Clinical alarm hazards: a "top ten" health technology safety concern.

Abstract:

:For the past several years ECRI Institute has published a list of Top Ten Health Technology Hazards. This list is based on ECRI's extensive research in health technology safety and on data provided to its problemreporting systems. For every year that the Top Ten list has been published, Alarm Hazards have been at or near the top of the list. Improving alarm safety requires a systematic review of a hospital's alarm-based technologies and analysis of alarm management policies like alarm escalation strategies and staffing patterns. It also requires careful selection of alarm setting criteria for each clinical care area. This article will overview the clinical alarm problems that have been identified through ECRI Institute's research and analysis of various problem reporting databases, including those operated by ECRI Institute. It will also highlight suggestions for improvement, particularly from a technology design and technology management perspective.

journal_name

J Electrocardiol

authors

Keller JP Jr

doi

10.1016/j.jelectrocard.2012.08.050

subject

Has Abstract

pub_date

2012-11-01 00:00:00

pages

588-91

issue

6

eissn

0022-0736

issn

1532-8430

pii

S0022-0736(12)00356-1

journal_volume

45

pub_type

杂志文章,评审
  • Estimation of myocardial infarct size by digital computer analysis of the VCG.

    abstract::This study described the linear relationship of the myocardial infarct size, measured postmortem, to the integral of the sequential vector spatial magnitudes analyzed at 400 samples per second during the initial period of abnormal depolarization (IAD) in 25 patients with myocardial infarction (MI) and ten controls. Th...

    journal_title:Journal of electrocardiology

    pub_type: 杂志文章

    doi:10.1016/s0022-0736(82)81002-9

    authors: Cowan MJ,Reichenbach DD,Bruce RA,Fisher L

    更新日期:1982-10-01 00:00:00

  • The electrophysiologic effects of oral cibenzoline.

    abstract::Five male patients with chronic stable ventricular arrhythmias underwent a placebo controlled ascending dose study with oral cibenzoline, a new type 1 antiarrhythmic drug. Ambulatory ECG (Holter) recordings and electrophysiologic studies were done while on placebo and on the maximum dose of cibenzoline. Drug toxicity,...

    journal_title:Journal of electrocardiology

    pub_type: 临床试验,杂志文章

    doi:10.1016/s0022-0736(84)80020-5

    authors: Kushner M,Magiros E,Peters R,Carliner N,Plotnick G,Fisher M

    更新日期:1984-01-01 00:00:00

  • Computing and visualizing electric potentials and current pathways in the thorax.

    abstract::The long-term goal of electrocardiography is to relate electric potentials on the body surface with activities in the heart. Many previously reported studies have focused on direct links between heart and body surface potentials. The goals of this study were first to validate computational methods of determining volum...

    journal_title:Journal of electrocardiology

    pub_type: 杂志文章

    doi:10.1054/jelc.2000.20309

    authors: Ni Q,MacLeod RS,Punske BB,Taccardi B

    更新日期:2000-01-01 00:00:00

  • Mechanism of reperfusion arrhythmia prostaglandin as a washout metabolite.

    abstract::This study was designed to clarify the mechanism of reperfusion arrhythmia. In the mongrel dogs, the left anterior descending coronary artery was occluded for 15 min and then the ligation was released. The dogs were divided into two groups: one was the control group, and the other the indomethacin group in which indom...

    journal_title:Journal of electrocardiology

    pub_type: 杂志文章

    doi:10.1016/s0022-0736(82)81012-1

    authors: Miyazaki Y,Kotaka K,Ogawa K,Satake T,Sugiyama S,Ozawa T

    更新日期:1982-10-01 00:00:00

  • Effects of magnesium sulfate on electrical ventricular defibrillation of dogs.

    abstract::Magnesium ion infusion has been reported for treatment of hypomagnesemia often associated with myocardial infarction and with surgeries involving cardiopulmonary bypass (CPB). Magnesium infusion before CPB has been reported to adversely affect the ability to defibrillate after CPB. However, there are also reports of m...

