目的 研发心电监护报警设置半自动生成系统,并探讨其在ICU监护仪报警管理中的应用效果。方法 组建研发小组,开发心电监护报警设置半自动生成系统。2022年5月在浙江省杭州市某三级甲等医院ICU、急诊重症监护室、重症康复病区中应用,比较系统应用后（2022年5月—10月）与应用前（2022年1月—3月）监护仪报警设置的正确率以及临床护士对该系统的满意度。结果 应用心电监护报警设置半自动生成系统后,监护仪报警设置正确率（99.18%和98.14%）均高于实施前（93.05%）,差异有统计学意义（P<0.05）。59名护士对该系统的满意度总分为（104.96±12.09）分。结论 心电监护报警设置半自动生成系统的使用有助于提高临床监护仪报警设置的正确率,护士对心电监护报警设置半自动生成系统满意度较高。
Objective To develop a semi-automatic generation system for ECG monitoring alarm settings,and to discuss its application effect in ICU monitor alarm management. Methods A research and development team was established to develop a semi-automatic generation system for ECG monitoring alarm settings. In May 2022,it was applied in the ICU of a tertiary hospital in Zhejiang Province. The accuracy of monitor alarm settings and clinical nurse's satisfaction with this system after the system application（May to October,2022）were compared with that before the system application（January to March,2022）. Results After the application of the semi-automatic generation system for ECG monitoring alarm settings,the accuracy rate of monitor alarm settings was 99.18% and 98.14%,which were significantly higher than that before the implementation（93.05%）,and the differences were statistically significant（P<0.05）. The satisfaction score of 59 nurses was （104.96±12.09）. Conclusion The use of the semi-automatic generation system for ECG monitoring alarm settings is helpful to improve the accuracy rate of clinical monitor alarm settings. Nurses are highly satisfied with the semi-automatic generation system for ECG monitoring alarm settings.
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