改善警报管理以减少重症监护室的警报疲劳:一项混合方法研究
Katarzyna Lewandowska1, Wioletta Mędrzycka-Dąbrowska1, Magdalena Mikłas2
1Department of Anaesthesiology and Intensive Care Nursing, Medical University of Gdansk, 7 Debinki Street, 80-211 Gdansk, Poland; Department of Anaesthesiology and Intensive Therapy, Medical University of Gdansk, 17 Smoluchowskiego Street, 80-214 Gdansk, Poland.
Intensive & critical care nursing
|October 16, 2025
概括
重症监护室 (ICU) 报警疲劳是一个重大问题. 干预改善了报警质量,尽管增加了数量,突出了标准化报警管理和跨学科合作的需要.
科学领域:
- 临界护理医学 临界护理医学
- 生物医学工程 生物医学工程
- 患者安全 患者安全
背景情况:
- 在重症监护室 (ICU) 中过度的错误报警导致医务人员的报警疲劳.
- 有效的警报管理对于重症监护机构的患者安全至关重要.
- 这项研究涉及麻醉和重症监护病房的报警管理.
研究的目的:
- 量化分析心脏监测器的报警.
- 评估ICU工作人员对报警系统的态度.
- 实施和评估干预措施以改善报警管理.
主要方法:
- 行动研究方法与干预前后分析.
- 利用报警数据,参与者观察,调查和根本原因分析 (RCA).
- 干预包括教育举措和技术调整.
主要成果:
- 报警量增加了27.4%,但报警质量有所改善.
- 红色技术警报减少了61.1%,短黄色警报减少了2.3%.
- 观察到高噪音水平,选择性工作人员响应能力和多样化的监控能力;工作人员报告报警疲劳.
结论:
- 干预措施改善了警报质量,尽管频率增加,表明有效性.
- 护理人员经历警报疲劳,需要持续的监测和支持.
- 需要标准化的协议,门标准化和明确的责任;结合教育和技术优化是最有效的.
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