Epidemiology of patient monitoring alarms in the neonatal intensive care unit (vol 38, pg 1030, 2018)

被引：0

作者：

Li, Taibo ^{[1
]}

Matsushima, Minoru ^{[1
,2
]}

Timpson, Wendy ^{[3
]}

Young, Susan ^{[3
]}

Miedema, David ^{[3
]}

Gupta, Munish ^{[3
]}

Heldt, Thomas ^{[1
]}

机构：

[1] MIT, Inst Med Engn & Sci, 77 Massachusetts Ave, Cambridge, MA 02139 USA

[2] Nihon Kohden Innovat Ctr, Cambridge, MA USA

[3] Beth Israel Deaconess Med Ctr, Dept Neonatol, Boston, MA 02215 USA

来源：

JOURNAL OF PERINATOLOGY | 2018年 / 38卷 / 08期

基金：

美国国家卫生研究院;

关键词：

D O I：

10.1038/s41372-018-0170-3

中图分类号：

R71 [妇产科学];

学科分类号：

100211 ;

摘要：

Objective To characterize the rate of monitoring alarms by alarm priority, signal type, and developmental age in a Level-IIIB Neonatal Intensive Care Unit (NICU) population. Study design Retrospective analysis of 2,294,687 alarm messages from Philips monitors in a convenience sample of 917 NICU patients, covering 12,001 patient-days. We stratified alarm rates by alarm priority, signal type, postmenstrual age (PMA) and birth weight (BW), and reviewed and adjudicated over 21,000 critical alarms. Results Of all alarms, 3.6% were critical alarms, 55.0% were advisory alarms, and 41.4% were device alerts. Over 60% of alarms related to oxygenation monitoring. The average alarm rate (+/- SEM) was 177.1 +/- 4.9 [median: 135.9; IQR: 89.2-213.3] alarms/patient-day; the medians varied significantly with PMA and BW (p < 0.001) in U-shaped patterns, with higher rates at lower and higher PMA and BW. Based on waveform reviews, over 99% of critical arrhythmia alarms were deemed technically false. Conclusions The alarm burden in this NICU population is very significant; the average alarm rate significantly under-represents alarm rates at low and high PMA and BW. Virtually all critical arrhythmia alarms were artifactual.

引用

页码：1124 / 1124

页数：1