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Alarm fatigue: impacts on patient safety

机译：警报疲劳：影响患者安全

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Purpose of reviewElectronic medical devices are an integral part of patient care. As new devices are introduced, the number of alarms to which a healthcare professional may be exposed may be as high as 1000 alarms per shift. The US Food and Drug Administration has reported over 500 alarm-related patient deaths in five years. The Joint Commission, recognizing the clinical significance of alarm fatigue, has made clinical alarm management a National Patient Safety Goal.Recent findingsPotential solutions to alarm fatigue include technical, organizational, and educational interventions. Selecting only the right monitors (i.e., avoiding overmonitoring), judicious selection of alarm limits, and multimodal alarms can all reduce the number of nuisance alarms to which a healthcare worker is exposed.SummaryAlarm fatigue can jeopardize safety, but some clinical solutions such as setting appropriate thresholds and avoiding overmonitoring are available.
机译：审查目的电子医疗设备是患者护理不可或缺的一部分。随着新设备的推出，医疗保健专业人员可能会暴露的警报数量可能高达每班1000个警报。美国食品和药物管理局（US Food and Drug Administration）报告在五年中有500多例与警报相关的患者死亡。联合委员会认识到警报疲劳的临床意义，已将临床警报管理作为国家患者安全目标。最新发现警报疲劳的潜在解决方案包括技术，组织和教育干预。仅选择正确的监控器（即避免过度监控），明智地选择警报限值和多模式警报都可以减少医护人员所接触的烦人警报的数量。概述警报疲劳会危害安全性，但某些临床解决方案（例如设置）可以使用适当的阈值并避免过度监视。

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