An expert system for monitor alarm integration

Journal of Clinical Monitoring and Computing

Volumn 15, Issue 1, 1999, Pages 29-35

  Oberli, Christian ^a   Urzua, Jorge ^a   Saez, Claudia ^a   Guarini, Marcello ^a   Cipriano, Aldo ^a   Garayar, Bernardita ^a   Lema, Guillermo ^a   Canessa, Roberto ^a   Sacco, Carla ^a   Irarrazaval, Manuel ^a  

^a PONTIFICIA UNIVERSIDAD CATÓLICA DE CHILE   (Chile)

Author keywords

Alarm integration; Critical care; Expert systems; False alarms; Fuzzy logic; Intelligent monitoring; Monitoring

Indexed keywords

ALARM SYSTEMS; FUZZY SETS; INTENSIVE CARE UNITS; ONLINE SYSTEMS; OPERATING ROOMS; PATIENT MONITORING; PERSONAL COMPUTERS;

ALARM INTEGRATION; CARDIAC SURGICAL PATIENTS; INTELLIGENT MONITORING;

EXPERT SYSTEMS;

ALARM MONITOR; ARTICLE; CLINICAL ARTICLE; COMPUTER PROGRAM; HEART SURGERY; HUMAN; INFORMATION PROCESSING; INTENSIVE CARE; MICROCOMPUTER; MODEL; PATIENT MONITORING; PRIORITY JOURNAL; BLOOD GAS ANALYSIS; ELECTROCARDIOGRAPHY; EXPERT SYSTEM; FUZZY LOGIC; HEMODYNAMICS; LABORATORY DIAGNOSIS; PEROPERATIVE COMPLICATION; PREDICTION AND FORECASTING; SENSITIVITY AND SPECIFICITY; SIGNAL PROCESSING; SYSTEM ANALYSIS;

BLOOD GAS ANALYSIS; CARDIAC SURGICAL PROCEDURES; ELECTROCARDIOGRAPHY; EXPERT SYSTEMS; FALSE POSITIVE REACTIONS; FUZZY LOGIC; HEMODYNAMIC PROCESSES; HUMANS; INTRAOPERATIVE COMPLICATIONS; MONITORING, INTRAOPERATIVE; PREDICTIVE VALUE OF TESTS; SENSITIVITY AND SPECIFICITY; SIGNAL PROCESSING, COMPUTER-ASSISTED; SYSTEMS INTEGRATION;

EID: 0032898321     PISSN: 13871307     EISSN: None     Source Type: Journal    
DOI: 10.1023/A:1009951928395     Document Type: Article

References (40)

