alarms in the intensive care unit how can the number of false alarms be reduced警报在重症监护室假警报的数量可以减少.pdfVIP

Critical Care August 2001 Vol 5 No 4 Chambrin Review Alarms in the intensive care unit: how can the number of false alarms be reduced? Marie-Christine Chambrin University of Lille, Lille, France Correspondence: Marie-Christine Chambrin, chambrin@lille.inserm.fr Published online: 23 May 2001 Critical Care 2001, 5:184–188 © 2001 BioMed Central Ltd (Print ISSN 1364-8535; Online ISSN 1466-609X) Abstract Many alarms, as they now exist in most monitoring systems, are not usually perceived as helpful by the medical staff because of the high incidence of false alarms. This paper gives an overview of the problems related to their current design and the objectives of monitoring. The current approaches used to improve the situation are then presented from two main standpoints: organizational and behavioural on the one hand, and technical on the other. Keywords critical care, false alarm, patient monitoring Many alarms, as they now exist in most monitoring limits of variation of a parameter but it is probably not the systems, are usually perceived as unhelpful by medical best method of event detection. The information that the staff because of the high incidence of false alarms; that is, clinician wants most of the time is the detection of relevant alarms with no clinical significance. abnormalities or changes in a patient’s condition. This is not easily reflected in a value crossing a limit but rather by This paper gives an overview of the problems related to the simultaneous evolution of different parameters. We the current design