帕累托法则在监护仪警报管理上的应用
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摘要
目的对重症监护室(ICU)的监护仪警报进行管理。方法首先,通过访问中央监护系统数据库采集ICU病房的警报数据。其次,分析警报数据信息,利用帕累托法则筛选少数高频率警报。最后,分析高频率警报发生机制及其原因,并采取介入措施。结果首次实验共采集到1 229例红色警报、46 575例黄色警报、9 031例短黄色警报和55 378例技术警报,单位床位的日均警报量为668条。依据帕累托法则进行警报管理后,单位床位日均警报下降36%。结论帕累托法则在监护仪警报管理应用上效果明显。
【Objective】To manage the alarm of the ICU's monitor.【Methods】First, the alarm data of the ICU ward was collected by accessing the central monitoring system database. Then we analyzed the alarm data information and used the Pareto's principle to screen a few high-frequency alarms. Finally, we analyzed the mechanism of high frequency alarm occurrence and its causes, and took intervention measures.【Results】In the first experiment, 1 229 red alarms, 46 575 yellow alarms, 9 031 short yellow alarms and 55 378 technical alarms were collected, and the average daily alarm volume per unit bed was 668. After the alarm management according to the Pareto's principle, the average daily alarm for the unit bed decreased by 36%.【Conclusion】Pareto's principle is effective in the management of monitor alarms.
【Objective】To manage the alarm of the ICU's monitor.【Methods】First, the alarm data of the ICU ward was collected by accessing the central monitoring system database. Then we analyzed the alarm data information and used the Pareto's principle to screen a few high-frequency alarms. Finally, we analyzed the mechanism of high frequency alarm occurrence and its causes, and took intervention measures.【Results】In the first experiment, 1 229 red alarms, 46 575 yellow alarms, 9 031 short yellow alarms and 55 378 technical alarms were collected, and the average daily alarm volume per unit bed was 668. After the alarm management according to the Pareto's principle, the average daily alarm for the unit bed decreased by 36%.【Conclusion】Pareto's principle is effective in the management of monitor alarms.
引文
[1]沈云明,郑焜,吴胜,等.ICU医疗设备警报管理及警报信息集成技术分析[J].中国医疗器械杂志,2014,38(4):270-273.
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[3]Bonafide CP,Lin R,Zander M,et al.Association between exposure to nonactionable physiologic monitor alarms and response time in a children's hospital[J].J HOSP MED,2015,10(6):345-351.
[4]Cho OM,Kim H,Lee YW,et al.Clinical alarms in intensive care units:perceived obstacles of alarm management and alarm fatigue in nurses[J].Healthcare Inf Res,2016,22(1):46-53.
[5]Paine CW,Goel VV,Ely E,et al.Systematic review of physiologic monitor alarm characteristics and pragmatic interventions to reduce alarm frequency[J].J HOSP MED,2016,11(2):136-144.
[6]张亚云.急诊护士警报疲劳的原因分析及对策[J].全科护理,2016,14(16):1690-1691.
[7]邹莎,岳丽青.临床警报的研究进展[J].解放军护理杂志,2016,33(23):27-30.
[8]殷欣,朱光影,于姗姗,等.重症监护病房护士对临床警报认知及警报疲劳程度调查[J].中国护理管理,2018,18(2):260-264.
[9]葛云霞."二八定律"在ICU护理管理中的应用[J].中华护理教育,2010,7(5):239-240.
[10]陈咏梅,彭建红,王娟,等.巴莱多定律在儿科护理安全管理中的应用[J].医学信息:上旬刊,2011,24(12):3683-3684.
[2]Acques S.Breaking barriers to patient-centric alarm management[J].Biomed Instrum Technol,2016,50(3):181-183.
[3]Bonafide CP,Lin R,Zander M,et al.Association between exposure to nonactionable physiologic monitor alarms and response time in a children's hospital[J].J HOSP MED,2015,10(6):345-351.
[4]Cho OM,Kim H,Lee YW,et al.Clinical alarms in intensive care units:perceived obstacles of alarm management and alarm fatigue in nurses[J].Healthcare Inf Res,2016,22(1):46-53.
[5]Paine CW,Goel VV,Ely E,et al.Systematic review of physiologic monitor alarm characteristics and pragmatic interventions to reduce alarm frequency[J].J HOSP MED,2016,11(2):136-144.
[6]张亚云.急诊护士警报疲劳的原因分析及对策[J].全科护理,2016,14(16):1690-1691.
[7]邹莎,岳丽青.临床警报的研究进展[J].解放军护理杂志,2016,33(23):27-30.
[8]殷欣,朱光影,于姗姗,等.重症监护病房护士对临床警报认知及警报疲劳程度调查[J].中国护理管理,2018,18(2):260-264.
[9]葛云霞."二八定律"在ICU护理管理中的应用[J].中华护理教育,2010,7(5):239-240.
[10]陈咏梅,彭建红,王娟,等.巴莱多定律在儿科护理安全管理中的应用[J].医学信息:上旬刊,2011,24(12):3683-3684.