    journal_title:Journal of electrocardiology

    pub_type: 杂志文章

    doi:10.1016/s0022-0736(98)90045-0

    authors: McDaniel WC,Curtis JJ,Walls JT,Madsen RW

    更新日期:1998-04-01 00:00:00

  • Electrocardiographic classification of acute coronary syndromes: a review by a committee of the International Society for Holter and Non-Invasive Electrocardiology.

    abstract::The electrocardiogram (ECG) remains the most immediately accessible and widely used diagnostic tool for guiding emergency treatment strategies. The ECG recorded during acute myocardial ischemia is of diagnostic, therapeutic, and prognostic significance. In patients with myocardial ischemia as a result of decreased blo...

    journal_title:Journal of electrocardiology

    pub_type: 杂志文章,评审

    doi:10.1016/j.jelectrocard.2009.07.009

    authors: Nikus K,Pahlm O,Wagner G,Birnbaum Y,Cinca J,Clemmensen P,Eskola M,Fiol M,Goldwasser D,Gorgels A,Sclarovsky S,Stern S,Wellens H,Zareba W,de Luna AB

    更新日期:2010-03-01 00:00:00

  • Pauses in atrial rhythm in a patient with limb-girdle muscular dystrophy: A case report.

    abstract::A 58-year-old woman with a history of multi-origin atrial tachycardia and limb-girdle muscular dystrophy was treated for presyncope caused by pauses in atrial rhythm. A dual-chamber pacemaker was implanted. The low-voltage area extended broadly, but 10-V pacing could not capture the large right atrium, including the r...

    journal_title:Journal of electrocardiology

    pub_type: 杂志文章

    doi:10.1016/j.jelectrocard.2020.05.003

    authors: Miki T,Shirayama T,Shiraishi H,Hirao Y,Matoba S

    更新日期:2020-01-01 00:00:00

  • Will the electrocardiograph replace the electrocardiographer?

    abstract::Professional groups, endorsed by individual cardiologists involved in the practice of electrocardiology, have recently issued official policy statements declaring that there is no computer program for electrocardiographic interpretation that can replace interpretation by a skilled physician, and consequently, all comp...

    journal_title:Journal of electrocardiology

    pub_type: 杂志文章

    doi:

    authors: Rautaharju PM

    更新日期:1993-01-01 00:00:00

  • Relationship between ventricular rate and cardiac output in mimic experimental atrial fibrillation.

    abstract::In treating atrial fibrillation (AF) the goal of ventricular rate reduction is still not determined. An animal model of AF was developed in which the relationship between ventricular rate and the parameters of cardiac function in AF can be studied. To simulate AF, complete heart block was chemically produced on open-c...

    journal_title:Journal of electrocardiology

    pub_type: 杂志文章

    doi:10.1016/s0022-0736(05)80100-1

    authors: Liau CS,Chen MF,Lin FY,Tsai CH,Lee YT

    更新日期:1994-04-01 00:00:00

  • Re-entry near the site of the ventricular parasystolic focus: an ECG study of patients with artificial ventricular pacemakers.

    abstract::Morphology of ventricular ectopic complexes was examined in 1,746 ECGs of 149 patients with permanent ventricular pacemakers. In 20 of 80 patients (25%) the morphology of ventricular ectopic complexes was similar to that of the paced complex. This resulted in a ventricular couplet where the spontaneous premature compl...

    journal_title:Journal of electrocardiology

    pub_type: 杂志文章

    doi:10.1016/s0022-0736(80)80039-2

    authors: Surawicz B,Kuo CS,Reddy CP

    更新日期:1980-04-01 00:00:00

  • 16-lead ECG changes with coronary angioplasty. Location of ST-T changes with balloon occlusion of five arterial perfusion beds.

    abstract::Percutaneous transluminal coronary angioplasty (PTCA) occlusion in five individual coronary artery distributions produced significant ST elevation ("current of injury") in 48/50 PTCAs in 46 patients. Four patients had PTCA of two separate coronary arteries. Two patients had no significant ischemic ST changes in the 16...

