Reducing Alarm Fatigue in Maternal Monitoring on Labor and Delivery: A Commentary on Deimplementation in Obstetrics.
Reducing Alarm Fatigue in Maternal Monitoring on Labor and Delivery: A Commentary on Deimplementation in Obstetrics.
复制标题
DOI：
10.1055/a-1785-9175
复制
发表时间：
2023-09
影响因子：
2
通讯作者：
中科院分区：
文献类型：
--
作者：
医院的分娩和分娩楼层经常像重症监护室（ICU）一样运行-在警报声的背景下，连续的数据输入到中央监控站。然而，大多数产科病人是健康的，不需要ICU一级的护理。尽管有限的组织建议指导生命体征测量的频率，连续脉搏血氧饱和度被广泛用于分娩患者。也没有证据表明，发病率的预防与低风险患者的生命体征监测的特定频率有关。事实上，基于生命体征检查孕产妇早期预警系统性能的研究表明，这些系统可能无法可靠地提供有关孕产妇生理状态的可操作信息。此外，分娩期产妇过度监测很可能会产生警报疲劳，从而对护理产生负面影响，导致提供者错过可能先于发病的实际异常生命体征。
Hospital labor and delivery floors frequently operate like intensive care units (ICUs)—with continuous data feeds pouring into central monitoring stations against a background of blaring alarms. Yet the majority of obstetric patients are healthy and do not require ICU-level care. Despite limited organizational recommendations guiding the frequency of vital sign measurement, continuous pulse oximetry is used widely for laboring patients. There is also no evidence that morbidity prevention is linked to specific frequencies of vital sign monitoring in low-risk patients. In fact, studies examining the performance of maternal early warnings systems based on vital signs suggest that these may not reliably provide actionable information regarding maternal physiologic status. Furthermore, it is very possible that intrapartum maternal overmonitoring can impact care negatively by generating alarm fatigue, causing providers to miss actual abnormal vital signs that may precede morbidity.
登录
查看更多内容
影响因子：
--
作者：
Simpson, Kathleen Rice;Lyndon, Audrey;Davidson, Leigh Ann
通讯作者：
Davidson, Leigh Ann
影响因子：
1.2
作者：
Simpson, Kathleen Rice;Lyndon, Audrey
通讯作者：
Lyndon, Audrey
影响因子：
26.1
作者：
Wolf ER;Krist AH;Schroeder AR
通讯作者：
Schroeder AR
影响因子：
39
作者：
Rosenberg, Alan;Agiro, Abiy;DeVries, Andrea
通讯作者：
DeVries, Andrea
影响因子：
9.3
作者：
Niven, Daniel J.;Mrklas, Kelly J.;Stelfox, Henry Thomas
通讯作者：
Stelfox, Henry Thomas