Alert-Grouping: Smart Personalization of Monitoring System Thresholds to Help Healthcare Teams Struggle with Alarm Fatigue in Intensive Care.

In Intensive Care Units (ICUs), patients are monitored using various devices that generate alerts when specific metrics, such as heart rate and oxygen saturation, exceed predetermined thresholds. However, these alerts can be inaccurate and lead to alert fatigue, resulting in errors and inaccurate di...

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Publicado en:Journal of Medical Systems Vol. 47; no. 1; pp. 1 - 9
Autores principales: Rozenes, Shai, Fux, Adi, Kagan, Ilya, Hellerman, Moran, Tadmor, Boaz, Benis, Arriel
Formato: pictorial research tables/charts Journal Article
Publicado: Springer Nature 11/7/2023
Acceso en línea:Ver este registro en EBSCOhost
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      pub: Springer Nature
      place: New York, New York
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        10.1007/s10916-023-02010-6
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        atl: Alert-Grouping: Smart Personalization of Monitoring System Thresholds to Help Healthcare Teams Struggle with Alarm Fatigue in Intensive Care.
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          Rozenes, Shai
          Fux, Adi
          Kagan, Ilya
          Hellerman, Moran
          Tadmor, Boaz
          Benis, Arriel
        affil: https://ror.org/02prqh017 Faculty of Industrial Engineering and Technology Management, Holon Institute of Technology, 5810201, Holon, Israel
      sug:
        subj:
          Intensive Care Units
          Monitoring, Physiologic Methods
          Individualized Medicine
          Patient Safety
          Mental Fatigue Prevention and Control
          Health Personnel Psychosocial Factors
          Equipment Alarm Systems
          Critical Care
          Health Information Systems
          Decision Support Systems, Clinical
          Electronic Order Entry
          Medication Errors Risk Factors
          Diagnostic Errors Risk Factors
          Quality of Health Care
          Precision
          Reminder Systems Equipment and Supplies
          Multidisciplinary Care Team
          Human
          Algorithms
      ab: In Intensive Care Units (ICUs), patients are monitored using various devices that generate alerts when specific metrics, such as heart rate and oxygen saturation, exceed predetermined thresholds. However, these alerts can be inaccurate and lead to alert fatigue, resulting in errors and inaccurate diagnoses. We propose Alert grouping, a "Smart Personalization of Monitoring System Thresholds to Help Healthcare Teams Struggle Alarm Fatigue in Intensive Care" model. The alert grouping looks at patients at the individual and cluster levels, and healthcare-related constraints to assist medical and nursing teams in setting personalized alert thresholds of vital parameters. By simulating the function of ICU patient bed devices, we demonstrate that the proposed alert grouping model effectively reduces the number of alarms overall, improving the alert system's validity and reducing alarm fatigue. Implementing this personalized alert model in ICUs boosts medical and nursing teams' confidence in the alert system, leading to better care for ICU patients by significantly reducing alarm fatigue, thereby improving the quality of care for ICU patients.
      pubtype: Academic Journal
      doctype:
        pictorial
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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