False Alarms and Overmonitoring Major Factors in Alarm Fatigue Among Labor Nurses
False Alarms and Overmonitoring Major Factors in Alarm Fatigue Among Labor Nurses
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DOI：
10.1097/ncq.0000000000000335
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发表时间：
2019-01-01
影响因子：
1.2
通讯作者：
Lyndon, Audrey
中科院分区：
文献类型：
--
作者：
Simpson, Kathleen Rice;Lyndon, Audrey
背景资料：护士在轮班期间可能会接触到数百个警报，导致警报疲劳。目的：目的是探讨护理一般健康女性的劳动护士与护理危重患者的成人重症监护室（ICU）和新生儿ICU护士对临床警报的感知的相似性和差异，并寻求护士的潜在改进建议。护士被问到通过焦点小组的效用从医疗设备的临床alarms.Results：有共识，误报和太多的设备产生报警有助于报警疲劳，大多数报警缺乏临床相关性。护士确定了某些类型的警报，他们立即作出反应，但绝大多数的警报并没有贡献，他们的临床评估或计划nursing.Conclusions：只监测那些需要它的患者，只有那些生理值是必要的，根据病人的病情，可能会减少报警负担。
Background: Nurses can be exposed to hundreds of alarms during their shift, contributing to alarm fatigue.Purpose: The purposes were to explore similarities and differences in perceptions of clinical alarms by labor nurses caring for generally healthy women compared with perceptions of adult intensive care unit (ICU) and neonatal ICU nurses caring for critically ill patients and to seek nurses' suggestions for potential improvements.Methods: Nurses were asked via focus groups about the utility of clinical alarms from medical devices.Results: There was consensus that false alarms and too many devices generating alarms contributed to alarm fatigue, and most alarms lacked clinical relevance. Nurses identified certain types of alarms that they responded to immediately, but the vast majority of the alarms did not contribute to their clinical assessment or planned nursing care.Conclusions: Monitoring only those patients who need it and only those physiologic values that are warranted, based on patient condition, may decrease alarm burden.