CCU病人监护仪报警的现状调查研究  

A Survey of Patient Monitoring Alarms in Cardiac Care Units

作　　者：刘璞娉 徐萌 汪惠芝 皮花 谢培益 李烨[2] 刘梦星 LIU Puping;XU Meng;WANG Huizhi;PI Hua;XIE Peiyi;LI Ye;LIU Mengxing(Union Shenzhen Hospital,Huazhong University of Science and Technology,Shenzhen,518000;Shenzhen Institutes of Advanced Technology,Chinese Academy of Sciences,Shenzhen,518000)

机构地区：[1]华中科技大学协和深圳医院,深圳市518000 [2]中国科学院深圳先进技术研究院,深圳市518000

出　　处：《中国医疗器械杂志》2021年第4期450-453,共4页Chinese Journal of Medical Instrumentation

基　　金：深圳市技术攻关项目(JSGG20170823144843046)。

摘　　要：目的基于国产监护仪,探究心脏重症监护病房(cardiac care unit,CCU)的报警现状,了解护理人员对于报警的关注和反应情况。方法采用半结构化问卷的方式,调查护理人员对监护仪报警的感受和认识;指派专人跟踪和标注报警事件,并基于中央监护系统,收集和分析科室12台监护仪的报警数据。结果经过67 d的有效数据记录,共导出72130次报警,其中生理报警占75.7%,平均每床患者每天产生约128次报警,中低级报警的误报率低于10%。结论CCU科室依然存在报警疲劳问题,新技术的运用可显著减少误报警和临床无意义报警;在某些场景下,临床更关注参数的趋势报警和组合报警。Objective The patient monitors were used to explore the alarm fatigue in a cardiac care unit and to investigate the awareness and reaction of nurse to alarms.Methods A semi-structured survey was taken to acquire nurses’feeling and knowledge about monitoring alarm.Three full-time researchers were scheduled to track the alarms with annotations,and analyze the alarm data of 12 patient monitors using central monitoring system.Results A total of 72310 unique alarms occurred in the 67-day study period.About 75.7%of them were physiological alarms and less than 10%of medium-low alarms were false positives.The average alarm rate was 128 alarms/patient-day.Conclusion There remains alarm fatigue in CCU,the alarm accuracy has improved than the past by applying new technologies.In some cases,clinicians will pay more attention to trend alarm and combination alarm.

关 键 词：心脏重症监护 报警疲劳 病人监护仪 心律失常 误报警 

分 类 号：R197.39[医药卫生—卫生事业管理]