Abstract：Objective To analyze the main causes of false alarms in the hospital monitors and the alarm fatigue of medical staff, and to make
targeted improvements. Methods A total of 63 nurses from the emergency department, ICU and CCU of Shanghai Jiading District Anting
Hospital were recruited as subjects. Different types of alarms from monitors within 1 week were analyzed. The alarm fatigue scale was used
to investigate the degree of fatigue of the nurses on the monitor alarm and the nurses were divided into fatigue group and unfatigued group
according to the results. Multivariate logistic regression analysis was used to analyze the independent influencing factors affecting the alarm
fatigue of nurses. Results A total of 8421 alarms were recorded in 30 monitors in our hospital, including 5,399 false alarms (64.1%) and
3022 correct alarms (35.9%). However, 90.6% of correct alarms were meaningless alarms.The working life of the fatigue group (n=41) was
higher than that of the unfatigued group (n=22), and the difference was statistically significant (P<0.05). Multivariate logistic regression
analysis showed that “The patient's condition will not deteriorate” (P<0.001), “There is a problem with the settings of the monitor, but I don't
know how to modify it” (P<0.001) and “I am busy with other work” (P=0.003) were independent influencing factors affecting the nurse's
sense of alarm fatigue. Conclusion The medical equipment department should establish a perfect alarm management system for the main
reasons of medical staff's alarm fatigue, strengthen the awareness of medical staff alarms, and reduce the number of false alarms.
