Reducing false alarms of intensive care online-monitoring systems: An evaluation of two signal extraction algorithms

Computational and Mathematical Methods in Medicine

Volumn 2011, Issue , 2011, Pages

  Borowski, M ^a   Siebig, S ^b   Wrede, C ^c   Imhoff, M ^d  

^a TU DORTMUND UNIVERSITY   (Germany)

^b UNIVERSITY HOSPITAL REGENSBURG   (Germany)

^c HELIOS KLINIKUM BERLIN BUCH   (Germany)

^d RUHR UNIVERSITY BOCHUM   (Germany)

Author keywords

[No Author keywords available]

Indexed keywords

ALARM SYSTEMS; BIOMEDICAL SIGNAL PROCESSING; ERRORS; MEDIAN FILTERS; ONLINE SYSTEMS; PARTIAL DISCHARGES; SIGNAL FILTERING AND PREDICTION; STATISTICS;

CLINICAL VALIDATIONS; ON-LINE MONITORING SYSTEM; PERFORMANCE CRITERION; RAW MEASUREMENTS; REFERENCE DATABASE; SIGNAL ESTIMATION; SIGNAL EXTRACTION; TIME-SERIES DATA;

MONITORING;

ADAPTIVE ONLINE REPEATED MEDIAN FILTER; ADAPTIVE ONLINE TRIMMED REPEATED MEDIAN LEAST SQUARES FILTER; ALARM MONITORING; ALGORITHM; ARTICLE; COMPUTER PROGRAM; ERROR; FALSE ALARM; FILTER; HUMAN; INTENSIVE CARE; NOISE; ONLINE MONITORING; PERFORMANCE; REFERENCE DATABASE; SENSITIVITY AND SPECIFICITY; SIGNAL DETECTION; SIGNAL EXTRACTION; SIGNAL FILTER; SIGNAL PROCESSING; VALIDATION STUDY; ALARM MONITOR; ARTIFACT; BLOOD; BLOOD PRESSURE; EQUIPMENT; GERMANY; HEART RATE; INSTRUMENTATION; LABORATORY DIAGNOSIS; METHODOLOGY; MONITORING; ONLINE SYSTEM; PHYSIOLOGY;

OXYGEN;

ALGORITHMS; ARTIFACTS; BLOOD PRESSURE; CLINICAL ALARMS; EQUIPMENT FAILURE; FALSE POSITIVE REACTIONS; GERMANY; HEART RATE; HUMANS; INTENSIVE CARE; MONITORING, PHYSIOLOGIC; ONLINE SYSTEMS; OXYGEN; SENSITIVITY AND SPECIFICITY; SIGNAL PROCESSING, COMPUTER-ASSISTED;

EID: 79955077214     PISSN: 1748670X     EISSN: 17486718     Source Type: Journal    
DOI: 10.1155/2011/143480     Document Type: Article

References (25)

1. Chambrin M. C., Calvelo-Aros D., Jaborska A., Chopin C., Ravaux P., Boniface B., Multicentric study at monitoring alarms in the adult intensive care unit (ICU): a descriptive analysis Intensive Care Medicine 1999 25 12 1360 1366 (Pubitemid 30021161)
2. Tsien C. L., Fackler J. C., Poor prognosis for existing monitors in the intensive care unit Critical Care Medicine 1997 25 4 614 619 (Pubitemid 27193973)
3. Chambrin M. C., Alarms in the intensive care unit: how can the number of false alarms be reduced? Critical Care 2001 5 4 184 188
4. Lawless S. T., Crying wolf: false alarms in a pediatric intensive care unit Critical Care Medicine 1994 22 6 981 985 (Pubitemid 24182730)
5. Reslan Z., Clinical alarm management and noise reduction in hospitals, M.S. thesis 2007 University of Connecticut
6. Mkivirta A., Koski E., Kari A., Sukuvaara T., The median filter as a preprocessor for a patient monitor limit alarm system in intensive care Computer Methods and Programs in Biomedicine 1991 34 2-3 139 144
7. Kennedy R. R., A modified Trigg's tracking variable as an 'advisory' alarm during anaesthesia International Journal of Clinical Monitoring and Computing 1995 12 4 197 204 (Pubitemid 26037865)
8. Charbonnier S., Becq G., Biot L., On-line segmentation algorithm for continuously monitored data in intensive care units IEEE Transactions on Biomedical Engineering 2004 51 3 484 492 (Pubitemid 38233789)
9. Charbonnier S., Gentil S., A trend-based alarm system to improve patient monitoring in intensive care units Control Engineering Practice 2007 15 9 1039 1050 (Pubitemid 46712147)
10. Imhoff M., Kuhls S., Alarm algorithms in critical monitoring Anesthesia and Analgesia 2006 102 5 1525 1537
11. Davies P. L., Fried R., Gather U., Robust signal extraction for on-line monitoring data Journal of Statistical Planning and Inference 2004 122 1-2 65 78 (Pubitemid 38305144)
12. Gather U., Fried R., Lanius V., Winterhalder M., Schelter B., Timmer J., Robust detail-preserving signal extraction Handbook of Time Series Analysis 2005 Berlin, Germany Wiley 6 32
13. Gather U., Schettlinger K., Fried R., Online signal extraction by robust linear regression Computational Statistics 2006 21 1 33 51 (Pubitemid 44598955)
14. Siegel A. F., Robust regression using repeated medians Biometrika 1982 69 1 242 244
15. Schettlinger K., Fried R., Gather U., Real-time signal processing by adaptive repeated median filters International Journal of Adaptive Control and Signal Processing 2010 24 5 346 362
16. Borowski M., Schettlinger K., Gather U., Multivariate real time signal processing by a robust adaptive regression filter Communications in StatisticsSimulation and Computation 2009 38 2 426 440
17. Fried R., Schettlinger K., Borowski M., robfilter: Robust Time Series Filters. R package version 2.6.1, 2010
18. Rousseeuw P., Leroy A., Robust Regression and Outlier Detection 1987 New York, NY, USA Wiley
19. Lanius V., Gather U., Robust online signal extraction from multivariate time series Computational Statistics and Data Analysis 2010 54 4 966 975
20. Maronna R. A., Zamar R. H., Robust estimates of location and dispersion for high-dimensional datasets Technometrics 2002 44 4 307 317 (Pubitemid 35354070)
21. Siebig S., Kuhls S., Imhoff M., Langgartner J., Reng M., Schlmerich J., Gather U., Wrede C. E., Collection of annotated data in a clinical validation study for alarm algorithms in intensive care-a methodologic framework Journal of Critical Care 2010 25 1 128 135
22. Kuhls S., Siebig S., Stel F., Imhoff M., Entwicklung einer Eingabemaske für die Erfassung klinischer Annotationen 2006 15/06, SFB 475 Technische Universitt Dortmund
23. Kuhls S., Planung, Drchfuhrung und Analyse einer klinischen Studie zur Bewertung und zum Vergleich von Alarmsystemen in der Intensivmedizin, Ph.D. dissertation 2008 Fakultt Statistik, Technische Universitt Dortmund
24. Grges M., Markewitz B. A., Westenskow D. R., Improving alarm performance in the medical intensive care unit using delays and clinical context Anesthesia Analgesia 2009 108 5 1546 1552
25. Imhoff M., Fried R., The crying wolf: still crying? Anesthesia and Analgesia 2009 108 5 1382 1383