Evaluation of the effect of optimizing the alarm response management process of ECG monitor in emergency rescue room based on medical failure mode and effect analysis
ZHAO Hong
MA Junjie
WANG Shuo
SHAN Kai
YAO Wenjia
Abstract：Objective To explore the application effect of health failure mode and effect analysis(HFMEA)in optimizing the alarm response management process of ECG monitor in emergency rescue room.Methods A total of 48 patients admitted to the emergency rescue room between July and September 2023 were selected into the control group,while another 48 patients admitted in the following 3 months were chosen into the observation group.Routine procedures were followed to respond to the alarm of the electric monitor in the control group,while the optimized process based on HFMEA was adopted in the observation group.The false alarm rate,alarm response efficiency and alarm fatigue score of nurses were compared between the two groups.Results The false alarm rate of ECG monitor and the alarm fatigue score in the observation group were significantly lower than that of the control group(x2=156.225,P＜0.001;t=5.093,P＜0.001),while the effective rate of alarm response was significantly higher than that of the control group(x2=81.823,P＜0.001).Conclusion The HFMEA-based alarm response process lowers the false alarm rate of the ECG monitor,the alarm fatigue of nurses and the nursing risk caused by the defects of the monitor alarm response management,but improves the efficiency of the alarm response.
Keywords：Medical failure mode and effect analysisEmergency rescue roomECG monitorAlarm responseProcess optimization
Publication Date：2024-06-28
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：5( 331-335 )