False Crisis Alarms in Cardiopulmonary Monitoring:: Identification, Causes, and Clinical Implications.

Journal: Critical care nursing clinics of North America
Published Date:

Abstract

The systematic annotation of crisis alarms reveals a high number of false alarms for both ventricular tachycardia and asystole, which are best identified by inspecting simultaneous multilead electrocardiographs. Among the few true crisis alarms, 11 were categorized as ventricular tachycardia, while the remaining 11 were classified as asystole. These false crisis alarms were primarily attributed to artifacts and low QRS voltage. Future research should use artificial intelligence that mimics critical care professionals to identify and evaluate false crisis alarms. This could enhance the algorithms used in physiologic monitors, leading to improved arrhythmia detection and a reduction in false alarms.

Authors

  • Shu-Fen Wung
    College of Nursing, University of Arizona, Tucson, AZ, USA.
  • Millicent Ogoo
    Department of Internal Medicine Service, Piedmont Henry Hospital, Stockbridge, GA, USA.
  • Jennifer L Chow
    Department of Interventional Radiology, Seton Medical Center Harker Heights, Harker Heights, TX, USA.
  • Angela Muzzy
    Adult Critical Care Unit, Tucson Medical Center, Tucson, AZ, USA.