ScholarlyCommons

Title

Smart Alarms: Multivariate Medical Alarm Integration for Post CABG Surgery Patients

Author(s)

Nicholas Stevens, University of PennsylvaniaFollow
Ana Rosa Giannareas, University of PennsylvaniaFollow
Vanessa Kern, University of PennsylvaniaFollow
Adrian Viesca Trevino, University of PennsylvaniaFollow
Margaret Fortino-Mullen, University of PennsylvaniaFollow
Andrew King, University of PennsylvaniaFollow
Insup Lee, University of PennsylvaniaFollow

Date of this Version

1-2012

Document Type

Conference Paper

Recommended Citation

Nicholas Stevens, Ana Rosa Giannareas, Vanessa Kern, Adrian Viesca Trevino, Margaret Fortino-Mullen, Andrew King, and Insup Lee, "Smart Alarms: Multivariate Medical Alarm Integration for Post CABG Surgery Patients", 2nd ACM SIGHIT International Health Informatics Symposium (IHI '12) , 533-542. January 2012. http://dx.doi.org/10.1145/2110363.2110423

Comments

ACM SIGHIT International Health Informatics Symposium (IHI 2012), Miami, FL, Jan 28-30, 2012. http://sites.google.com/site/web2011ihi/

Abstract

In order to monitor patients in the Intensive Care Unit, healthcare practitioners set threshold alarms on each of many individual vital sign monitors. The current alarm algorithms elicit numerous false positive alarms producing an inefficient healthcare system, where nurses habitually ignore low level alarms due to their overabundance.

In this paper, we describe an algorithm that considers multiple vital signs when monitoring a post coronary artery bypass graft (post-CABG) surgery patient. The algorithm employs a Fuzzy Expert System to mimic the decision processes of nurses. In addition, it includes a Clinical Decision Support tool that uses Bayesian theory to display the possible CABG-related complications the patient might be undergoing at any point in time, as well as the most relevant risk factors. As a result, this multivariate approach decreases clinical alarms by an average of 59% with a standard deviation of 17% (Sample of 32 patients, 1,451 hours of vital sign data). Interviews comparing our proposed system with the approach currently used in hospitals have also confirmed the potential efficiency gains from this approach.

Subject Area

CPS Medical

Publication Source

2nd ACM SIGHIT International Health Informatics Symposium (IHI '12)

Start Page

533

Last Page

542

DOI

10.1145/2110363.2110423

Copyright/Permission Statement

© ACM 2012. This is the author's version of the work. It is posted here for your personal use. Not for redistribution. The definitive Version of Record was published in Proceedings of the 2nd ACM SIGHIT International Health Informatics Symposium (IHI '12), http://dx.doi.org/10.1145/2110363.2110423.

Keywords

© ACM 2012. This is the author's version of the work. It is posted here for your personal use. Not for redistribution. The definitive Version of Record was published in Proceedings of the 2nd ACM SIGHIT International Health Informatics Symposium (IHI '12), http://dx.doi.org/10.1145/2110363.2110423.