Accountability in an alarming environment

Abstract

This paper considers how adjustable alarms support collaborative monitoring work within the intensive care unit. Drawing on examples from an observational study, it hopes to stimulate new ways of thinking about the role that alarms play in supporting awareness of not only changes in the environment but also awareness of colleagues' actions. Adjustable alarms allow nurses to fit the alarm limits to both the patient state and the nurse's level of experience. The setting of alarm limits is an accountable activity, being visible to and observed by colleagues.