Kurnat-Thoma Emma, Shah Kayuri
Author Affiliations: Research Coordinator (Dr Kurnat-Thoma), Research Department, Reston Hospital Center, Reston; and Biomedical Engineering Student (Ms Shah), Department of Biomedical Engineering, Virginia Commonwealth University, Richmond, Virginia.
J Nurs Adm. 2016 Dec;46(12):675-682. doi: 10.1097/NNA.0000000000000425.
The Joint Commission's 2014 National Patient Safety Goals required hospitals to evaluate alarm safety in 2014-2015 and implement alarm safety policies.
The aim of this study was to assess common alarm management safety factors in our 187-bed community hospital.
Two weeks' worth of IV pump report data was evaluated to characterize 33 IV pump alarm types. Hospital and IV pump noise was measured, and an alarm management nurse survey was conducted.
There were 8731 total IV pump alarms/alerts (24-hour mean, 623.6) across 6 units. The 2-minute idle alarm accounted for 32.4% of all total IV alarms/alerts, suggestive of high levels of nurse multitasking and nurse work interruptions. IV pump volumes contributed to overall hospital noise. Survey data identified patient units and alarm safety practices needing additional support.
Characterization of IV pump alarms/alerts is an emerging area of scientific inquiry. Findings indicate the need for organizations to evaluate alarm burden and alarm management safety practices to reduce alarm fatigue risks.
联合委员会2014年的全国患者安全目标要求医院在2014 - 2015年评估警报安全性并实施警报安全政策。
本研究的目的是评估我们这家拥有187张床位的社区医院常见的警报管理安全因素。
对两周的静脉输液泵报告数据进行评估，以描述33种静脉输液泵警报类型。测量了医院和静脉输液泵的噪音，并开展了一项警报管理护士调查。
6个科室共有8731次静脉输液泵警报/提醒（平均每天24小时，623.6次）。2分钟闲置警报占所有静脉输液泵警报/提醒的32.4%，这表明护士存在大量多任务工作以及工作被打断的情况。静脉输液泵的音量增加了医院的总体噪音。调查数据确定了需要额外支持的病房和警报安全措施。
静脉输液泵警报/提醒的特征描述是一个新兴的科学研究领域。研究结果表明，各机构需要评估警报负担和警报管理安全措施，以降低警报疲劳风险。
Zotero 插件