Original Article
Summary of evidence for threshold setting of multi-parameter electrocardiograph monitor in intensive care unit
Li Ting, Hu Huiling, Wu Xue
Published 2023-06-28
Cite as Chin Crit Care Med, 2023, 35(6): 643-650. DOI: 10.3760/cma.j.cn121430-20230228-00121
Abstract
ObjectiveTo retrieve the evidence for threshold setting of multi-parameter electrocardiograph (ECG) monitors in intensive care unit (ICU), and summarize the best evidence.
MethodsAfter literature retrieval, clinical guidelines, expert consensus, evidence summary and systematic review that met the requirements were screened. Guidelines were evaluated by the appraisal of guidelines for research and evaluation Ⅱ (AGREEⅡ), expert consensus and systematic review were evaluated by the Australian JBI evidence-based health care center authenticity evaluation tool, and evidence summary was evaluated by the CASE checklist. High-quality literature was selected to extract evidence related to the use and setup of multi-parameter ECG monitors in the ICU.
ResultsA total of 19 literatures were included, including 7 guidelines, 2 expert consensus, 8 systematic reviews, 1 evidence summary, and 1 national industry standard. After evidence extraction, translation, proofreading and summary, a total of 32 pieces of evidence were integrated. The included evidence involved the environmental preparation for the application of the ECG monitor, the electrical requirements of the ECG monitor, ECG monitor use process, ECG monitor alarm setting principles, ECG monitor alarm heart rate or heart rhythm monitoring setting, ECG monitor alarm blood pressure monitoring setting, ECG monitor alarm respiratory and blood oxygen saturation threshold setting, alarm delay warning time setting, adjusting alarm setting method, evaluating alarm setting time, improving the comfort of monitoring patients, reducing nuisance alarm report the occurrence, alarm priority processing, alarm intelligent processing and so on.
ConclusionsThis summary of evidence involves many aspects of the setting and application of ECG monitor. According to the latest guidelines and expert consensus, it is updated and revised to guide healthcare workers to monitor patients more scientifically and safely, and aims to ensure patient safety.
Key words:
Intensive care unit; Multi-parameter electrocardiograph monitor; Patient safety; Threshold setting
Contributor Information
Li Ting
School of Nursing, Peking University, Beijing 100191, China
Hu Huiling
School of Nursing, Peking University, Beijing 100191, China
Wu Xue
School of Nursing, Peking University, Beijing 100191, China
