Alarm management for electronic fetal monitoring:a quality improvement initiative
Objective To enhance the level of alarm management for electronic fetal monitoring(EFM)in pregnant women in the ob-stetrics department and to reduce ineffective nursing care.Methods A convenience sample of 476 pregnant women who hospitalized for fetal heart rate monitoring were divided into two groups chronologically:247 cases before quality improvement(QI)and 229 af-ter QI.The QI interventions included improving the EFM management regulations,establishing a standardized response process for EFM alarm,and providing hierarchical training on EFM alarms.The management effect was compared before and after the QI in-tervention.Results There were significant increases in the effective alarm rate and high-priority alarm rate of EFM after the QI in-tervention(both P＜0.05).In addition,the alarm fatigue score of nurses significantly decreased,and patient safety competence of nurses with low seniority significantly improved(both P＜0.05).Conclusion QI practice in managing EFM alarms has achieved the expected goals,benefiting both nurses and patients.
NETL
NSTL
万方数据
