Have you ever walked through an Emergency Department or Intensive Care Unit only to notice yourself quickly forgetting about that constant sound of alarms in your background?  The chirping of a monitor, beep of a pulse oximeter, or flashing banner of an electronic medical record often make separating the important signal from the noise very challenging.  A now famous, only semi-tongue-in-cheek curve demonstrates how constant interruption makes concentration difficult.  Do you take steps to guard against alert / alarm fatigue in your hospital system?  If so, how?