This project took place at an 8-hospital system in the Pacific Northwest (PNWH). PNWH utilizes a Phillips telemetry monitor, which includes the capability for monitoring 1,216 unique physiologic parameters. This results in the potential for over 2,400 alarms from a single piece of medical equipment, in addition to the alarms from other equipment frequently used in acute care, such as IV pumps, ventilators, fall/exit alarms, and bedside capnography. Alarm parameters for PNWH telemetry monitors are not standardized between hospitals, among service areas across the region, or within service areas at each hospital. Lack of standardization creates an additional safety risk for PNWH caregivers because there is not widespread awareness of the differences in alarm parameters between different clinical units and hospitals.