Wilken Marc, Hüske-Kraus Dirk, Röhrig Rainer
Carl von Ossietzky University, Oldenburg, Germany.
Philips Medizin Systeme Böblingen GmbH, Böblingen, Germany.
Stud Health Technol Inform. 2019 Sep 3;267:273-281. doi: 10.3233/SHTI190838.
Excessive numbers of clinical alarms reduce the awareness of caregivers. Frequent alarms, many of which are non-actionable, can lead to cognitive overload, stress, and desensitization to alarms, called "Alarm Fatigue", which can severely impact patient safety. Due to the multifactorial nature of excessive alarming quantitative data about many facets of alarm generation and management are required in order to tackle the problem efficiently and effectively. Since there is no system available which would provide said data, we set out to develop one in the form of a data warehouse based on a thorough understanding of clinicians' needs. The developed system answers the users' needs in terms of readily providing them information on a daily basis, but also serves as a data source for further research. Further work is needed to include alarm sources from outside the patient monitoring infrastructure.
过多的临床警报会降低医护人员的警觉性。频繁的警报，其中许多是无需采取行动的，可能导致认知过载、压力以及对警报的脱敏，即所谓的“警报疲劳”，这会严重影响患者安全。由于过度警报具有多因素性质，为了有效解决该问题，需要有关警报生成和管理诸多方面的定量数据。由于没有可用系统能提供上述数据，我们基于对临床医生需求的透彻理解，着手开发一个数据仓库形式的系统。所开发的系统不仅能满足用户日常获取信息的需求，还可作为进一步研究的数据源。还需要开展进一步工作，将患者监测基础设施之外的警报源纳入其中。