    journal_title:Journal of electrocardiology

    pub_type: 杂志文章

    doi:

    authors: Saetre HA,Selvester RH,Solomon JC,Baron KA,Ahmad J,Ellestad ME

    更新日期:1992-01-01 00:00:00

  • Deep inspiration induced sinus arrest. An unusual manifestation in a patient with the sick sinus syndrome.

    abstract::In a patient with the sick sinus syndrome and near syncope a prolonged sinus pause was documented and reproduced thereafter during sustained deep inspiration. Administration of intravenous atropine abolished this phenomenon, most probably indicating a hyperresponsiveness of the sinus node and AV junction to a vagotoni...

    journal_title:Journal of electrocardiology

    pub_type: 杂志文章

    doi:10.1016/s0022-0736(86)80012-7

    authors: Strasberg B,Sclarovsky S,Arditti A,Lewin RF,Agmon J

    更新日期:1986-01-01 00:00:00

  • 2:1 left bundle branch block in acute bacterial endocarditis with septal abscess.

    abstract::This report presents an unusual type of conduction disturbance of the left bundle branch which appeared in a patient with acute bacterial endocarditis of the aortic valve in which the septum was also invaded. This is the first case found in which the partial left bundle branch block (LBBB) was of acute inflammatory or...

    journal_title:Journal of electrocardiology

    pub_type: 杂志文章

    doi:10.1016/s0022-0736(77)80073-3

    authors: Fenichel NM,Jimenez FA,Polachek AA

    更新日期:1977-07-01 00:00:00

  • Assessment of electrocardiographic parameters in patients with electrocution injury.

    abstract:BACKGROUND:Electrocution injury (EI) is a major problem in developing countries. The aim of this study is to investigate the effect of EI on electrocardiographic (ECG) parameters. METHODS:A total of 43 patients hospitalized with diagnosis of EI were prospectively enrolled. Admission ECGs were compared with follow-up E...

    journal_title:Journal of electrocardiology

    pub_type: 杂志文章

    doi:10.1016/j.jelectrocard.2015.06.009

    authors: Karataş MB,Onuk T,Güngör B,İpek G,Özcan KS,Kaplangöray M,Çanga Y,Durmuş G,Çakıllı Y,Bolca O

    更新日期:2015-09-01 00:00:00

  • Distribution and determinants of QRS rotation of black and white persons in the general population.

    abstract:BACKGROUND:The prevalence and determinants of QRS transition zones are not well established. METHODS:We examined the distributions of Normal, clockwise (CW) and counterclockwise (CCW)) QRS transition zones and their relations to disease, body size and demographics in 4624 black and white men and women free of cardiova...

    journal_title:Journal of electrocardiology

    pub_type: 杂志文章

    doi:10.1016/j.jelectrocard.2017.10.004

    authors: Prineas RJ,Zhang ZM,Stevens CE,Soliman EZ

    更新日期:2018-01-01 00:00:00

  • Electrocardiographic changes in precordial leads during selective coronary angiography.

    abstract::Precordial electrocardiographic leads V1, V2, V5, V6, and limb leads I and II were recorded simultaneously utilizing radio transparent electrodes and wire leads during coronary angiography in 35 patients with obstructive coronary disease and in 17 subjects with normal coronary angiograms. The pattern of electrocardiog...

    journal_title:Journal of electrocardiology

    pub_type: 杂志文章

    doi:10.1016/s0022-0736(76)80047-7

    authors: McCans JL,Castillo HT,Swanick EJ,Marriott HJ

    更新日期:1976-01-01 00:00:00

  • Alternating Wolff-Parkinson-White syndrome associated with attack of angina.

    abstract::In a patient with Wolff-Parkinson-White syndrome and an inferior-posterior bypass tract, transient restoration of normal conduction occurred during an attack of angina. The ECG pattern of inferior posterior ischemia was present when the conduction was normal. Thallium scintigraphy showed a reversible posterolateral pe...

    journal_title:Journal of electrocardiology

    pub_type: 杂志文章

    doi:10.1016/0022-0736(90)90165-x

    authors: Mangiafico RA,Petralito A,Grimaldi DR

    更新日期:1990-07-01 00:00:00

  • Electrocardiographic patterns of left bundle-branch block caused by intraventricular conduction impairment in working myocardium: a model study.

