Search results for "alarms"
showing 9 items of 9 documents
Topical Issues in Venous Thromboembolism
2010
Despite clear guidelines and the availability of effective treatments, venous thromboembolism (VTE) remains relatively common, particularly in the hospital setting. This paper reviews topical issues in VTE, in terms of treatments, data and guidelines. Existing anticoagulants have several limitations. Bleeding risk is a concern with all anticoagulants. Vitamin K antagonists are the mainstay of oral anticoagulant therapy, but they are limited by the need for frequent monitoring. Unfractionated heparin (UFH) is limited by an inconvenient route of administration (continuous intravenous infusion) and a higher risk of heparin-induced thrombocytopenia and bleeding compared with low molecular weigh…
Performance variability, impulsivity errors and the impact of incentives as gender-independent endophenotypes for ADHD
2010
Background:Attention-deficit hyperactivity disorder (ADHD) is one of the most common and highly heritable child psychiatric disorders. There is strong evidence that children with ADHD show slower and more variable responses in tasks such as Go/Nogo tapping aspects of executive functions like sustained attention and response control which may be modulated by motivational factors and/or state-regulation processes. The aim of this study was (1) to determine if these executive functions may constitute an endophenotype for ADHD; (2) to investigate for the first time whether known modulators of these executive functions may also be familial; and (3) to explore whether gender has an impact on thes…
Testing physiologic monitor alarm customization software to reduce alarm rates and improve nurses’ experience of alarms in a medical intensive care u…
2018
BACKGROUND:Clinicians in intensive care units experience alarm fatigue related to frequent false and non-actionable alarms produced by physiologic monitors. To reduce non-actionable alarms, alarm settings may need to be customized for individual patients; however, nurses may not customize alarms because of competing demands and alarm fatigue. OBJECTIVE:To examine the effectiveness and acceptance of physiologic monitor software to support customization of alarms. METHODS:This pre/post intervention study was conducted in a 56-bed medical intensive care unit. IntelliVue® Alarm Advisor customization support software for alarm limit violations was installed on all monitors and education on its u…
Ventilator Settings to Avoid Nuisance Alarms During Mouthpiece Ventilation
2016
BACKGROUND: A recent study found that activation of disconnection and low-pressure alarms is common during mouthpiece ventilation and may represent a major limitation to its use. The aim of this bench study was: (1) to investigate the technical aspects that can influence the setting of the ventilator during mouthpiece ventilation and (2) to provide a practical setting strategy to avoid the alarm activation. METHODS: Eight life-support ventilators able to deliver volume controlled ventilation were tested in a bench study using a single-limb non-vented circuit configuration connected to a standard mouthpiece. Disconnection and apnea alarm were turned off or set at the least sensitive setting.…
Kan brist i alarmkjeden unngås? : Delphistudie med funn av faktorer som er viktige for kvalitetssikring i et velferdsteknologisk responssenter
2016
Masteroppgave i helse- og sosialinformatikk- Universitetet i Agder, 2016 The future brings with it an increased number of elderly in need of aid or assistance. One way of meeting these challenges is an increased usage of healthcare technological solutions. Through media, it is illustrated that there have been several unfortunate incidents related to the handling of personal alarm systems. This has happened not only when receiving an alarm at the responsecenter, but also with the turn-out at the place of emergency. The goal with this study is to identify important factors that are necessary to secure the quality at the responsecenters when the alarms are received and how they are forwarded a…
Incidence of potential drug interactions in a transplant centre setting and relevance of electronic alerts for clinical practice support
2013
Background Adverse drug events may occur as a result of drug–drug interactions (DDIs). Information technology (IT) systems can be an important decision-making tool for healthcare workers to identify DDIs.Objective The aim of the study is to analyse drug prescriptions in our main hospital units, in order to measure the incidence and severity of potential DDIs. The utility of clinical decision-support systems (CDSSs) and computerised physician order entry (CPOE) in term of alerts adherence was also assessed. DDIs were assessed using a Micromedex healthcare series database.Methods The system, adopted by the hospital, generates alerts for prescriptions with negative interactions and thanks to a…
Telemonitoring in chronic pain management using smartphone apps: a randomized controlled trial comparing usual assessment against app-based monitorin…
2020
Background. The usefulness of mHealth in helping to target face-to-face interventions for chronic pain more effectively remains unclear. In the present study, we aim to test whether the Pain Monitor mobile phone application (app) is well accepted by clinicians, and can help improve existent medical treatments for patients with chronic musculoskeletal pain. Regarding this last goal, we compared three treatment conditions, namely usual treatment, usual treatment with an app without alarms and usual treatment with an app with alarms. All treatments lasted one month. The three treatments were compared for all outcomes, i.e., pain severity and interference, fatigue, depressed mood, anxiety and a…
Informasjonsflyt ved mottak og respons på trygghetsalarmer : en casestudie for å undersøke hvilken betydning tilgang på informasjon og informasjonsfl…
2016
Masteroppgave i helse- og sosialinformatikk- Universitetet i Agder, 2016 The theme of this study is security alarms and information flow. The background for the study is estimates regarding an upcoming growing number of security alarms in municipal healthcare services, recommendations on the transition from analogue to digital security alarms, and reports on the current organization of the safety alarms of varying quality and low efficiency (Frantzen, 2014; Fensli, 2015 Kvernland-Berg, 2014). Purpose The aim of this study was to find what importance access to information and information flow had in the working process with security alarms for a future-oriented health services. Method The su…