2017年11月8日 星期三

ECRI: Top 10 Health Technology Hazards for 2016-2018

(http://bme.freebbs.tw 醫學工程論壇 同步發表) 

今年的ECRI 醫療科技危害Top10中,IT的議題就有4但是關係到IT技術如勒索病毒、網路安全的議題有二項,另二項是關係到使用者操作的問題。由可以看到IT工具普及後若使用者在使用習跟資安的認知不足的情形下IT所導致的醫療風險會越來越,這是我們醫工要改變傳統的醫儀維修思考及操作模式,同時資管軟、硬體人員,也需要體會到,在病人安全及醫療品質的大前提下,臨床使用教育訓練的責任正在提高中。


https://www.ecri.org/Resources/Whitepapers_and_reports/Haz_18.pdf 


2018
2017
2016
1
Ransomware and Other Cybersecurity Threats to Healthcare Delivery Can Endanger Patients (IT)
勒索軟和其他威脅醫療保健服務網絡安全,可能會危及患者安全
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
2
Endoscope Reprocessing Failures Continue to Expose Patients to Infection Risk
鏡再處理失敗會持續使患者感染風險
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
3
Mattresses and Covers May Be Infected by Body Fluids and Microbiological Contaminants(感控問題)
床墊和床罩可能會病人體液和微生物污染所引發的感染問題
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
4
Missed Alarms May Result from Inappropriately Configured Secondary Notification Devices and Systems
設定失當的警報轉發通知系統可能導致錯誤或遺漏的警報(使用者操作因素)
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
5
Improper Cleaning May Cause Device Malfunctions, Equipment Failures, and Potential for Patient Injury
適當的清潔程序可能導致設備故障,失效和患者受傷(使用者操作因素)
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
6
Unholstered Electrosurgical Active Electrodes Can Lead to Patient Burns
手術使用電燒時電燒筆置放未適當套住絕緣,可能因誤觸開關,導致患者灼傷
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。
7
Inadequate Use of Digital Imaging Tools May Lead to Unnecessary Radiation Exposure
成像工具使用不當可能導致不必要的輻射照射(使用者操作因素)
Occupational Radiation Hazards in Hybrid Ors

複合式手術室的職業輻射危害
Unsafe Injection Practices Expose Patients to Infectious Agents

不安全的注射動作造成病患曝露於感染源中
8
Workarounds Can Negate the Safety Advantages of Bar-Coded Medication Administration Systems(使用者操作因素)
條碼藥物管理系統的安全優勢可能因現場過度變通使用方法造成安全性下降。
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
9
Flaws in Medical Device Networking Can Lead to Delayed or Inappropriate Care
醫療設備網的缺陷可能會導致延遲或不當護理 (IT)
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
10
Slow Adoption of Safer Enteral Feeding Connectors Leaves Patients at Risk(器材因素)
未使用專用的腸內餵食連接器使患者面臨誤接輸液的風險
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
By 張韶良(Chang,Shaoliang)2017.11.08 slchang88@gmail.com



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