1. Edsall DW. Analysis and frequency of artifacts generated by anesthesia information management systems. Anesthesiology 1990; 73 (3A): A481
2. Rolf N, Coté CJ. Incidence of real and false positive capnography and pulse oximetry alarms during pediatric anesthesia. Anesthesiology 1991; 75 (3A): A476
3. Tsien CL, Fackler JC. Poor prognosis for existing monitors in the intensive care unit. Crit Care Med 1997; 25 (4): 614-619
4. Koski EM, Mäkivirta A, Sukuvaara T, Kari A. Frequency and reliability of alarms in the monitoring of cardiac postoperative patients. Int J Clin Monit Comput 1990; 7 (2): 129-133
5. Wiklund L, Hök B, Stahl K, Jordeby-Jönsson A. Post-anesthesia monitoring revisited: Frequency of true and false alarms from different monitoring devices. J Clin Anesth 1994; 6 (3): 182-188
6. Lawless ST. Crying wolf: False alarms in a pediatric intensive care unit. Crit Care Med 1994; 22 (6): 981-985
7. O'Carroll TM. Survey of alarms in an intensive therapy unit. Anesthesia 1986; 41 (7): 742-744
8. Meredith C, Edworthy J. Are there too many alarms in the intensive care unit? An overview of the problems. J Adv Nurs 1995; 21 (1): 15-20
9. Kestin IG, Miller, BR, Lockhart CH. Auditory alarms during anesthesia monitoring. Anesthesiology 1988; 69 (1): 106-109
10. Mora FA, Passariallo G, Carrault G, Le Pichon JP. Intelligent patient monitoring and management systems: A review. IEEE Eng in Med & Biol 1993; 12 (4): 23-33
11. Navabi M, Watt R, Hameroff S, Mylrea K. Integrated monitoring can detect critical events and improve alarm accuracy. J Clin Eng 1991; 16 (4): 295-306
12. Watt RC, Navabi MJ, Mylrea KC, Hameroff SR. Integrated monitoring "smart alarms" can detect critical events and reduce false alarms. Anesthesiology 1989; 71 (3A): A338
13. Factor M, Gelernter DH, Kolb CE, Miller PL, Sittig DF. Real-time data fusion in the intensive care unit. IEEE Computer 1991; 24 (11): 45-54
14. Watt R, Maslana E, Mylrea C. Alarms and anesthesia: Challenges in the design of intelligent systems for patient monitoring. IEEE Eng in Med & Biol 1993; 12 (4): 34-41
15. Hudson DL, Cohen ME. Fuzzy logic in medical expert systems. IEEE Eng in Med & Biol 1994; 13 (5): 693-698
16. Becker K, Rau G, Käsmacher H, Petermeyer M, Kalff G, Zimmermann HJ. Fuzzy logic approach to intelligent alarms. IEEE Eng in Med & Biol 1994; 13 (5): 710-716
17. Wolf M, Keel M, von Siebenthal K, Bucher HU, Geering K, Lehareinger Y, Niederer P. Improved monitoring of preterm infants by fuzzy logic. Technol Health Care 1996; 4 (2): 193-201
18. Sukuvaara T, Sydänmaa M, Nieminen H, Heikelä A, Koski E. Object-oriented implementation of an architecture for patient monitoring. IEEE Eng in Med & Biol 1993; 12 (4): 69-81
19. Mäkivirta A, Koski E, Kari A, Sukuvaara T. The median filter as a preprocessor for a patient monitor limit alarm system in intensive care. Comput Methods Programs Biomed 1991; 34 (2-3): 139-144
20. Dawant BM. Knowledge-based systems for intelligent patient monitoring and management in critical care environments. In: Bronzino JD, ed. The biomedical engineering handbook. Boca Raton: CRC Press, Inc., 1995: 2746-2756
21. Sukuvaara T, Koski EM, Mäkivirta A, Kari A. A knowledge-based alarm system for monitoring cardiac operated patients - technical construction and evaluation. Int J Clin Monit Comput 1993; 10 (2): 117-126
22. Fukui Y, Masuzawa T. Knowledge-based approach to intelligent alarms. J Clin Mon 1989; 5 (3): 211-216
23. Schecke T, Langen M, Popp HJ, Rau G, Käsmacher H, Kalff G. Knowledge-based decision support for patient monitoring in cardioanesthesia. Int J Clin Monit Comput 1992; 9 (1): 1-11
24. Schecke T, Rau G, Popp HJ, Käsmacher H, Kakff G, Zimmermann HJ. A knowledge-based approach to intelligent alarms in anesthesia. IEEE Eng in Med & Biol 1991; 10 (4): 38-44
25. Koski EM, Mäkivirta A, Sukuvaara T, Kari A. Clinicians' opinions on alarm limits and urgency of therapeutic responses. Int J Clin Monit Comput 1995; 12 (2): 85-88
26. Beneken JE, Van der Aa JJ. Alarms and their limits in monitoring. J Clin Monit 1989; 5 (3): 205-210
27. Van Oostrom JH, Gravenstein C, Gravenstein JS. Acceptable ranges for vital signs during general anesthesia. J Clin Monit 1993; 9: 321-325
28. Feldman JM, Ebrahim M. Which sensor measures heart rate best? Anesthesiology 1995; 83 (3A): A478
29. Mäkivirta A, Koski EM. Alarm-inducing variability in cardiac postoperative data and the effects of prealarm delay. J Clin Monit 1994; 10 (3): 153-162
30. Pan PH, Gravenstein N. Intraoperative pulse oximetry: Frequency and distribution of discrepant data. J Clin Anesth 1994; 6 (6): 491-495
31. Rung GW, Bennett BA. Clinical evaluation of the Monitron™ cardio-respiratory monitor: Minimizing false alarms. Anesthesiology 1990; 73 (3A): A523
32. Westenskow DR, Orr JA, Simon FH, Bender HJ, Frankenberger H. Intelligent alarms reduce anesthesiologist's response time to critical faults. Anesthesiology 1992; 77 (6): 1074-1079
33. Koski EM, Sukuvaara T, Mäkivirta A, Kari A. A knowledge-based alarm system for monitoring cardiac operated patients - assessment of clinical performance. Int J Clin Monit Comput 1994; 11 (2): 79-83
34. Block FE, Schaaf C. Auditory alarms during anesthesia monitoring with an integrated monitoring system. Int J Clin Mon Comput 1996; 13 (2): 81-84
35. Mylrea KC, Orr JA, Westenskow DR. Integration of monitoring for intelligent alarms in antesthesia: Neural networks - can they help? J Clin Monit 1993; 9 (1): 31-37
36. Orr JA, Westenskow DR. A breathing circuit alarm system based on neural networks. J Clin Monit 1994; 10 (2): 101-109
37. Thull B, Popp HJ, Rau G. Man-machine interaction in critical care settings. IEEE Eng in Med & Biol 1993; 12 (4): 42-49
38. Block FE. Evaluation of users' abilities to recognize musical alarm tones. J Clin Monit 1992; 8 (4): 285-290
39. Loeb RG, Jones BR, Leonard RA, Behrman K. Recognition accuracy of current operating room alarms. Anesth Analg 1992; 75: 499-505
40. Cropp AJ, Woods LA, Raney D, Bredle DL. Name that one. The proliferation of alarms in the intensive care unit. Chest 1994; 105 (4): 1217-1220.