OpportunityMuch recent work has focused on the issue of alarm risks in a clinical environment. The Joint Commission on Accreditation of Healthcare Facilities (JACHO) has identified the importance of addressing the danger of alarm systems. Many deaths have been reported related to lack of attention to heart monitors (JACHO, 2013). A new patient safety goal for 2014 is to improve clinical alarm safety. The Emergency Care Research Institute (ECRI) ranked alarm risks as the top health technology risk in 2014 (ECRI Institute, 2013). ECRI approves the implementation of interventions aimed at minimizing the number of insignificant alarms. The goal is to create an atmosphere that promotes alarm safety awareness. It was Florence Nightingale who once said: “If there were no one who was not satisfied with what he has, the world would never achieve something better” (Online Biography, 2014 ). This statement reinforces the importance of moving forward and taking risks. In the intensive care unit, several alarms are ringing constantly. Often, alarms cannot be heard when nurses are busy in the rooms. Additionally, a large number of alarms are false and generate a lot of annoying noise. Nurses work in an environment with constant acoustic stimulation. Responsiveness becomes difficult when an individual's hearing system is overloaded by multiple sources of alarms. Providing proper attention to the cardiac monitoring system becomes a challenge. On the other hand, this framework creates an opportunity to improve the clinical environment in the intensive care unit. This article will review the alarm revolution in intensive care units. ...... middle of paper ...... for their subordinates, their encouragement creates a positive ripple that becomes contagious. Process improvement can only be sustained if continuous encouragement and reinforcement continues. Monitoring and evaluation are essential to maintaining positive cultural adaptation. When opportunities to improve the quality of patient care become very apparent, it is our duty to seize the moment and make a difference. This statement reinforces the importance of moving forward and taking risks. As nursing professionals, we have the talent to assess our clinical environment. As nurse leaders, we embrace the dangers we recognize and commit to improving the clinical setting for our team and our patients. This opportunity requires dedication to our patients and our profession. We have been prepared academically, ethically and professionally to transform our clinical environment..