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Chinese Journal of Medical Instrumentation ; (6): 481-486, 2020.
Artículo en Chino | WPRIM | ID: wpr-880395

RESUMEN

OBJECTIVE@#In order to solve alarm fatigue, the algorithm optimization strategies were researched to reduce false and worthless alarms.@*METHODS@#A four-lead arrhythmia analysis algorithm, a multiparameter fusion analysis algorithm, an intelligent threshold reminder, a refractory period delay technique were proposed and tested with collected 28 679 alarms in multi-center study.@*RESULTS@#The sampling survey indicate that the 80.8% of arrhythmia false alarms were reduced by the four-lead analysis, the 55.9% of arrhythmia and pulse false alarms were reduced by the multi-parameter fusion analysis, the 28.0% and 29.8% of clinical worthless alarms were reduced by the intelligent threshold and refractory period delay techniques respectively. Finally, the total quantity of alarms decreased to 12 724.@*CONCLUSIONS@#To increase the dimensionality of parametric analysis and control the alarm limits and delay time are conducive to reduce alarm fatigue in intensive care units.


Asunto(s)
Humanos , Fatiga de Alerta del Personal de Salud/prevención & control , Arritmias Cardíacas/diagnóstico , Alarmas Clínicas , Unidades de Cuidados Intensivos , Monitoreo Fisiológico
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