Jump to ContentJump to Main Navigation
Show Summary Details
More options …

Biomedical Engineering / Biomedizinische Technik

Editor-in-Chief: Dössel, Olaf

Editorial Board Member: Augat, Peter / Haueisen, Jens / Jockenhoevel, Stefan / Lenarz, Thomas / Leonhardt, Steffen / Plank, Gernot / Radermacher, Klaus M. / Schkommodau, Erik / Stieglitz, Thomas / Boenick, Ulrich / Jaramaz, Branislav / Kraft, Marc / Lenthe, Harry / Lo, Benny / Mainardi, Luca / Micera, Silvestro / Penzel, Thomas / Robitzki, Andrea A. / Schaeffter, Tobias / Snedeker, Jess G. / Sörnmo, Leif / Sugano, Nobuhiko / Werner, Jürgen /

6 Issues per year


IMPACT FACTOR 2016: 0.915
5-year IMPACT FACTOR: 1.263

Online
ISSN
1862-278X
See all formats and pricing
More options …
Volume 56, Issue 2 (Apr 2011)

Issues

Volume 57 (2012)

Medical device alarms

Matthias Borowski
  • Technische Universität Dortmund, Dortmund, Germany
  • Matthias Borowski and Matthias Görges contributed equally to this manuscript.
  • Other articles by this author:
  • De Gruyter OnlineGoogle Scholar
/ Matthias Görges
  • University of Utah, Salt Lake City, UT, USA
  • Matthias Borowski and Matthias Görges contributed equally to this manuscript.
  • Other articles by this author:
  • De Gruyter OnlineGoogle Scholar
/ Roland Fried / Olaf Such / Christian Wrede / Michael Imhoff
Published Online: 2011-03-03 | DOI: https://doi.org/10.1515/bmt.2011.005

Abstract

The high number of false positive alarms has long been known to be a serious problem in critical care medicine – yet it remains unresolved. At the same time, threats to patient safety due to missing or suppressed alarms are being reported. The purpose of this paper is to present results from a workshop titled “Too many alarms? Too few alarms?” organized by the Section Patient Monitoring and the Workgroup Alarms of the German Association of Biomedical Engineering of the Association for Electrical, Electronic and Information Technologies. The current situation regarding alarms and their problems in intensive care, such as lack of clinical relevance, alarm fatigue, workload increases due to clinically irrelevant alarms, usability problems in alarm systems, problems with manuals and training, and missing alarms due to operator error are outlined, followed by a discussion of solutions and strategies to improve the current situation. Finally, the need for more research and development, focusing on signal quality considerations, networking of medical devices at the bedside, diagnostic alarms and predictive warnings, usability of alarm systems, education of healthcare providers, creation of annotated clinical databases for testing, standardization efforts, and patient monitoring in the regular ward, are called for.

Keywords: alarm systems; equipment design; intensive care unit; noise prevention and control; physiologic monitoring; safety management

About the article

Corresponding author: Prof. Dr. med. Michael Imhoff, Deutsche Gesellschaft für Biomedizinische Technik im VDE, Fachausschuss Methodik der Patientenüberwachung, Abteilung für Medizinische Informatik, Biometrie und Epidemiologie, Ruhr-Universität Bochum, Universitätsstraße 150, 44801 Bochum, Germany Phone: +49-231-9730220


Received: 2010-11-01

Accepted: 2011-02-16

Published Online: 2011-03-03

Published Online: 2011-03-03

Published in Print: 2011-04-01


Citation Information: Biomedizinische Technik/Biomedical Engineering, ISSN (Online) 1862-278X, ISSN (Print) 0013-5585, DOI: https://doi.org/10.1515/bmt.2011.005.

Export Citation

Citing Articles

Here you can find all Crossref-listed publications in which this article is cited. If you would like to receive automatic email messages as soon as this article is cited in other publications, simply activate the “Citation Alert” on the top of this page.

