Abstract: 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.

Key words: Electrocardiogram Monitoring, Clinical Alarms, Management Information System, Critical Care Nursing