Patterson Emily S, Hritz Chris, Gebru Liya, Patel Kashvi, Yamokoski Todd, Moffatt-Bruce Susan D
The Ohio State University Columbus, OH.
Wexner Ohio State University Medical Center Columbus, OH.
Proc Int Symp Hum Factors Ergon Healthc. 2018 Jun;7(1):123-128. doi: 10.1177/2327857918071032. Epub 2018 Jun 29.
The overarching objective of this research is to reduce the burden of 'alert fatigue' on patients and family caregivers who stay overnight in hospitals on units that provide continuous monitoring of cardiac and respiratory systems. When a patient develops respiratory compromise on the medical-surgical units of the hospital, the mortality rate is 29 times higher. Alarms require nurses to quickly respond, even when it is likely a false alarm. An anonymous survey was distributed to patients and family caregivers with 72 responses. Alarm sounds were judged most helpful to detect a high heart rate or unusual rhythm, and less helpful to detect a patient exiting from bed. The expectation was for an immediate response to an alarm, and that it would be annoying to have an alarm go off for hours. There was strong agreement with wanting alarm sounds to go to the nurse, but not be heard in the hospital room by patients or caregivers. Implications of these findings are discussed.
本研究的总体目标是减轻在提供心脏和呼吸系统持续监测的科室过夜的患者及家庭护理人员的“警报疲劳”负担。当患者在医院的内科-外科病房出现呼吸功能不全时，死亡率会高出29倍。警报要求护士迅速做出反应，即使很可能是误报。向患者和家庭护理人员发放了一份匿名调查问卷，共收到72份回复。警报声被认为对检测高心率或异常心律最有帮助，而对检测患者下床的帮助较小。期望对警报能立即做出反应，而且警报持续响几个小时会很烦人。对于希望警报声传给护士但患者或护理人员在病房听不到这一点，大家达成了强烈共识。讨论了这些发现的意义。
