关键词: 临床警报；多参数监护仪；警报管理；多学科团队合作；医疗设备；患者安全

Abstract: Objective: To establish a clinical alarm management model based on multidisciplinary team cooperation and evaluate the implementation effect, and to explore new methods of patient safety management. Methods: According to the four important links in the life cycle of alarm including generation, transmission, identification and response, the key members and responsibilities of the alarm management team are clarified taking multi-parameter monitors as examples through the method of expert discussion. Besides, specific alarm management measures were obtained via evidence-based literature reviews, expert consultation as well as experimental researches, and finally put into practice. Results: The number of alarms in care unit was significantly reduced. Meanwhile the alarm set pass rate, alarm response rate, and equipment accessory pass rate were significantly improved. Statistical differences could be observed when contrasting scores of nurses' knowledge of alarm, their attitudes and behaviors before and after the implementation of the model. Conclusion: The establishment of a clinical alarm management model for medical device based on multidisciplinary team cooperation has improved nurses' competence to address clinical alarms and thus enhanced management over clinical alarms.

Key words: clinical alarms; multi-parameter monitors; alarm management; multidisciplinary team cooperation; medical device; patient safety