| 場次 | 日期 | 時間 | 地點 |
| 1 | 5/10(五) | 10:00-16:00 | 部立桃園醫院 |
| 2 | 5/31(五) | 10:00-16:00 | 員林基督教醫院 |
| 3 | 7/12(五) | 10:00-16:00 | 高雄醫學大學附設醫院 |
| 4 | 7/19(五) | 10:00-16:00 | 羅東聖母醫院 |
2019
|
2018
|
2017
|
|
1
|
Hackers Can Exploit Remote Access to
Systems, Disrupting Healthcare Operations
駭客可以利用遠端存取系統方式，干援或破壞醫療系統
|
Ransomware
and Other Cybersecurity Threats to Healthcare Delivery Can Endanger Patients
(IT)
勒索軟體和其他威脅醫療保健服務網絡安全的軟體，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
|
2
|
“Clean” Mattresses Can Ooze Body Fluids onto Patients
清潔不當可能讓病患身體接觸到到液體的滲出
|
Endoscope
Reprocessing Failures Continue to Expose Patients to Infection Risk
內視鏡再處理失敗會持續使患者曝露於感染風險中
|
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
|
3
|
Retained Sponges Persist as a Surgical
Complication Despite Manual Counts
人工計數收回手術使用過的海棉不當，仍是手術併發症的因素之一
|
Mattresses
and Covers May Be Infected by Body Fluids and Microbiological Contaminants(感控問題)
床墊和床罩可能會遭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
|
4
|
Improperly Set Ventilator Alarms Put
Patients at Risk for Hypoxic Brain Injury or Death
呼吸機警報設置不正確易使患者面臨缺氧性腦損傷或死亡的風險
|
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
|
5
|
Mishandling Flexible Endoscopes after
Disinfection Can Lead to Patient Infections
消毒後的內鏡鏡處置不當,可能導致患者感染
|
Improper
Cleaning May Cause Device Malfunctions, Equipment Failures, and Potential for
Patient Injury
不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
|
6
|
Confusing Dose Rate with Flow Rate Can Lead to Infusion
Pump Medication Errors
對劑量率與流速設定若觀念混淆會導致輸液泵藥物誤差
|
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，可能會因誤觸開關，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
|
7
|
Improper Customization of Physiologic
Monitor Alarm Settings May Result in Missed Alarms
生理監視器警報設置的不正確定可能導致錯失警報
|
Inadequate Use of Digital Imaging Tools May Lead to
Unnecessary Radiation Exposure
數位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
|
8
|
Injury Risk from Overhead Patient Lift Systems
病人抬舉設備的傷害風險
|
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
|
9
|
Cleaning Fluid Seeping into Electrical Components Can
Lead to Equipment Damage and Fires
清潔液滲入電氣元件可能導致設備損壞和火災
|
Flaws
in Medical Device Networking Can Lead to Delayed or Inappropriate Care
醫療設備網路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
|
10
|
Flawed Battery Charging Systems and Practices Can
Affect Device Operation
使用有缺陷的電池充電系統可能會影響設備操作
|
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會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
|