[4]
Yong Bai, Duc Do, Quan Ding, Jorge Arroyo Palacios, Yalda Shahriari, Michele M. Pelter, Noel Boyle, Richard Fidler, and Xiao Hu
IEEE Transactions on Biomedical Engineering, 2017, Volume 64, Number 5, Page 1023
[5]
Roland Fried, Sermad Abbas, Matthias Borowski, and Michael Imhoff
Annual Review of Statistics and Its Application, 2017, Volume 4, Number 1, Page 169
[6]
Liqing Yue, Virginia Plummer, and Wendy Cross
Journal of Clinical Nursing, 2017, Volume 26, Number 17-18, Page 2511
[7]
Julie L. Darbyshire, Paul R. Greig, Sarah Vollam, J. Duncan Young, Lisa Hinton, and Daimei Sasayama
PLOS ONE, 2016, Volume 11, Number 4, Page e0153775
[8]
Timothy Onosahwo Iyendo
International Journal of Nursing Studies, 2016, Volume 63, Page 82
[9]
Vessela Krasteva, Irena Jekova, Remo Leber, Ramun Schmid, and Roger Abächerli
Physiological Measurement, 2016, Volume 37, Number 8, Page 1273
[10]
C Daluwatte, L Johannesen, L Galeotti, J Vicente, D G Strauss, and C G Scully
Physiological Measurement, 2016, Volume 37, Number 8, Page 1370
[11]
Sermad Abbas and Roland Fried
Journal of Statistical Computation and Simulation, 2017, Volume 87, Number 1, Page 138
[12]
Michael Schutz, Jeanine K. Stefanucci, Sarah H. Baum, and Amber Roth
The Quarterly Journal of Experimental Psychology, 2017, Volume 70, Number 7, Page 1323
[13]
Krystal Lansdowne, David G. Strauss, and Christopher G. Scully
BMC Nursing, 2016, Volume 15, Number 1
[14]
Rohan Joshi, Carola van Pul, Louis Atallah, Loe Feijs, Sabine Van Huffel, and Peter Andriessen
Physiological Measurement, 2016, Volume 37, Number 4, Page 564
[15]
Matthias Görges, Nicholas C. West, Nancy A. Christopher, Jennifer L. Koch, Sonia M. Brodie, Nasim Lowlaavar, Gillian R. Lauder, and J. Mark Ansermino
Anesthesia & Analgesia, 2016, Volume 122, Number 4, Page 1132
[16]
Ok Min Cho, Hwasoon Kim, Young Whee Lee, and Insook Cho
Healthcare Informatics Research, 2016, Volume 22, Number 1, Page 46
[17]
C. Neuhaus, R. Röhrig, G. Hofmann, S. Klemm, S. Neuhaus, S. Hofer, M. Thalheimer, M.A. Weigand, and C. Lichtenstern
Der Anaesthesist, 2015, Volume 64, Number 12, Page 911
[18]
Keith J. Ruskin and Dirk Hueske-Kraus
Current Opinion in Anaesthesiology, 2015, Volume 28, Number 6, Page 685
[19]
Quan Ding, Yong Bai, Adelita Tinoco, David Mortara, Duc Do, Noel G Boyle, Michele M Pelter, and Xiao Hu
Physiological Measurement, 2015, Volume 36, Number 12, Page 2405
[20]
Shermeen Nizami, James R. Green, and Carolyn McGregor
IEEE Reviews in Biomedical Engineering, 2013, Volume 6, Page 127
[21]
Insup Lee, O. Sokolsky, Sanjian Chen, J. Hatcliff, Eunkyoung Jee, BaekGyu Kim, A. King, Margaret Mullen-Fortino, Soojin Park, A. Roederer, and K. K. Venkatasubramanian
Proceedings of the IEEE, 2012, Volume 100, Number 1, Page 75
[22]
