(http://bme.freebbs.tw 醫學工程論壇同步發表)
- 今年多了很多的新的主題，跟去年有高達6項差異 (5,6,7,8,9,10)，不過第7項在2014年曾出現過(第5名),今年又重現在第7名。在全文的後面有附各項危害發生的記錄，提供各位醫工好朋友參考。
- 資安方面的議題有1項，但不是IT面而是設備裡的軟體版本差異所造成的隱憂。
- 如果需要全文，可以到下列網址下載。如果翻譯有錯，尚請指正。
- Download our 2017 Top 10 Health Technology Hazards
ECRI: Top 10 Health Technology Hazards for 2017
2017
|
2016
|
2015
| |
1
|
Infusion Errors Can Be Deadly If Simple Safety Steps Are Overlooked
若忽視安全操作步驟會使點滴輸液錯誤也有致命性
|
Inadequate Cleaning of Flexible Endoscopes before Disinfection Can Spread Deadly Pathogens
軟式內視鏡使用前清潔不全會造成致命的病原體散佈
|
Alarm Hazards: Inadequate Alarm Configuration Policies and Practices
各種不適當警報設定及政策造成的危害
|
2
|
Inadequate Cleaning of Complex Reusable Instruments Can Lead to Infections
複雜度高且可重複使用儀器清潔不全會導致感染
|
Missed Alarms Can Have Fatal Consequences
未處理的警報會有致命的後果
|
Data Integrity: Incorrect or Missing Data in EHRs and Other Health IT Systems
電子健康檔案和其他醫療IT系統的資料整合失敗
|
3
|
Missed Ventilator Alarms Can Lead to Patient Harm
呼吸器警報疏忽會導致病人傷害
|
Failure to Effectively Monitor Postoperative Patients for Opioid-Induced Respiratory Depression Can Lead to Brain Injury or Death
疏忽術後病人因鎮痛藥物所引發的呼吸抑制監視，會導致病人腦部損傷或死亡
|
Mix-Up of IV Lines Leading to Misadministration of Drugs and Solutions
點滴幫浦IV管路混用所造的給藥錯誤
|
4
|
Undetected Opioid-Induced Respiratory Depression
未察覺鎮痛藥物所引發的呼吸抑制
|
Inadequate Surveillance of Monitored Patients in a Telemetry Setting May Put Patients at Risk
配帶無線監視器的病人若發射器設定不完全，可能讓病人置於風險當中
|
Inadequate Reprocessing of Endoscopes and Surgical Instruments
內視鏡設備和手術器械再處理的不足
|
5
|
Infection Risks with Heater-Cooler Devices Used in Cardiothoracic Surgery
心胸手術所用冷熱控溫設備感染風險
|
Insufficient Training of Clinicians on Operating Room Technologies Puts Patients at Increased Risk of Harm
開刀房技術員臨床訓練不足，使病人受傷害的風險增加
|
Ventilator Disconnections Not Caught because of Mis-set or Missed Alarms
呼吸器管路不合或忽視警報所造的管路脫落
|
6
|
Software Management Gaps Put Patients, and Patient Data, at Risk
設備軟體版本差異造成病人及其資料的風險
|
Errors Arise When HIT Configurations and Facility Workflow Do Not Support Each Other
醫療資訊技術(Health IT)設定與製造商的工作流程無法互相支援時，造成錯誤漸增。
|
Patient-Handling Device Use Errors and Device Failures
協助安置病人設備使用錯誤或該設備故障
|
7
|
Occupational Radiation Hazards in Hybrid Ors
複合式手術室的職業輻射危害
|
不安全的注射動作造成病患曝露於感染源中
|
"Dose Creep": Unnoticed Variations in Diagnostic Radiation Exposures
未注意診斷時輻射的變化所產生的劑量問題
|
8
|
Automated Dispensing Cabinet Setup and Use Errors May Cause Medication Mishaps
自動包藥機設定及使用錯誤可能造成的給藥事故
|
Gamma Camera Mechanical Failures Can Lead to Serious Injury or Death
伽瑪照影設備機械結構故障，導致嚴重傷害或死亡
|
Robotic Surgery: Complications due to Insufficient Training
由於訓練不足所導致的機器人手術併發症
|
9
|
Surgical Stapler Misuse and Malfunctions
手術釘合器誤用及故障
|
Failure to Appropriately Operate Intensive Care Ventilators Can Result in Preventable Ventilator-Induced Lung Injuries
加護用呼吸器操作上的疏忽，會造成呼吸器引發的病人肺損傷
|
Cybersecurity: Insufficient Protections for Medical Devices and Systems
醫療儀器上的資安問題
|
10
|
Device Failures Caused by Cleaning Products and Practices
清潔劑及不當的清潔做法可能造成設備失效
|
Misuse of USB Ports Can Cause Medical Devices to Malfunction
誤用USB埠會造成醫療設備故障
|
Overwhelmed Recall and Safety-Alert Management Programs
過多的醫儀召修及安全警示管理要求
|
