Tavakoli Hassan, Karami Mohsen, Rezai Jalal, Esfandiari Khalil, Khashayar Patricia
Tehran University of Medical Science, Surgery Department, Amir Alam Hospital, Tehran, Iran.
Int J Health Care Qual Assur. 2007;20(7):616-9. doi: 10.1108/09526860710822743.
The purpose of this paper is to present a remarkable medical equipment-induced adverse event and to suggest ways to prevent similar problems.
DESIGN/METHODOLOGY/APPROACH: This paper uses a case study to discuss when it is necessary to renew medical equipment.
The paper finds that repairing medical equipment using inappropriate parts causes severe iatrogenic problems.
RESEARCH LIMITATIONS/IMPLICATIONS: Events like this may be underestimated because well-organized reporting strategies in health care units are inappropriate.
Defining expiry dates for medical equipment may prevent unsatisfactory repair, especially when original parts are unavailable.
ORIGINALITY/VALUE: The paper highlights the fact that simple errors cause severe patient injuries.
本文旨在呈现一起引人注目的医疗设备导致的不良事件,并提出预防类似问题的方法。
设计/方法/途径:本文采用案例研究来探讨何时有必要更新医疗设备。
本文发现使用不合适的部件维修医疗设备会导致严重的医源性问题。
研究局限性/启示:由于医疗保健单位完善的报告策略不当,此类事件可能被低估。
为医疗设备定义有效期可防止维修效果不佳,尤其是在无法获得原装部件的情况下。
原创性/价值:本文强调了简单错误会导致严重患者伤害这一事实。