Opportunities There has been a lot of work recently on the issue of alarm risks in clinical settings. The Joint Commission on Accreditation of Healthcare Organizations (JACHO) has identified the importance of addressing the danger of warning systems. Many deaths related to lack of attention to cardiac monitors have been reported (JACHO, 2013). A new patient safety goal for 2014 is to improve the safety of clinical alarms. The Emergency Care Research Institute (ECRI) listed alarm-related risks as the number one health technology risk for 2014 (ECRI Institute, 2013). ECRI supports the implementation of interventions aimed at minimizing the number of insignificant alerts. The goal is to create an atmosphere that promotes awareness of alarm safety. It was Florence Nightingale, who once said the following: "if there had been no discontent with what they have, the world would never have achieved anything better" (Online Biography, 2014). This statement reinforces the importance of moving forward and taking risks. In the intensive care unit, several alarms sound continuously. In many cases, alarms cannot be heard when nurses are busy in rooms. Furthermore, there are a large number of false alarms which create a lot of annoying noise. Nurses work in an environment with constant acoustic stimulation. Responsiveness becomes difficult when an individual's auditory system is overloaded with multiple sources of alarm. Providing due attention to the cardiac monitoring system becomes a challenge. On the other hand, this setting creates an opportunity to improve the clinical environment in the intensive care unit. This article will look at the alarm revolution in intensive care units. ... in the center of the card ... their subordinates, their encouragement creates a positive wave that becomes contagious. Process improvement can only be sustained if continuous encouragement and reinforcement continues. Monitoring and evaluation are essential to maintaining positive cultural fit. When opportunities to improve the quality of patient care become 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 possess the talent to evaluate our clinical context. As nursing leaders, we accept the risks we recognize and are committed to improving the clinical environment for our team and our patients. The opportunity requires a dedication to our patients and our profession. We have been prepared academically, ethically and professionally to transform our clinical context.