Resuscitation patients are monitored for various physiological parameters. When these parameters exceed abnormal thresholds, an audible alarm is triggered. Given the complexity of physiological situations and the number of monitored parameters, the number of alarms within an intensive care unit is significant. In the literature, the number ranges from 100 to 350 alarms per patient per day. Among these alarms, 74 to 99% are deemed irrelevant as they provide false or insignificant information. This study will enable to assess the efficacy of a restrictive protocol for managing alarms as a means of rationalizing their use.
Patient aged ≥ 18 years
Patient admitted to the intensive care unit of the ST-ETIENNE University Hospital
Patient affiliated or entitled to a social security system
Patient having received informed information about the study and having co-signed, with the investigator, a consent to participate in the study or, for patients who are unable to consent due to health condition, a trusted person/family member who has been informed about the study and has who has co-signed, with the investigator, a consent to participate
Pregnant and nursing women
Persons of legal age under guardianship
Parallel
alarm management left to the discretion of the nurse
Devicealarm management left to the discretion of the nurse in charge of the patient
restrictive alarm use strategy
Devicemore restrictive protocol for the use of alarms
efficiency criterion: the number of alarms per patient per day
An efficiency criterion: the number of alarms per patient per day
A safety criterion: the length of time patients have potentially dangerous heart rate, blood pressure or oxygen saturation values
A safety criterion: the length of time patients have potentially dangerous heart rate, blood pressure or oxygen saturation values.
Incidence of serious adverse events
Incidence of serious adverse events
Alarm response time
Alarm response time: the time between the alarm being triggered and the acoustic signal being silenc
Evaluation of patient perception using the Discomforts of intensive care patients questionnaire
Evaluation of patient perception using the Discomforts of intensive care patients questionnaire. The Discomforts of intensive care patients questionnaire validated in intensive care and in French, assesses 16 sources of discomfort, including noise. The questionnaire is given to patients before they are discharged from intensive care. The questionnaire scores range from 0 to 100, with the highest score indicating maximum discomfort.
Sound level measurement using a sound level meter
Sound level measurement using a sound level meter. A measuring instrument will be placed in the rooms of the patients included during the day for 4 consecutive hours on day 1, 3 and 7. This part of the study will be carried out in conjunction with occupational medicine and the Quality, Risk Management and Patient Experience Department, which already carry out this type of measurement as part of their assessment of working conditions.
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Centre Hospitalier Universitaire de Saint Etienne
Lead sponsor
Ministry of Health, France
Collaborator
