TOP 10 HEALTH TECHNOLOGY HAZARDS FOR 2012~2014 (ECRI 2014 十大醫療技術危害 )

(http://bme.freebbs.tw 醫學工程論壇同步發表)

Top_10_Hazards_Executive_Brief.原文網址

Alarm hazards、Pump,輻射、內視鏡問題及IT相關問題  己經連續三年蟬聯囉

手術機器人的問題第一次出現，看來醫生對使用Robot要有重新的認知跟訓練，
可能較少打電動玩具吧  ^^

	2014	2013	2012
1	Alarm hazards   各種不適當警報造成的危害	Alarm hazards  各種不適當警報造成的危害	Alarm hazards 各種不適當警報造成的危害
2	Infusion pump medication errors 點滴幫浦的給藥錯誤	Medication administration errors using infusion pumps 點滴幫浦給藥量錯誤	Exposure hazards from radiation therapy and CT 放射治療及電腦斷層輻射曝露危害
3	CT radiation exposures in pediatric patients 在兒科患者的CT輻射暴露	Unnecessary radiation exposures and radiation burns during diagnostic radiology procedures 非必要輻射曝露及檢查過程中輻射灼傷	Medication administration errors using infusion pumps 點滴幫浦給藥量錯誤
4	Data integrity failures 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	Patient/data mismatches in EHRs and other health IT HIT systems 電子病歷及其他健康資訊資料錯誤	Cross-contamination from flexible endoscopes 軟式內視鏡的交叉污染
5	Occupational radiation hazards in hybrid ORs 混合式手術室的職業輻射危害	Interoperability failures with medical devices and health  IT systems 醫儀與資訊系統連線管理疏忽	Inattention to change management for medical device connectivity 醫儀與資訊系統連線管理疏忽
6	Inadequate reprocessing of endoscopic devices and surgical instruments 內視鏡設備和手術器械再處理的不足	Air embolism hazards 空氣栓塞危害	Enteral feeding misconnections 餵食管的錯誤連接
7	Neglecting change management for networked devices and systems 忽略聯網設備和系統的變更管理	Inattention to the needs of pediatric patients when using "adult" techniques 用成人治療技術未注意小兒病患的差別需求	Surgical fires 手術室火災
8	Risks to pediatric patients from "adult" technologies 使用"成人"技術時導致的兒科患者的風險	Inadequate reprocessing of endoscopic devices and surgical instruments 軟式內視鏡及手術器械的交叉污染	Needlesticks and other sharps injuries 針頭或其他銳器傷害
9	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	Caregiver distractions from smartphones and  other mobile devices 智慧型手機或行動裝置造成醫護人員分心	Anesthesia hazards due to incomplete pre-use inspection 檢查疏失造成的麻醉意外
10	Retained Devices and Un-retrieved Fragments 遺留的物件和無法恢復的碎片	Surgical Fires 手術室火災	Poor usability of home-use medical devices 家用醫療器材可用性不佳造成的意外