玻璃座舱的教训:支持认知工作的报警系统创新。

Q4 Medicine
Randall J Mumaw, Emilie M Roth, Emily S Patterson
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引用次数: 3

摘要

在医院工作的护士越来越多地因管理警报而负担过重,在许多情况下,这些警报提供的有关患者健康的信息价值很低。在一次性可穿戴技术的帮助下,目前的趋势是促进不需要进入病人房间的病人监护。遥测警报和中间件升级设备的发展增加了对医院环境的听觉、视觉和触觉警报的持续增长,但可能无法提供对患者健康更全面的了解。当我们开始创新以解决警报过载和改善患者管理时,可能会使用根本不同的集成架构,从航空驾驶舱吸取的教训值得考虑。商用喷气式飞机运输系统及其警报系统在过去几十年里发展缓慢,并且已经开发出了考虑操作环境的集成方法,提供了多个响应协议级别,并提供了一个更综合的飞机系统状态视图。我们阐明了三个报警系统目标:(1)支持危害管理,(2)建立上下文,(3)支持报警优先级。更一般地说,我们提出了航空报警设计可以刺激医院遥测监测系统创新方向的案例。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Lessons from the Glass Cockpit: Innovation in Alarm Systems to Support Cognitive Work.

Nurses working in the hospital setting increasingly have become overburdened by managing alarms that, in many cases, provide low information value regarding patient health. The current trend, aided by disposable, wearable technologies, is to promote patient monitoring that does not require entering a patient's room. The development of telemetry alarms and middleware escalation devices adds to the continued growth of auditory, visual, and haptic alarms to the hospital environment but can fail to provide a more complete understanding of patient health. As we begin to innovate to both address alarm overload and improve patient management, perhaps using fundamentally different integration architectures, lessons from the aviation flight deck are worth considering. Commercial jet transport systems and their alarms have evolved slowly over many decades and have developed integration methods that account for operational context, provide multiple response protocol levels, and present a more integrated view of the airplane system state. We articulate three alarm system objectives: (1) supporting hazard management, (2) establishing context, and (3) supporting alarm prioritization. More generally, we present the case that alarm design in aviation can spur directions for innovation for telemetry monitoring systems in hospitals.

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来源期刊
Biomedical Instrumentation and Technology
Biomedical Instrumentation and Technology Computer Science-Computer Networks and Communications
CiteScore
1.10
自引率
0.00%
发文量
16
期刊介绍: AAMI publishes Biomedical Instrumentation & Technology (BI&T) a bi-monthly peer-reviewed journal dedicated to the developers, managers, and users of medical instrumentation and technology.
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