    abstract:UNLABELLED:By definition, the electrocardiographic (ECG) patterns of left bundle-branch block (LBBB) represent distinctive changes in duration and shape of the QRS complex caused by intraventricular conduction delay in the left ventricle (LV) due to structural abnormalities in the His-Purkinje conduction system and/or ...

    journal_title:Journal of electrocardiology

    pub_type: 杂志文章

    doi:10.1016/j.jelectrocard.2011.03.007

    authors: Bacharova L,Szathmary V,Mateasik A

    更新日期:2011-11-01 00:00:00

  • Implantable loop recorders in pediatric practice.

    abstract::Symptoms of syncope and palpitations are not uncommon in children with and without heart disease. They present a diagnostic dilemma when conventional cardiovascular testing is inconclusive. The implantable loop recorder (ILR) has been shown to play an important role in diagnosing recurrent syncope in adult patients. I...

    journal_title:Journal of electrocardiology

    pub_type: 杂志文章

    doi:10.1054/jelc.2002.37170

    authors: Bloemers BL,Sreeram N

    更新日期:2002-01-01 00:00:00

  • Prognostic value of heart rate variability in patients with hypertrophic cardiomyopathy.

    abstract::Hypertrophic cardiomyopathy (HCM) have been reported to display impaired heart rate variability, although little is known regarding its prognostic value. By using fast Fourier transformation of 24-hour Holter recordings in 73 HCM patients at a stable clinical condition, we computed 4 spectral components: very low freq...

    journal_title:Journal of electrocardiology

    pub_type: 杂志文章

    doi:10.1016/j.jelectrocard.2003.08.005

    authors: Kawasaki T,Azuma A,Sakatani T,Hadase M,Kamitani T,Kawasaki S,Kuribayashi T,Sugihara H

    更新日期:2003-10-01 00:00:00

  • Mechanisms of ST change in partial thickness ischemia.

    abstract::The origin of ST depression in ischemia remains poorly understood. The accepted source is of intracellular current flowing between the ischemic and non ischaemic muscle both in systole and diastole such that the AC recorded electrocardiogram shows ST elevation over the ischemic area. The difficulty comes with partial ...

    journal_title:Journal of electrocardiology

    pub_type: 杂志文章

    doi:10.1016/j.jelectrocard.2003.09.002

    authors: Kilpatrick D,Johnston PR,Li DS

    更新日期:2003-01-01 00:00:00

  • Effects of supernormal capture on directly measured nonmodulated parasystolic cycles.

    abstract::Pacemaker capture during the supernormal period was seen in a case of modulated parasystole where ectopic cycles occurred without any interposed nonparasystolic beat. This contrasts with previous clinical reports, since, in the latter, the parasystolic cycle length could not be measured directly. As in experimental st...

    journal_title:Journal of electrocardiology

    pub_type: 杂志文章

    doi:10.1016/0022-0736(89)90003-4

    authors: Castellanos A,De La Hera A,Luceri RM,Mendoza IJ,Myerburg RJ

    更新日期:1989-10-01 00:00:00

  • QT interval and repolarization time in patients with intraventricular conduction delay.

    abstract::A prolonged QT interval is an important prognostic indicator for cardiac arrhythmias and sudden death. The conventional QT interval measurement, however, includes in its measure the cardiac depolarization (QRS) as well as the cardiac repolarization (JT) intervals. To evaluate the relative contribution of the depolariz...

    journal_title:Journal of electrocardiology

    pub_type: 临床试验,杂志文章

    doi:10.1016/0022-0736(90)90150-z

    authors: Das G

    更新日期:1990-01-01 00:00:00

  • The cellular electropharmacology of the simultaneous administration of propranolol and mexiletine: a class I and II antiarrhythmic drug combination.

    abstract::The addition of propranolol to mexiletine may reduce the adverse effects of mexiletine and possibly increase its efficacy. We compared the cellular electrophysiologic effects of this combination with mexiletine and propranolol alone, over concentration ranges of 3.2 to 100 microM mexiletine and 0.80 to 25.0 microM pro...

