Ruskin Keith J, Hueske-Kraus Dirk
aDepartment of Anesthesia and Critical Care, University of Chicago Pritzker School of Medicine, Chicago, Ilinois, USA bM2O Services, Philips Medizin Systeme Böblingen GmbH, Patient Care and Monitoring Solutions, Böblingen, Germany.
Curr Opin Anaesthesiol. 2015 Dec;28(6):685-90. doi: 10.1097/ACO.0000000000000260.
Electronic medical devices are an integral part of patient care. As new devices are introduced, the number of alarms to which a healthcare professional may be exposed may be as high as 1000 alarms per shift. The US Food and Drug Administration has reported over 500 alarm-related patient deaths in five years. The Joint Commission, recognizing the clinical significance of alarm fatigue, has made clinical alarm management a National Patient Safety Goal.
Potential solutions to alarm fatigue include technical, organizational, and educational interventions. Selecting only the right monitors (i.e., avoiding overmonitoring), judicious selection of alarm limits, and multimodal alarms can all reduce the number of nuisance alarms to which a healthcare worker is exposed.
Alarm fatigue can jeopardize safety, but some clinical solutions such as setting appropriate thresholds and avoiding overmonitoring are available.
电子医疗设备是患者护理的重要组成部分。随着新设备的引入，医护人员每班可能面临的警报数量高达1000次。美国食品药品监督管理局报告称，五年内与警报相关的患者死亡超过500例。联合委员会认识到警报疲劳的临床重要性，已将临床警报管理列为国家患者安全目标。
警报疲劳的潜在解决方案包括技术、组织和教育干预措施。仅选择合适的监测器（即避免过度监测）、明智地选择警报限值以及采用多模式警报，都可以减少医护人员接触到的烦扰警报数量。
警报疲劳会危及安全，但可以采用一些临床解决方案，如设置适当阈值和避免过度监测。
