Cvach Maria
The Johns Hopkins Hospital, Baltimore, MD, USA.
Biomed Instrum Technol. 2012 Jul-Aug;46(4):268-77. doi: 10.2345/0899-8205-46.4.268.
Alarm fatigue is a national problem and the number one medical device technology hazard in 2012. The problem of alarm desensitization is multifaceted and related to a high false alarm rate, poor positive predictive value, lack of alarm standardization, and the number of alarming medical devices in hospitals today. This integrative review synthesizes research and non-research findings published between 1/1/2000 and 10/1/2011 using The Johns Hopkins Nursing Evidence-Based Practice model. Seventy-two articles were included. Research evidence was organized into five main themes: excessive alarms and effects on staff; nurse's response to alarms; alarm sounds and audibility; technology to reduce false alarms; and alarm notification systems. Non-research evidence was divided into two main themes: strategies to reduce alarm desensitization, and alarm priority and notification systems. Evidence-based practice recommendations and gaps in research are summarized.
警报疲劳是一个全国性问题，也是2012年头号医疗设备技术危害。警报脱敏问题是多方面的，与高误报率、低阳性预测值、缺乏警报标准化以及当今医院中发出警报的医疗设备数量有关。本整合性综述使用约翰·霍普金斯循证护理实践模型，综合了2000年1月1日至2011年10月1日期间发表的研究和非研究结果。纳入了72篇文章。研究证据被组织成五个主要主题：警报过多及其对工作人员的影响；护士对警报的反应；警报声音及可听度；减少误报的技术；以及警报通知系统。非研究证据分为两个主要主题：减少警报脱敏的策略，以及警报优先级和通知系统。总结了循证实践建议和研究中的差距。
