在NICU中对警报管理的多维分析:警报频率,可操作的警报和护士的感知
Jobbe P L Leenen1,2, Lida Dam-Vervloet3, Christi A M C Kemmink4
1Research Group IT Innovations in Healthcare, Windesheim University of Applied Sciences, Zwolle, Overijssel, the Netherlands.
Nursing in critical care
|January 15, 2026
概括
新生儿重症监护室 (NICU) 的高警报率会导致护士显著的警报疲劳. 实施有针对性的策略来减少警报和改善响应对于改善护士福祉和患者护理至关重要.
科学领域:
- 临床护理 临床护理
- 生物医学工程 生物医学工程
- 患者安全 患者安全
背景情况:
- 新生儿重症监护室 (NICU) 的环境会产生大量警报,主要是无法采取行动的.
- 这导致护士脱敏和警报疲劳,这个问题从技术和临床的结合角度还没有得到评估.
研究的目的:
- 评估警报频率和婴儿重症监护室可操作警报的比例.
- 评估护士对警报疲劳的看法,并确定有效的改善策略.
主要方法:
- 一项前性队列研究在三级NICU中进行了两个月.
- 报警数据被收集和分类;临床观察确定了可操作的报警.
- 护士们填写了Charité警报疲劳问卷,并使用描述性统计数据分析了数据.
主要成果:
- 记录了超过678,000个警报,其中57.6%是中等优先级.
- 护士只对16.6%的警报做出了反应.
- 近一半的受访护士 (48.7%) 报告了显著的警报疲劳,但发现建议的干预措施是可行的.
结论:
- 高警报率和婴儿重症监护室护士反应率低,导致警报疲劳严重.
- 个性化报警设置和其他基于证据的策略对于减少报警频率和改善响应至关重要.
- 在报警管理中解决技术和人力因素对于优化NICU安全性,有效性和护士福祉至关重要.
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