One of the less desirable features about technological advances in med
icine is that individuals working with sophisticated monitoring equipm
ent are often bombarded by warning sounds and signals. However, there
are some basic cognitive psychological principles which suggest that t
he over-use of auditory warnings in such circumstances may be counter-
productive This review highlights some of these principles, arguing th
at future systems should place more emphasis upon cognitive capabiliti
es and predispositions in their design. Upcoming alarms standards wher
e issues such as the number of alarms, their recognizability, and the
principle of 'urgency mapping' are discussed with relation to the cogn
itive psychology of sound.