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Ambient noise and its impact on sleep is an important factor in the development of delirium[1]. Noise is a problem on intensive care units, being one of the main environmental stress inducing factors amongst patients[2]. A key source of noise is the signalling of alarms.  As part of plans to decrease noise, we investigated the number and appropriateness of alarms sounded overnight. An initial audit demonstrated that over 53% of alarms were inappropriate, with two recurring sources being due to sampling from indwelling lines and physiological variables falling outside of a pre-programmed range.  Following this we implemented a brief educational programme, highlighting the importance of setting appropriate alarm limits and muting prior to sampling from lines. We then re-audited to determine if improvement had been made.

Audit of operational noise at the leicester royal infirmary aicu