Monitoring alarms – the key to patient's safety in the ICU?

Friesdorf, W.; Buss, BA; Gobel, Merit

doi:10.1007/s001340051078

Cited by 10 publications

(7 citation statements)

References 12 publications

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“…Furthermore, most alarms are quite simple and react only to an arbitrarily defined supra-or subnormal physiologic parameter rather than the patient's overall status, and they are prone to frequent false alarms [50,51]. Technology is becoming available to create "smart alarms" that incorporate integrative software tools such as neural networks [52].…”

Section: Figure 1 Illustration Of a Closed-loop Systemmentioning

confidence: 99%

Medical technology in the intensive care unit

Scales

Sibbald

2004

Current Opinion in Critical Care

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Section: Figure 1 Illustration Of a Closed-loop Systemmentioning

confidence: 99%

Medical technology in the intensive care unit

Scales

Sibbald

2004

Current Opinion in Critical Care

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“…A multitude of devices is available for monitoring and treatment in an individual assembly according to the requirements of the situation (Friesdorf, Buss et al 1999). Due to limited physiological monitoring and a patient's individual pathophysiology, intensive care medicine has to cope with a high amount of uncertainty.…”

Section: A Novel Technique For Identifying Patients With Icu Needs Usmentioning

confidence: 99%

“…Due to limited physiological monitoring and a patient's individual pathophysiology, intensive care medicine has to cope with a high amount of uncertainty. Unusual circumstances caused by patients, clinicians and technology occur frequently and must be controlled and managed adequately to prevent a bad outcome and to achieve system reliability (Friesdorf, Buss et al 1999). …”

Section: A Novel Technique For Identifying Patients With Icu Needs Usmentioning

confidence: 99%

Application of Computational Intelligence Techniques for Cardiovascular Diagnostics

Nataraj¹,

Jalali²,

Ghorbanian³

2012

The Cardiovascular System - Physiology, Diagnostics and Clinical Implications

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“…Different studies have documented that the level of monitoring in ICUs generates a great number of false‐positive alarms (Morgan et al . 1996, Tsien & Fackler 1997, Friesdorf et al . 1999, Walder et al .…”

Section: Introductionmentioning

confidence: 99%

Are auditory warnings in the intensive care unit properly adjusted?

Solsona

Altaba

Maull

et al. 2001

Journal of Advanced Nursing

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The purpose of this study was to determine whether auditory warnings in the intensive care unit (ICU) were properly adjusted. An intervention study (before- and-after assessment) was conducted in a 12-bed medical-surgical ICU of an acute-care teaching hospital in Barcelona, Spain. A total of 100 patients with stable haemodynamic and respiratory parameters were included. In the first 3-month phase of the study, minimum and maximum alarm parameters of breathing rate, expired volume/min, airway pressure, SaO(2), arterial blood pressure and heart rate were recorded. In the second 12-month phase of the study, the same alarm parameters were recorded every 4 hours in the patient's medical record. In the third 3-month phase of the study, alarm readings were recorded again as in the first phase. The change throughout coefficient of variation (CV) and the 95% confidence interval (CI) for each alarm were calculated. Following the intervention, there was a statistically significant improvement in alarm readings for expired volume, heart rate and systolic blood pressure, so that alarms had been more properly adjusted to the patient's real value. Nursing staff should be aware that auditory warnings in ICU stable patients are frequently set very far from suitable values. Recording of alarm parameters in the patient's medical record as a routine daily activity was an effective intervention for improving adjustment of auditory warnings.

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Monitoring alarms – the key to patient's safety in the ICU?

Cited by 10 publications

References 12 publications

Medical technology in the intensive care unit

Medical technology in the intensive care unit

Application of Computational Intelligence Techniques for Cardiovascular Diagnostics

Are auditory warnings in the intensive care unit properly adjusted?

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