Beyond Monitors: Intravenous Smart Pump Alarm Fatigue As a Safety Concern.

IF 1.5 Q2 NURSING
Brenda Abena Nyarko, Karen K Giuliano
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引用次数: 0

Abstract

Intravenous smart pump alarm fatigue remains a persistent and underrecognized patient safety concern in acute and critical care settings. Although alarm fatigue has been traditionally associated with physiological monitors, intravenous smart pumps are also a frequent source of alarms for hospitalized patients that contribute substantially to alarm fatigue. This article synthesizes current evidence on intravenous smart pumps and related alarm fatigue, identifies knowledge gaps, and proposes short-term and long-term interventions. Inconsistencies in alarm design and inadequate human-centered design have led to the development of intravenous smart pump systems that create an unacceptably high number of technical alarms that are unrelated to changes in patient status. Data-driven strategies are discussed as mechanisms to reduce burden and enhance alarm effectiveness. A systems-level approach combining human factors engineering, intelligent algorithm development, and clinical partnerships with manufacturers is essential for reducing alarm-related risk, decreasing nursing workload, and improving patient outcomes.

超越监视器:静脉注射智能泵报警疲劳作为安全问题。
静脉智能泵报警疲劳仍然是一个持续和未被充分认识的患者安全问题,在急性和重症监护设置。虽然警报疲劳传统上与生理监测仪有关,但静脉注射智能泵也是住院患者的常见警报来源,这在很大程度上导致了警报疲劳。本文综合了静脉智能泵和相关报警疲劳的现有证据,确定了知识差距,并提出了短期和长期干预措施。报警设计的不一致性和以人为本的设计不足导致静脉注射智能泵系统的发展,产生了与患者状态变化无关的高数量的技术报警。讨论了数据驱动策略作为减轻负担和提高报警有效性的机制。将人为因素工程、智能算法开发和与制造商的临床合作相结合的系统级方法对于降低报警相关风险、减少护理工作量和改善患者预后至关重要。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
2.10
自引率
4.50%
发文量
37
期刊介绍: AACN Advanced Critical Care is a quarterly, peer-reviewed publication of in-depth articles intended for experienced critical care and acute care clinicians at the bedside, advanced practice nurses, and clinical and academic educators. Each issue includes a topic-based symposium, feature articles, and columns of interest to critical care and progressive care clinicians. AACN Advanced Critical Care contains concisely written, practical information for immediate use and future reference. Continuing education units are available for selected articles in each issue. AACN Advanced Critical Care is an official publication of the American Association of Critical-Care Nurses.
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