Photocopy of typescript. / Digitized by Kansas Correctional Industries

There is limited clinical research on the effectiveness of alarm management strategies and nursing behaviors related to alarms in clinical settings. As many as 76% of physiological monitor alarms are overlooked as clinically insignificant by nursing staff. Excessive alarms may impact patient outcomes and cause cognitive overload for nurses that can result in medical errors and missed patient resuscitations. The purpose of this systematic review was to rate alarm management studies on level of evidence for interventions, nursing responses to alarms, and impact on alarm fatigue behavior. The nursing role effectiveness model guided this project. Twenty-seven studies were reviewed to analyze outcome effectiveness by addressing structure, process, and outcomes related to how the roles of the nurse affect nurse-sensitive patient outcomes. The Preferred Reporting Items for Systematic Review and Meta-Analysis Protocols (PRISMA-P) and the Cochrane guidelines guided study selection and analysis. A second reviewer collaborated on the search strategy and provided an independent review of the identified literature. The effectiveness of alarm management was difficult to determine because most studies were descriptive, cohort, or nonrandomized trials. Review findings did not support a relationship between the amount of alarms and increased alarm fatigue behaviors. Findings indicated that nurses' attitudes and alarm fatigue behaviors are present globally and have not significantly altered since reduction strategies were implemented. The findings may impact social change by decreasing nurses' stress levels related to cognitive workloads, improving patient outcomes, and supporting increased levels of nurses' workforce satisfaction.

Thesis (M.A.)--Kent State University, 2009. / Title from PDF t.p. (viewed Jan. 26, 2010). Advisor: Marilyn Norconk. Keywords: predation; anti-predator strategies; alarm calls. Includes bibliographical references (p. 111-120).

Thesis ((MEng(ElectroSys))--University of South Australia, 1999

No description available.

Yes / In large industrial systems, alarm management is one of the most important issues to improve the safety and efficiency of systems in practice. Operators of such systems often have to deal with a numerous number of simultaneous alarms. Different kinds of thresholding or filtration are applied to decrease alarm nuisance and improve performance indices, such as Averaged Alarm Delay (ADD), Missed Alarm and False Alarm Rates (MAR and FAR). Among threshold-based approaches, variable thresholding methods are well-known for reducing the alarm nuisance and improving the performance of the alarm system. However, the literature suffers from the lack of an appropriate method to assess performance parameters of Variable Threshold Alarm Systems (VTASs). This study introduces two types of variable thresholding and proposes a novel approach for performance assessment of VTASs using Priority-AND gate and semi-Markov process. Application of semi-Markov process allows the proposed approach to consider industrial measurements with non-Gaussian distributions. In addition, the paper provides a genetic algorithm based optimized design process for optimal parameter setting to improve performance indices. The effectiveness of the proposed approach is illustrated via three numerical examples and through a comparison with previous studies. / Noavaran Electronic Adar Sameh company [Grant NO: IRAM17S1].

<p>The report begins with a general inventory of possible technical faults in a hydropower plant and of possible fault indicating measurements. Then an investigation is made concerning a few different faults. Based on this investigation a choice on seal box condition and water leakage is made as problem for a more thorough examination, in which it is concluded that the turbine water leakage is larger when the turbine is put into operation. The examination ultimately results in a computer alarm for faults related to the seal box. Finally a few things are mentioned about flow measurement and pressure measurement in relation to the project as a whole.</p> / <p>Rapporten inleds med en övergripande sammanställning av möjliga tekniska fel i en vattenkraftstation och av möjliga felindikerande mätningar. Därefter görs en probleminventering av ett antal olika fel. Baserat på denna inventering väljes sedan tätningsboxkondition och läckvatten som problem för en mer ingående undersökning, vid vilken det konstateras att turbinvattenläckaget är större när turbinen är i drift. Undersökningen utmynnar sedan i ett datalarm för fel relaterade till tätningsboxar. Slutligen nämns något om flödesmätning och tryckmätning i relation till projektet i sin helhet.</p>

The report begins with a general inventory of possible technical faults in a hydropower plant and of possible fault indicating measurements. Then an investigation is made concerning a few different faults. Based on this investigation a choice on seal box condition and water leakage is made as problem for a more thorough examination, in which it is concluded that the turbine water leakage is larger when the turbine is put into operation. The examination ultimately results in a computer alarm for faults related to the seal box. Finally a few things are mentioned about flow measurement and pressure measurement in relation to the project as a whole. / Rapporten inleds med en övergripande sammanställning av möjliga tekniska fel i en vattenkraftstation och av möjliga felindikerande mätningar. Därefter görs en probleminventering av ett antal olika fel. Baserat på denna inventering väljes sedan tätningsboxkondition och läckvatten som problem för en mer ingående undersökning, vid vilken det konstateras att turbinvattenläckaget är större när turbinen är i drift. Undersökningen utmynnar sedan i ett datalarm för fel relaterade till tätningsboxar. Slutligen nämns något om flödesmätning och tryckmätning i relation till projektet i sin helhet.

Today’s intensive care units monitor patients through the use of various medical devices, which generate a high ratio of false positive alarms due to a low alarm specificity. The false alarms have resulted in a stressful working environment for healthcare professionals that are getting more desensitized to triggered alarms and causing alarm fatigue. The patient safety is also compromised by having high noise levels in the patient room, which disturbs their sleep. This thesis has developed an intelligent alarm system with an improved alarm management and the use of 23 intelligent algorithms to minimize the number of false positive alarms. The suggested system is capable of improving the alarm situation and increasing the patient safety in critical care. The algorithms were modeled with fuzzy logics consisting of delays and multi parameter validation. The results were iteratively developed by having focus groups with various experts.

Call number: LD2668 .T4 1979 F63 / Master of Science