ICU和NICU病人监护仪报警现状的调查研究

Research on Patient Monitoring Alarms in ICU and NICU

目的基于病人监护仪.研究成人和新生儿重症监护病房的报警现状.了解医护人员对于报警的反应和感受。方法通过问卷调查和医护访谈.调查医护人员对科室监护仪报警的认识和处理态度;通过现场跟踪和报警统计.收集和分析科室监护设备的报警数据。结果ICU共收集到235387次报警.平均每人每天约142次;NICU共收集到67783次报警.平均每人每天约96次。结论目前,ICU和NICU科室仍存在报警疲劳问题,误报警和临床无意义报警过多是主要原因。此外.监护系统仍处于简单阈值报警和参数组合报警水平.其数据完整性和智能化程度均有待提高。

Objective The patient monitors were used to explore the alarm actuality in a ICU and NICU to investigate the awareness and reaction of medical staff to alarms.Methods A series of surveys and interviews were taken to acquire clinicians’feelings and attitudes to monitoring alarms.The researchers were scheduled to track the alarms with annotations,and collect the alarm data of patient monitors using central monitoring system.Results A total of 235387 and 67783 alarms occurred in ICU and NICU respectively.The average alarm rate was about 142 alarms/patient-day in ICU and 96 alarms/patient-day in NICU.Conclusion There remains alarm fatigue in ICU and NICU,the main reason is the large number of false alarms and clinically irrelevant alarms.In addition,patient monitor is still in the level of threshold alarms or combined alarms,the data integrity and intelligence level need to be improved in future.