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In the intensive care setting patient monitors generate many alarms. These alarms are frequently benign, but also unobserved as the caregiver is not at the location where the alarm is delivered. We developed a web-interface, integrated with an alarm manager that provides access to the “patient event” data. Alarm messages can be displayed by care unit and patient. Vital signs at the moment of the “patient...
Patients admitted to the Intensive Cardiac Care Unit are closely monitored by different devices that generate alarms when an abnormality is detected. However, most alarms do not signify a life-threatening event. During a four month period 34,827 alarms were collected electronically. The most frequent alarm categories were related to mechanical ventilation (42.2%), blood pressure (32.3%), electrocardiogram...
This paper evaluates the design and implementation of a long-term full disclosure archiving system for use in patient monitoring settings. The eData TapeRec system continuously collects and stores waveforms, parameters and monitoring alarms from the patient monitors in the intensive care cardiology unit, intensive care thoracic surgery unit, the medium care units and operating rooms of the Erasmus...
The "Integrating the Healthcare Enterprise" (IHE) initiative has defined an Alarm Communication Management (ACM) profile as part of the Patient Care Device (PCD) domain in order to communicate alarms from patient monitoring and therapeutic devices in a consistent way. We developed and implemented an extensible, open source toolkit (C#) based on the ACM profile and interfaced our patient...
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