):265-71. doi: 10.1097/NCQ.0b013e31827993bc.


Frequent monitor alarms are distracting and interfere with clinicians performing critical tasks. This article describes a quality improvement rapid-cycle change approach to explore the benefits of changing electrodes daily on the number of cardiac monitor alarms. Eight days of baseline and intervention data were compared for 2 adult acute care units. Average alarms per bed per day were reduced by 46% on both units. Daily electrocardiogram electrode change reduces the number of cardiac monitor alarms.

MeSH terms

  • Cardiovascular Nursing / methods*
  • Clinical Alarms*
  • Coronary Care Units*
  • Electrodes*
  • Evidence-Based Nursing / methods*
  • Humans
  • Nursing Staff, Hospital