摘要
目的基于国产监护仪,探究心脏重症监护病房(cardiac care unit,CCU)的报警现状,了解护理人员对于报警的关注和反应情况。方法采用半结构化问卷的方式,调查护理人员对监护仪报警的感受和认识;指派专人跟踪和标注报警事件,并基于中央监护系统,收集和分析科室12台监护仪的报警数据。结果经过67 d的有效数据记录,共导出72130次报警,其中生理报警占75.7%,平均每床患者每天产生约128次报警,中低级报警的误报率低于10%。结论CCU科室依然存在报警疲劳问题,新技术的运用可显著减少误报警和临床无意义报警;在某些场景下,临床更关注参数的趋势报警和组合报警。
Objective The patient monitors were used to explore the alarm fatigue in a cardiac care unit and to investigate the awareness and reaction of nurse to alarms.Methods A semi-structured survey was taken to acquire nurses’feeling and knowledge about monitoring alarm.Three full-time researchers were scheduled to track the alarms with annotations,and analyze the alarm data of 12 patient monitors using central monitoring system.Results A total of 72310 unique alarms occurred in the 67-day study period.About 75.7%of them were physiological alarms and less than 10%of medium-low alarms were false positives.The average alarm rate was 128 alarms/patient-day.Conclusion There remains alarm fatigue in CCU,the alarm accuracy has improved than the past by applying new technologies.In some cases,clinicians will pay more attention to trend alarm and combination alarm.
作者
刘璞娉
徐萌
汪惠芝
皮花
谢培益
李烨
刘梦星
LIU Puping;XU Meng;WANG Huizhi;PI Hua;XIE Peiyi;LI Ye;LIU Mengxing(Union Shenzhen Hospital,Huazhong University of Science and Technology,Shenzhen,518000;Shenzhen Institutes of Advanced Technology,Chinese Academy of Sciences,Shenzhen,518000)
出处
《中国医疗器械杂志》
2021年第4期450-453,共4页
Chinese Journal of Medical Instrumentation
基金
深圳市技术攻关项目(JSGG20170823144843046)。
作者简介
刘璞娉,E-mail:172913813@qq.com;通信作者:刘梦星,E-mail:mason_liu_bme@163.com。
