Smart alarms from medical devices in the OR and ICU

Alarms in medical devices are a matter of concern in critical and perioperative care. The high rate of false alarms is not only a nuisance for patients and caregivers, but can also compromise patient safety and effectiveness of care. The development of alarm systems has lagged behind the technologic...

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Bibliographic Details
Published in:Best practice & research. Clinical anaesthesiology 2009-03, Vol.23 (1), p.39-50
Main Authors: Imhoff, Michael, Priv.-Doz. Dr. med, Kuhls, Silvia, Dr. rer. nat, Gather, Ursula, Prof. Dr. rer. nat, Fried, Roland, Prof. Dr. rer. nat
Format: Article
Language:English
Subjects:
alarm algorithms
alarm systems
Algorithms
Anesthesia & Perioperative Care
Artificial Intelligence
device alarms
Equipment Design - methods
Equipment Design - statistics & numerical data
Equipment Failure - statistics & numerical data
false alarms
Humans
Intensive Care Units
Monitoring, Physiologic - instrumentation
Multivariate Analysis
Operating Rooms
statistical time-series analysis
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Summary:Alarms in medical devices are a matter of concern in critical and perioperative care. The high rate of false alarms is not only a nuisance for patients and caregivers, but can also compromise patient safety and effectiveness of care. The development of alarm systems has lagged behind the technological advances of medical devices over the last 20 years. From a clinical perspective, major improvements in alarm algorithms are urgently needed. This review gives an overview of the current clinical situation and the underlying problems, and discusses different methods from statistics and computational science and their potential for clinical application. Some examples of the application of new alarm algorithms to clinical data are presented.
ISSN:1521-6896
1532-169X
DOI:10.1016/j.bpa.2008.07.008