    journal_title:Journal of electrocardiology

    pub_type: 杂志文章

    doi:10.1016/s0022-0736(87)80080-8

    authors: Berman ND,Loukides JE

    更新日期:1987-11-01 00:00:00

  • Cellular mechanisms for the slow phase of the Frank-Starling response.

    abstract::Following a step increase in sarcomere length, isometric cardiac muscle tension increases instantaneously by the Frank-Starling mechanism. In isolated papillary muscle and myocytes, there is an additional significant rise in developed tension over the following 15 min due to an unknown mechanism. This slow change in t...

    journal_title:Journal of electrocardiology

    pub_type: 杂志文章

    doi:10.1016/s0022-0736(98)90273-4

    authors: Bluhm WF,Sung D,Lew WY,Garfinkel A,McCulloch AD

    更新日期:1998-01-01 00:00:00

  • Image-based models of cardiac structure with applications in arrhythmia and defibrillation studies.

    abstract::The objective of this article is to present a set of methods for constructing realistic computational models of cardiac structure from high-resolution structural and diffusion tensor magnetic resonance images and to demonstrate the applicability of the models in simulation studies. The structural image is segmented to...

    journal_title:Journal of electrocardiology

    pub_type: 杂志文章

    doi:10.1016/j.jelectrocard.2008.12.003

    authors: Vadakkumpadan F,Rantner LJ,Tice B,Boyle P,Prassl AJ,Vigmond E,Plank G,Trayanova N

    更新日期:2009-03-01 00:00:00

  • Impaired left ventricular function is associated with increased recovery time dispersion in patients with previous myocardial infarction.

    abstract::Left ventricular (LV) dysfunction after myocardial infarction is associated with higher risk of serious ventricular arrhythmias and sudden death. We suspected that heterogeneity in ventricular repolarization contributes to these arrhythmias. To quantify this heterogeneity, we measured the recovery time (the interval b...

    journal_title:Journal of electrocardiology

    pub_type: 杂志文章

    doi:10.1054/jelc.2003.50005

    authors: Mine T,Shimizu H,Inazumi T,Iwasaki T

    更新日期:2003-01-01 00:00:00

  • Pathophysiological mechanisms of altered transmembrane potentials in diseased human atria.

    abstract::The pathophysiological mechanisms of altered transmembrane potentials in diseased human atria were investigated in 20 patients who were divided into group A (normal) and group B (diseased). The electrophysiological data of right atrial tissues measured with glass microelectrodes included maximum diastolic potentials (...

    journal_title:Journal of electrocardiology

    pub_type: 杂志文章

    doi:10.1016/s0022-0736(86)80006-1

    authors: Lee YS

    更新日期:1986-01-01 00:00:00

  • ECG screening for SCD in young adults: community volunteers can acquire higher quality ECGs than health professionals.

    abstract:BACKGROUND AND PURPOSE:ECG screening of young athletes for risk of sudden cardiac death has grown in popularity throughout the world. The purpose of this study is to assess the technical error rate of ECGs acquired by appropriately trained community volunteers compared to that reported in the literature utilizing train...

    journal_title:Journal of electrocardiology

    pub_type: 杂志文章

    doi:10.1016/j.jelectrocard.2015.02.007

    authors: Marek JC,Marek SA,Marek KA,Zimmerman F

    更新日期:2015-05-01 00:00:00

  • Quantitative vectorcardiographic criteria for the differentiation between atrial septal defects of primum and secundum types.

    abstract::From a population of 304 patients who were operated on for atrial septal defects, 25 patients with primum defects and 78 patients with secundum defects were studied with regard to the ability of various quantitative axial lead vectorcardiographic (VCG) data to predict the anatomical type of defect. The patients includ...

    journal_title:Journal of electrocardiology

    pub_type: 杂志文章

    doi:10.1016/s0022-0736(75)80023-9

    authors: Rasmussen K

    更新日期:1975-01-01 00:00:00