Multi-parameter vital sign database to assist in alarm optimization for general care units

被引：24

作者：

Welch, James ^{[1
]}

Kanter, Benjamin ^{[1
]}

Skora, Brooke ^{[1
]}

McCombie, Scott ^{[1
]}

Henry, Isaac ^{[1
]}

McCombie, Devin ^{[1
]}

Kennedy, Rosemary ^{[1
]}

Soller, Babs ^{[1
]}

机构：

[1] Sotera Wireless Inc, 10020 Huennekens St, San Diego, CA 92121 USA

来源：

JOURNAL OF CLINICAL MONITORING AND COMPUTING | 2016年 / 30卷 / 06期

关键词：

Patient monitoring; Vital sign management; Alarm fatigue; Rapid response system; INTENSIVE-CARE; ANTECEDENTS; ADMISSION; SYSTEMS; ARREST;

D O I：

10.1007/s10877-015-9790-8

中图分类号：

R614 [麻醉学];

学科分类号：

100217 ;

摘要：

Continual vital sign assessment on the general care, medical-surgical floor is expected to provide early indication of patient deterioration and increase the effectiveness of rapid response teams. However, there is concern that continual, multi-parameter vital sign monitoring will produce alarm fatigue. The objective of this study was the development of a methodology to help care teams optimize alarm settings. An on-body wireless monitoring system was used to continually assess heart rate, respiratory rate, SpO(2) and noninvasive blood pressure in the general ward of ten hospitals between April 1, 2014 and January 19, 2015. These data, 94,575 h for 3430 patients are contained in a large database, accessible with cloud computing tools. Simulation scenarios assessed the total alarm rate as a funs/patient/day predicted from the cloud-hosted database was the same as ction of threshold and annunciation delay (s). The total alarm rate of ten alarmthe total alarm rate for a 10 day evaluation (1550 h for 36 patients) in an independent hospital. Plots of vital sign distributions in the cloud-hosted database were similar to other large databases published by different authors. The cloud-hosted database can be used to run simulations for various alarm thresholds and annunciation delays to predict the total alarm burden experienced by nursing staff. This methodology might, in the future, be used to help reduce alarm fatigue without sacrificing the ability to continually monitor all vital signs.

引用

页码：895 / 900

页数：6

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