Abstract: Objective Based on the system engineering initiative to patients safety model（SEIPS）,the experience and needs of ICU medical staff in clinical alarm management were analyzed to provide reference for formulating relevant strategies of clinical alarm management. Methods A phenomenological research method was adopted to conduct semi-structured interviews with 12 ICU medical staff in a tertiary Grade A general hospital in Wenzhou from September to November 2023. Colaizzi 7-step analysis method was adopted to analyze data,summarize and extract topics,and SEIPS model was used as the analysis framework. Results Five topics were summarized,including the adverse effects of improper alarm management on both medical staff and patients,the help and hindrance of alarm for work tasks,the interaction between alarm and internal and external environment,the status quo and difficulties of alarm management at the organizational level,and the need to improve and optimize the alarm system. Conclusion Clinical alarm management is affected by multiple factors. In clinical practice,we should improve the efficiency and safety of alarm management in an all-round way by monitoring alert-related adverse events,carrying out diversified training and education,and applying intelligent tools and technologies,so as to reduce the workload of ICU medical staff and effectively ensure patient safety.

Key words: Intensive Care Unit, Nursing Care, Alarm Management, SEIPS Model, Qualitative Research, Intelligence