Clinical alarm hazards: a "top ten" health technology safety concern

Clinical alarm hazards: a "top ten" health technology safety concern
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DOI:
10.1016/j.jelectrocard.2012.08.050
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发表时间:
2012-11-01
影响因子:
1.3
通讯作者:
Keller, James P., Jr.
Keller, James P., Jr.
中科院分区:
医学4区
文献类型:
--
作者:
Keller, James P., Jr.

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在过去的几年里,ECRI研究所发布了十大健康技术危害清单。这份清单是根据ECRI在卫生技术安全方面的广泛研究以及向其问题报告系统提供的数据编制的。在每年发布的十大名单中,警报危险一直处于或接近名单的顶部。提高报警安全性需要对医院的基于报警的技术进行系统审查,并分析报警管理策略,如报警升级策略和人员配置模式。它还要求为每个临床护理区域仔细选择警报设置标准。本文将概述通过ECRI研究所对各种问题报告数据库(包括ECRI研究所运营的数据库)的研究和分析所发现的临床报警问题。它还将着重提出改进建议,特别是从技术设计和技术管理的角度提出改进建议。(C)2012 Elsevier Inc. All rights reserved.
For the past several years ECRI Institute has published a list of Top Ten Health Technology Hazards. This list is based on ECRI's extensive research in health technology safety and on data provided to its problemreporting systems. For every year that the Top Ten list has been published, Alarm Hazards have been at or near the top of the list. Improving alarm safety requires a systematic review of a hospital's alarm-based technologies and analysis of alarm management policies like alarm escalation strategies and staffing patterns. It also requires careful selection of alarm setting criteria for each clinical care area. This article will overview the clinical alarm problems that have been identified through ECRI Institute's research and analysis of various problem reporting databases, including those operated by ECRI Institute. It will also highlight suggestions for improvement, particularly from a technology design and technology management perspective. (C) 2012 Elsevier Inc. All rights reserved.