Siebig, Sylvia and Kuhls, Silvia and Imhoff, Michael and Gather, Ursula and Schoelmerich, Juergen and Wrede, Christian E. (2010) Intensive care unit alarms-How many do we need? CRITICAL CARE MEDICINE, 38 (2). pp. 451-456. ISSN 0090-3493,
Full text not available from this repository. (Request a copy)Abstract
Objective: To validate cardiovascular alarms in critically ill patients in an experimental setting by generating a database of physiologic data and clinical alarm annotations, and report the current rate of alarms and their clinical validity. Currently, monitoring of physiologic parameters in critically ill patients is performed by alarm systems with high sensitivity, but low specificity. As a consequence, a multitude of alarms with potentially negative impact on the quality of care is generated. Design: Prospective, observational, clinical study. Setting: Medical intensive care unit of a university hospital. Data Source: Data from different medical intensive care unit patients were collected between January 2006 and May 2007. Measurements and Main Results: Physiologic data at 1-sec intervals, monitor alarms, and alarm settings were extracted from the surveillance network. Video recordings were annotated with respect to alarm relevance and technical validity by an experienced physician. During 982 hrs of observation, 5934 alarms were annotated, corresponding to six alarms per hour. About 40% of all alarms did not correctly describe the patient condition and were classified as technically false; 68% of those were caused by manipulation. Only 885 (15%) of all alarms were considered clinically relevant. Most of the generated alarms were threshold alarms (70%) and were related to arterial blood pressure (45%). Conclusion: This study used a new approach of off-line, video-based physician annotations, showing that even with modern monitoring systems most alarms are not clinically relevant. As the majority of alarms are simple threshold alarms, statistical methods may be suitable to help reduce the number of false-positive alarms. Our study is also intended to develop a reference database of annotated monitoring alarms for further application to alarm algorithm research. (Crit Care Med 2010; 38:451-456)
| Item Type: | Article |
|---|---|
| Uncontrolled Keywords: | FALSE ALARMS; NOISE; RELIABILITY; SLEEP; ICU; intensive care unit alarms; alarm algorithms; noise; cardiovascular monitoring; smart alarms; alarm database |
| Subjects: | 600 Technology > 610 Medical sciences Medicine |
| Divisions: | Medicine > Lehrstuhl für Innere Medizin I |
| Depositing User: | Dr. Gernot Deinzer |
| Date Deposited: | 07 Aug 2020 11:41 |
| Last Modified: | 07 Aug 2020 11:41 |
| URI: | https://pred.uni-regensburg.de/id/eprint/25187 |
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