帕累托法则在监护仪警报管理上的应用

Application of Pareto's principle in monitor alarm management

目的对重症监护室(ICU)的监护仪警报进行管理。方法首先,通过访问中央监护系统数据库采集ICU病房的警报数据。其次,分析警报数据信息,利用帕累托法则筛选少数高频率警报。最后,分析高频率警报发生机制及其原因,并采取介入措施。结果首次实验共采集到1 229例红色警报、46 575例黄色警报、9 031例短黄色警报和55 378例技术警报,单位床位的日均警报量为668条。依据帕累托法则进行警报管理后,单位床位日均警报下降36%。结论帕累托法则在监护仪警报管理应用上效果明显。

【Objective】To manage the alarm of the ICU＇s monitor.【Methods】First, the alarm data of the ICU ward was collected by accessing the central monitoring system database. Then we analyzed the alarm data information and used the Pareto＇s principle to screen a few high-frequency alarms. Finally, we analyzed the mechanism of high frequency alarm occurrence and its causes, and took intervention measures.【Results】In the first experiment, 1 229 red alarms, 46 575 yellow alarms, 9 031 short yellow alarms and 55 378 technical alarms were collected, and the average daily alarm volume per unit bed was 668. After the alarm management according to the Pareto＇s principle, the average daily alarm for the unit bed decreased by 36%.【Conclusion】Pareto＇s principle is effective in the management of monitor alarms.