Loriano Galeotti, Christopher G Scully, Jose Vicente, Lars Johannesen, and David G Strauss
Physiological Measurement, 2015, Volume 36, Number 8, Page 1705
[23]
Shuchisnigdha Deb and David Claudio
IIE Transactions on Healthcare Systems Engineering, 2015, Volume 5, Number 3, Page 183
[24]
Colleen Walsh-Irwin and Corrine Y. Jurgens
Dimensions of Critical Care Nursing, 2015, Volume 34, Number 3, Page 134
[25]
C. van Pul, H.P.M.E. v.d. Mortel, J.J.L. v.d. Bogaart, T. Mohns, and P. Andriessen
Acta Paediatrica, 2015, Volume 104, Number 6, Page e247
[26]
J. Edworthy
Journal of the American Medical Informatics Association, 2013, Volume 20, Number 3, Page 584
[27]
Yong Bai, Duc H. Do, Patricia Rae Eileen Harris, Daniel Schindler, Noel G. Boyle, Barbara J. Drew, and Xiao Hu
Journal of Biomedical Informatics, 2015, Volume 53, Page 81
[28]
Christopher G. Scully, Shawn Forrest, Loriano Galeotti, Suzanne B. Schwartz, and David G. Strauss
Annals of Emergency Medicine, 2015, Volume 65, Number 4, Page 400
[29]
Lilly M. Guardia-LaBar, Elizabeth Ann Scruth, Judy Edworthy, Anne M. Foss-Durant, and Daniel Hunter Burgoon
Clinical Nurse Specialist, 2014, Volume 28, Number 3, Page 135
[30]
Thomas Purbaugh
Dimensions of Critical Care Nursing, 2014, Volume 33, Number 1, Page 4
[32]
Judy Edworthy, Christina Meredith, Elizabeth Hellier, and David Rose
Ergonomics, 2013, Volume 56, Number 9, Page 1400
[33]
Matthias Görges, Pamela Winton, Valentyna Koval, Joanne Lim, Jonathan Stinson, Peter T. Choi, Stephan K. W. Schwarz, Guy A. Dumont, and J. Mark Ansermino
Anesthesia & Analgesia, 2013, Volume 117, Number 2, Page 380
[34]
N.M. Kosse, K. Brands, J.M. Bauer, T. Hortobagyi, and C.J.C. Lamoth
International Journal of Medical Informatics, 2013, Volume 82, Number 9, Page 743
[35]
F. R. de Man, S. Greuters, C. Boer, D. P. Veerman, and S. A. Loer
Anaesthesia, 2013, Volume 68, Number 8, Page 804
[36]
Fabian Güiza, Jelle Van Eyck, and Geert Meyfroidt
Journal of Clinical Monitoring and Computing, 2013, Volume 27, Number 4, Page 449
[37]
Avinash Konkani, Barbara Oakley, and Thomas J. Bauld
Biomedical Instrumentation & Technology, 2012, Volume 46, Number 6, Page 478
[38]
Eyal Zimlichman, Martine Szyper-Kravitz, Zvika Shinar, Tal Klap, Shiraz Levkovich, Avraham Unterman, Ronen Rozenblum, Jeffrey M. Rothschild, Howard Amital, and Yehuda Shoenfeld
Journal of Hospital Medicine, 2012, Volume 7, Number 8, Page 628
[39]
Sue Sendelbach
Nursing Clinics of North America, 2012, Volume 47, Number 3, Page 375
[40]
Xiao Hu, Monica Sapo, Val Nenov, Tod Barry, Sunghan Kim, Duc H. Do, Noel Boyle, and Neil Martin
Journal of Biomedical Informatics, 2012, Volume 45, Number 5, Page 913
[41]
Jo M. Solet and Paul R. Barach
Progress in Pediatric Cardiology, 2012, Volume 33, Number 1, Page 85

Comments (0)

Please log in or register to comment.
Log in