摘要
目的:建立基于物联网技术的呼吸机报警信息化平台,解决呼吸机报警数据不能联网传递,报警处置缺少监管等问题。方法:设计并构建基于物联网的呼吸机报警信息化管理平台,从设备层、感知层、网络层和应用层4个层面搭建平台,并从4个层面实施建设方案。结果:呼吸机报警信息化平台可解决呼吸机报警信息数据统计困难、数据无法远程实时查看、数据无法联网存在数据孤岛以及报警处理无法监管等问题。结论:建立基于物联网的呼吸机报警信息化平台,从信息化监管角度解决呼吸机报警管理中存在问题,为医院医疗设备全生命周期信息化管理提供技术支持路径。
Objective: To establish an informatization platform project of the ventilator alarm management based on the Internet of Things technique so as to solve the problems that the data of ventilator alarm couldn't be transferred by net and the lack of supervision in alarm disposal and others. Methods: The proposed and established informatization management platform of ventilator alarm based on Internet of Things were constructed from 4 layers included equipment layer, perception layer, network layer and application layer, and the relevant construction scheme was designed from above 4 layers. Results: The information management platform of ventilator alarm could resolve series of problems included difficult data statistics for alarm information of ventilator, and data couldn't be remotely and realtimely viewed, and existed data islet and the alarm processing couldn't be supervised because data couldn't connect internet and others. Conclusion: The established informatization platform of ventilator alarm based on Internet of Things can resolve existing problems in the management of ventilator alarm from the point of informatization supervision. And it implements a meaningful exploration for the informatization management of the whole life cycle of medical equipment in hospital.
引文
[1]Lewis SC,Li L,Murphy MV,et al.Risk factors for ventilator-associated events:a case-control multivariable analysis[J].Crit Care Med,2014,42(8):1839-1848.
[2]Commission IEC.Medical electrical equipment-Part 1-8:General requirements for basic safety and essential performance-collateral standard: General requirements, tests and guidance for alarm systems in medical electrical equipment and medical electrical systems:IEC 60601-1-8:2006[S].Geneva(Switzerland):The International Electrotechnical Commission,2006.
[3]龚仁松,戴少军,付安平.基于物联网的医疗设备质量追溯系统的设计和应用[J].中国医学装备,2018,15(11):135-137.
[4]赵一泽.物联网技术初探[J].通讯世界,2019,26(1):117-118.
[5]国家食品药品监督管理局.医疗器械 风险管理对医疗器械的应用:YY/T0316-2008/ISO 14971:2007[S].国家食品药品监督管理局,2008-04-25.
[6]国家食品药品监督管理局.医用电气设备 第1-8部分:安全通用要求并列标准:通用要求,医用电气设备和医用电气系统中报警系统的测试和指南:YY0709-2009/IEC 60601-1-8:2003[S].国家食品药品监督管理局,2009-11-25.
[7]Joshi R,Mortel HV,Feijs L,et al.The heuristics of nurse responsiveness to critical patient monitor and ventilator alarms in a private room neonatal intensive care unit[J].PLoS One,2017,12(10):e0184567.
[8]Wilken M,Hüske-Kraus D,Klausen A,et al.Alarm Fatigue:Causes and Effects[J].Stud Health Technol Inform,2017,243:107-111.
[9]G?rges M,Markewitz BA,Westenskow DR.Improving alarm performance in the medical intensive care unit using delays and clinical context[J].Anesth Analg,2009,108(5):1546-1552.
[10]Welch J.An evidence-based approach to reduce nuisance alarms and alarm fatigue[J].Biomed Instrum Technol,2011,S1:46-52.
[11]Jones K.Alarm fatigue a top patient safety hazard[J].CMAJ,2014,186(3):178.
[12]Criscitelli T.Alarm Management:Promoting Safety and Establishing Guidelines[J].AORN J,2016,103(5):518-521.