对输液泵警报的认知：重症护理护士的见解
Perceptions of Infusion Pump Alarms: Insights Gained From Critical Care Nurses.
作者信息
Vitoux Rachel R, Schuster Catherine, Glover Kevin R
机构信息
B. Braun Medical, Bethlehem, Pennsylvania. Rachel R. Vitoux, MBA, MSN, RN, CPHIMS, director of clinical consulting and services at B. Braun Medical, delivers data analytics and research to improve infusion safety and advance clinical practice. She earned an MBA in sustainable business from Marylhurst University in Marylhurst, Oregon, and an MSN as a clinical nurse specialist and a BSN from Indiana University. Catherine Schuster, PhD, MA, BSN, RN, is the manager of nursing research at B. Braun Medical. She earned a PhD and an MA in public health promotion and research from The Ohio State University, a BS in applied behavioral sciences from the University of California, Davis, and a BSN from the University of Oklahoma. Kevin R. Glover, MS, MEd, corporate vice president, clinical education program development, research, and innovation at B. Braun Medical, directs collaborative initiatives between industry, clinical service providers, relevant professional associations, and academia to develop and test educational solutions collectively to improve the quality, safety, and effectiveness of patient care.
出版信息
J Infus Nurs. 2018 Sep/Oct;41(5):309-318. doi: 10.1097/NAN.0000000000000295.
Between 1983 and 2011, equipment-related alarms in critical care have increased from 6 to 40 different alarm types. As nurses become overwhelmed, distracted, or desensitized by alarm noise, they may miss critical alarms that could result in patient harm. The findings of an infusion pump alarm survey indicated that nurses overwhelmingly agree that infusion pump nuisance alarms occur frequently and disrupt patient care. But nurses' perceptions of pump alarms are different from those previously reported for clinical alarms in general. It may not be appropriate to broadly apply general alarm management recommendations to infusion pump alarms at this time.
1983年至2011年间，重症监护中与设备相关的警报从6种增加到了40种不同类型。由于护士被警报声弄得应接不暇、注意力分散或产生了警觉性降低的情况，他们可能会错过可能导致患者受到伤害的危急警报。一项输液泵警报调查的结果表明，护士们压倒性地认同输液泵出现的烦扰性警报频繁发生并干扰了患者护理。但是护士对泵警报的看法与之前普遍报道的临床警报有所不同。目前将一般警报管理建议广泛应用于输液泵警报可能并不合适。
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