中国医学装备2025，Vol.22Issue(8)：17-21,5.DOI:10.3969/j.issn.1672-8270.2025.08.004
心电监护四导心电同步技术与多参数融合技术降低重症监护病房误报警的临床研究
Clinical study on reducing false alarms in ICU by using four-lead ECG synchronization technique and multi-parameter fusion technique
摘要
Abstract
Objective:To assess the effects of recognition function of four-lead electrocardiogram(ECG)synchronization technique and multi-parameter fusion technique in reducing the number of false alarms and improving the quality of alarms in intensive care units(ICU).Methods:Four-lead ECG synchronization technique and multi-parameter fusion technique were used to strengthen the monitoring and assessment for the alarm of clinical monitors,and reduce the false alarm rate of monitors.The clinical alarm data of bed units corresponding to 48 monitors in clinical use of ICU,cardiovascular intensive care unit(CCU)and neurosurgery intensive care unit(NICU)of Hainan General Hospital from October 14 to December 27,2024 were selected.According to the opening and close of the four-lead ECG synchronization and multi-parameter fusion technique algorithm of the monitors,they were divided into group A(opened four-lead ECG synchronization and multi-parameter fusion),group B(opened four-lead ECG synchronization,but closed multi-parameter fusion),group C(closed four-lead ECG synchronization,but opened multi-parameter fusion)and group D(closed four-lead ECG synchronization and multi-parameter fusion),with 12 units in each group.The numbers of total alarms and false alarms generated by monitor of each bed unit among different optimization strategies were compared.Results:The numbers of average daily alarm of the monitors in groups A,B and C were respectively(134.2±32.4)cases,(392.5±68.2)cases and(583.4±126.5)cases,which were lower than those in group D(1 073.2±168.6),with statistically significant differences(Z=3.45,2.94,2.52,P<0.05).The optimization rates of the alarm numbers in groups A,B and C were increased by 87.51%,63.47%and 45.67%,respectively.The rates of average false alarm of the monitors in groups A,B and C were respectively(1.04±0.15)%,(1.73±0.12)%and(2.07±0.08)%,which were lower than(3.76±0.2)%in group D,with statistically significant differences(Z=3.45,2.94,2.52,P<0.05).Conclusion:Four-lead ECG synchronization technique and multi-parameter fusion technique can effectively optimize the number of alarms in ICU,and reduce the proportion of false alarms of monitors in department,and decrease fatigue of medical staffs for alarm.关键词
心电监护仪/四导心电同步技术/多参数融合技术/误报警/报警疲劳Key words
Electrocardiogram(ECG)monitor/Four-lead electrocardiogram(ECG)synchronization technique/Multi-parameter fusion technique/False alarm/Fatigue for alarm分类
医药卫生引用本文复制引用
陈淑芬,黄若曦,黄厚源,郑进方,刘振宇,钟洁琳,方小丽,吴爱梅,王秋芳,吴海燕,陈有建..心电监护四导心电同步技术与多参数融合技术降低重症监护病房误报警的临床研究[J].中国医学装备,2025,22(8):17-21,5.基金项目
中国医学装备协会"基于价值的急救生命支持类设备临床使用评价与管理示范"(2024CAME023) China Medical Equipment Association Demonstration of Value-Based Evaluation and Management of Emergency Life Support Equipment(2024CAME0023) （2024CAME023）
