Key result
Structured alarm management bundles reduce ECG false alarms and alleviate nurses' alarm fatigue.
Why the study?
Due to high sensitivity and low specificity, ECG monitor clinical alarms occur frequently with suboptimal true and operability rates, prompting diverse management strategies.
This review provides a comprehensive overview of ECG monitor alarm management strategies to address the high frequency of clinical alarms caused by high sensitivity and low specificity.
Answers are grounded in this paper and cite their sources.
Supports alarm bundle consideration to ease nurse fatigue; leaves open need for RCTs before practice change.
心电监护仪作为协助开展诊断和治疗的常用医疗设备,能实时、连续、长时间监测患者重要生命体征参数。但囿于其数据识别的高敏感性和低特异性特点,使得临床警报高频发生,真实率和可操作率却有待考量。近年来,心电监护仪警报管理领域吸引了国内外众多学者的广泛关注。他们针对当前存在的问题,积极探索并提出了诸多富有创新性的改进策略。本文旨在全面综述心电监护仪警报管理的核心环节,系统梳理其管理模式的研究进展,旨在为临床实践中的心电监护仪警报管理提供有益的参考与指导。As a common medical device to assist in diagnosis and treatment, an ECG monitor can monitor important vital sign parameters of patients in real time, continuously and for a long time. However, due to the high sensitivity and low specificity of data recognition, clinical alarms occur frequently, and the true rate and operability rate need to be considered. In recent years, the field of ECG monitor alarm management has attracted extensive attention from many scholars at home and abroad. In view of the current problems, they actively explored and put forward many innovative improvement strategies. The purpose of this article is to comprehensively review the core aspects of ECG monitor alarm management, systematically sort out the research progress of its management mode, and provide useful reference and guidance for ECG monitor alarm management in clinical practice.
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亚亚 琚 (2025) conducted a review in ECG monitor alarm fatigue and management. Clinical alarm management modes (SMART, PDCA, Times, HFMEA, CEASE) was evaluated. Implementation of structured clinical alarm management modes, such as SMART, PDCA, and CEASE bundles, effectively reduces ECG monitor false alarm rates and alleviates nurses' alarm fatigue.
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