# Actionable alarm-path readiness evaluation (HospitalRoom.org)

License: CC BY 4.0 — attribute HospitalRoom.org with a link back to
https://hospitalroom.org/frameworks/alarm-path-readiness

A HospitalRoom.org working definition, not a published standard. Answer for the unit
as staffed at night, not as demonstrated at noon. Record who owns each condition
(clinical engineering, nursing, IT, biomed).

## Source identity

Question: Can a clinician identify the alarming device, the patient or bed, and the priority category from the remote signal alone?

- [ ] Present
- [ ] Partial
- [ ] Absent
- Evidence:
- Owner:

## Priority hygiene

Question: Are patient- or unit-specific thresholds and delay windows reviewed on a cadence, and are factory defaults no longer the silent policy?

- [ ] Present
- [ ] Partial
- [ ] Absent
- Evidence:
- Owner:

## Confirmed delivery

Question: If the handset, central station, or secondary path fails, does a technical alarm fire and is remaining local annunciation still safe — or can alarms vanish without anyone knowing?

- [ ] Present
- [ ] Partial
- [ ] Absent
- Evidence:
- Owner:

## Escalation routing

Question: Does every mid/high alarm have a named primary recipient, a timeout, and a secondary recipient that still works at 3 a.m.?

- [ ] Present
- [ ] Partial
- [ ] Absent
- Evidence:
- Owner:

## Closed-loop accountability

Question: After an alarm fires, can you see who was notified, who accepted or rejected it, and is there a reviewable log the unit actually uses?

- [ ] Present
- [ ] Partial
- [ ] Absent
- Evidence:
- Owner:

## Working rule

Source identity and confirmed delivery must both be at least Partial before calling an alarm path actionable. A handset popup alone is a DIS. All five Present with no reduction in non-actionable load is still a failed program.