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Objective: To develop an alarm device for the mechanical compression device displacement (MCD), and further evaluate its effectiveness in clinical use.
Material And Methods: The alarm device is mainly composed of buzzer, indicator light, magnetic sheet. This is a prospective randomized and controlled study. Four hundred patients who met the inclusion/exclusion criteria were included and randomly assigned to two groups (MCD group vs alarm + MCD group). The primary outcome measures were the sensitivity and specificity of the alarm device to detect MCD displacement, time to hemostasis (TTH), time to ambulation (TTA), time to hospital discharge (TTHD), hospital costs (HC), complication rates, and patient satisfaction.
Results: The sensitivity and specificity of the alarm device in detecting MCD displacement were 94.44% and 88.46%, respectively. The study group achieved shorter TTH ( .034), shorter TTA ( .021), lower complication rates ( .025), and better patients' satisfaction ( < .001) compared to the control group. However, no significant difference was observed in TTHD ( .361) and HC ( .583).
Conclusion: The alarm device is highly sensitive in detecting MCD displacement, while achieving better clinical outcomes compared with artificial monitoring.
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http://dx.doi.org/10.1080/13645706.2023.2175616 | DOI Listing |
ACS Sens
September 2025
School of Electronic Information, Northwest University, Xi'an 710127, China.
High-sensitivity, multiparameter sensing is increasingly critical for environmental monitoring and electronics. Existing sensing platforms struggle to integrate precise, rapid, and stable monitoring of parts per billion-level hazardous gases and temperature within a single miniaturized device. This study developed a novel sensor based on two-dimensional (2D) indium selenide (InSe), complemented by first-principles density functional theory calculations elucidating the layer-dependent NO adsorption mechanism.
View Article and Find Full Text PDFCureus
August 2025
Sports Medicine, University of Colorado School of Medicine, Denver, USA.
The current electronic cigarette (e-cigarette) format was made known to the public in recent decades. Since then, it has gained widespread popularity, particularly among adolescents. A significant portion of young people in the United States and around the world are reported to use e-cigarettes.
View Article and Find Full Text PDFAACN Adv Crit Care
September 2025
Karen K. Giuliano is Professor, Institute for Applied Life Sciences and Elaine Marieb College of Nursing, and Codirector, Elaine Marieb Center for Nursing and Engineering Innovation, University of Massachusetts Amherst, Amherst, Massachusetts.
Intravenous smart pump alarm fatigue remains a persistent and underrecognized patient safety concern in acute and critical care settings. Although alarm fatigue has been traditionally associated with physiological monitors, intravenous smart pumps are also a frequent source of alarms for hospitalized patients that contribute substantially to alarm fatigue. This article synthesizes current evidence on intravenous smart pumps and related alarm fatigue, identifies knowledge gaps, and proposes short-term and long-term interventions.
View Article and Find Full Text PDFAACN Adv Crit Care
September 2025
Dian Baker is Professor Emeritus, School of Nursing, California State University, Sacramento, California.
Large-volume intravenous (IV) smart pumps are used in acute and critical care to deliver IV fluids and medications with safety-enhancing features such as dose error reduction systems. Although these technologies offer improvements over manual administration, IV smart pumps are associated with high rates of medication errors, programming challenges, and usability issues. Alarm fatigue, interface complexity, and workarounds are common, with studies showing high error rates.
View Article and Find Full Text PDFFront Med (Lausanne)
August 2025
Henan Provincial Key Medicine Laboratory of Nursing, Zhengzhou, China.
Objective: To assess efficacy and implement the best available evidence for managing and preventing alarm fatigue in a healthcare context.
Methods: Four phases of evidence acquisition, status review, evidence application, and effect evaluation were used to apply evidence-based practice to medical care in the PACU between January and June 2024. Prior to and following the application of evidence, the occurrence of unfavorable outcomes pertaining to the management of surgical patient monitors and anesthesia alarm reports, the degree of evidence-based organizational culture, the implementation rate of review indicators, and the associated knowledge level of alarm fatigue prevention and management were all compared.