Designing alarms to address the increasing complexity of dynamic and interconnected systems in current socio-technological environments presents multi-faceted design problems that require systematic thinking and a collaborative and holistic approach. To understand the alarm design challenges better, we map out the design space for audible alarms in an applied domain, covering the alarm issues from the designers’ perspective, departing from the functional integrity of alarms, and bringing together the contribution of three major fields of expertise related to audible alarms (systems engineering, information design, and human factors). Three studies based on literature review, field observations, expert interviews, and focus groups are conducted by authors at different European Intensive Care Units. Our findings from these studies result in the definition of the components of audible alarm design, the key considerations for designing audible alarms, and a design framework for audible alarms that systematically integrates input from inter-connected disciplines that all aim for the success of a complex system that heavily relies on alarms.

Sound-driven design is a design practice informed by technology and listening in the multisensory dimension of interaction. An automated content analysis of 20 semi-structured interviews with sound designers, design researchers, engineers and expert users stressed the inherently embodied and situated conceptualisation of sound, and how it relates to their professional activity. The four categories of professionals bring in different designerly orientations towards sound. Listening, as a way of knowing by using sound in interaction, proves to be the red thread between the participants’ semantic models. Overall, the findings contribute to characterise the concept of sound in current design practices, and position the role of nonverbal, yet auditory representations in the design process.