Mirhafez Seyed Reza, Movahedi Ali, Moghadam-Pasha Azam, Mohammadi Gholamreza, Moeini Vahid, Moradi Zahra, Kavosi Ali, Aryayi Far Mohammadreza
Department of Basic Medical Sciences, Neyshabur University of Medical Sciences, Neyshabur, Iran.
Department of Anesthesia and Operating Room Nursing, Neyshabur University of Medical Sciences, Neyshabur, Iran.
Nurs Forum. 2019 Jul;54(3):369-375. doi: 10.1111/nuf.12338. Epub 2019 Mar 5.
Clinical alarms represent the top hazard listed in the "Top Ten Health Technology Hazards" report. Frequent false alarms can disrupt patient care and reduce trust in alarms.
The aim of the present study was to investigate the perceptions and practices of critical and noncritical care nurses regarding clinical alarms.
This was a descriptive analytical study conducted from October 2016 to February 2017 at three hospitals on 197 nurses at Neyshabur University of Medical Sciences in Neyshabur, Northeastern Iran. Participants were selected through stratified random sampling. The perceptions were measured through the 2011 Health care Technology Foundation Clinical Alarms Survey.
More than half of the nurses believed that frequent false alarms reduced trust in alarms, leading nurses to inappropriately disable alarms. The nurses ranked frequent false alarms as the most important issue in response to alarms. More than 60% of the nurses indicated that they needed more training on the use of bedside and central monitors.
The result of this study suggested that frequent false alarms, as the most important issue related to alarms, should be taken into account by hospital administrators and researchers to decrease alarm fatigue and improve alarm system safety. More specialized clinical policies and procedures for alarm management should also be considered.
临床警报是“十大医疗技术危害”报告中列出的首要危害。频繁的误报会干扰患者护理并降低对警报的信任。
本研究的目的是调查重症和非重症护理护士对临床警报的看法和做法。
这是一项描述性分析研究，于2016年10月至2017年2月在伊朗东北部内沙布尔的三所医院对197名内沙布尔医科大学的护士进行。参与者通过分层随机抽样选取。看法通过2011年医疗技术基金会临床警报调查进行测量。
超过一半的护士认为频繁的误报降低了对警报的信任，导致护士不适当地关闭警报。护士将频繁的误报列为应对警报时最重要的问题。超过60%的护士表示他们需要更多关于使用床边和中央监护仪的培训。
本研究结果表明，频繁的误报作为与警报相关的最重要问题，医院管理人员和研究人员应予以考虑，以减少警报疲劳并提高警报系统安全性。还应考虑制定更专门的警报管理临床政策和程序。
