ARE THERE TOO MANY ALARMS IN THE INTENSIVE-CARE UNIT - AN OVERVIEW OF THE PROBLEMS
ARE THERE TOO MANY ALARMS IN THE INTENSIVE-CARE UNIT - AN OVERVIEW OF THE PROBLEMS
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DOI：
10.1046/j.1365-2648.1995.21010015.x
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发表时间：
1995-01-01
影响因子：
3.8
通讯作者：
EDWORTHY, J
中科院分区：
文献类型：
--
作者：
MEREDITH, C;EDWORTHY, J
在医院的重症监护区，如重症监护室（ICU）和手术室，有许多关于听觉警告的报告问题。 有太多的警报;其中许多是不必要的响亮和连续的，这可能是刺激性和恼人的工作人员。 过度报警的问题由于制造商之间没有就用于医疗设备的听觉警告达成一致的标准而进一步复杂化。 因此，由不同公司制造的同一件设备将具有不同的警报，这可能导致混淆。 另一种可能性是，为什么会发生混淆，因为警报往往是不适当的，在他们的“紧急映射”。 这意味着医疗情况的紧急性与发出该状况信号的警报的感知紧急性之间通常没有关系。 另一个问题涉及发生的假警报的数量;即，没有发出医疗紧急情况信号的警报。 下文将讨论这些问题，并提出一些补救办法。 还简要讨论了ICU上发生的监测量，因为监测器越多，警报的数量就越多。
There are many reported problems with auditory warnings in critical care areas of hospital such as the intensive care unit (ICU) and operating room. There are too many alarms; many of them are unnecessarily loud and continuous, which can be irritating and annoying for staff. The problem of excessive alarms is further complicated by the fact that there are no standards agreed between manufacturers on the auditory warnings used for medical equipment. Therefore, the same piece of equipment manufactured by different companies will have different alarms that could result in confusion. Another possibility as to why confusion could occur is because alarms are often inappropriate in terms of their 'urgency mapping'. This means there is generally no relationship between the urgency of a medical situation and the perceived urgency of the alarm that signals that condition. A further problem involves the number of false alarms that occur; that is, alarms that are not signalling a medical emergency. The following paper discusses these problems and suggests attempts to remedy some of them. There is also a brief discussion of the amount of monitoring that occurs on the ICU as the more monitors there are the greater the number of alarms there will be.