Sojitra Brijesh, Patel Chetna, Pandya Sajal, Virani Payal, Shah Paras, Patel Jaykumar, Shah Akash
Pharmacology, Government Medical College, Surat, Surat, IND.
Pharmacology, Pandit Dindayal Upadhyay Medical College, Rajkot, IND.
Cureus. 2024 Jul 20;16(7):e64978. doi: 10.7759/cureus.64978. eCollection 2024 Jul.
Objective This study aimed to assess the knowledge, attitudes, and practices (KAP) of materiovigilance among healthcare professionals (HCPs) at a tertiary care teaching hospital in South Gujarat, India. Specifically, it sought to identify gaps in current understanding and reporting practices related to adverse events associated with medical devices. Introduction Materiovigilance, the systematic monitoring and assessment of adverse events related to medical devices, is crucial for ensuring patient safety and enhancing device performance. In India, the Materiovigilance Programme of India (MvPI) under the Ministry of Health and Family Welfare oversees the safe use of medical devices, integrating them with the pharmacovigilance framework. Despite these efforts, challenges persist in awareness, reporting practices, and the integration of materiovigilance among healthcare professionals. The knowledge, attitude, and practice (KAP) of these professionals are pivotal for effective adverse event reporting, but underreporting due to a lack of awareness, inadequate training, and perceived administrative burden remains a significant barrier. The study underscores the importance of training programs, improving reporting infrastructure, and fostering a safety culture within healthcare institutions to enhance the effectiveness of materiovigilance in India. Methodology An observational, cross-sectional study was conducted using a questionnaire-based approach. A total of 215 HCPs, including consultant doctors, resident doctors, and nursing staff, participated in the study. The questionnaire covered aspects of knowledge regarding the Materiovigilance Programme of India (MvPI), classification of medical devices, attitudes towards adverse event reporting, and actual reporting practices. Data collection was carried out electronically over the course of one month using Google Forms (Google LLC, Mountain View, California, United States). Results Among the participants, 135 (62.79%) correctly identified MvPI as the program for monitoring adverse events caused by medical devices. A majority of 188 (87.44%) understood that medical devices in India are classified based on a risk-based approach. Positive attitudes towards reporting adverse events were prevalent, with 202 (93.95%) acknowledging the potential for adverse events from medical devices and agreeing on the importance of reporting. However, a significant gap was noted between noticing adverse events (138 participants, 64.19%) and actual reporting (60 participants, 27.91%), indicating a need for improved reporting practices. Only 104 participants (48.37%) had participated in workshops or continuing medical education (CME) sessions on medical device safety. Conclusion The study reveals a strong foundation of knowledge and positive attitudes towards the materiovigilance among HCPs in South Gujarat. However, there is a notable discrepancy between awareness and actual reporting practices. To enhance the effectiveness of materiovigilance, interventions such as targeted educational programs and simplification of reporting procedures are recommended. These efforts are essential to ensure timely detection, reporting, and management of adverse events related to medical devices, thereby enhancing patient safety and overall healthcare quality.
目的 本研究旨在评估印度古吉拉特邦南部一家三级护理教学医院的医护人员对医疗器械警戒的知识、态度和实践(KAP)。具体而言,它试图找出当前在与医疗器械相关不良事件的理解和报告实践方面的差距。
介绍 医疗器械警戒是对与医疗器械相关不良事件的系统监测和评估,对于确保患者安全和提高器械性能至关重要。在印度,卫生与家庭福利部下属的印度医疗器械警戒计划(MvPI)负责监督医疗器械的安全使用,并将其与药物警戒框架相结合。尽管做出了这些努力,但在医护人员的认知、报告实践以及医疗器械警戒的整合方面仍存在挑战。这些专业人员的知识、态度和实践对于有效的不良事件报告至关重要,但由于缺乏认知、培训不足以及感知到的行政负担导致的报告不足仍然是一个重大障碍。该研究强调了培训计划、改善报告基础设施以及在医疗机构中培育安全文化对于提高印度医疗器械警戒有效性的重要性。
方法 采用基于问卷的方法进行了一项观察性横断面研究。共有215名医护人员参与了研究,包括顾问医生、住院医生和护理人员。问卷涵盖了关于印度医疗器械警戒计划(MvPI)的知识、医疗器械分类、对不良事件报告的态度以及实际报告实践等方面。数据收集在一个月的时间内通过谷歌表单(谷歌有限责任公司,美国加利福尼亚州山景城)以电子方式进行。
结果 在参与者中,135人(62.79%)正确将MvPI识别为监测医疗器械引起不良事件的计划。大多数188人(87.44%)了解印度的医疗器械是基于风险的方法进行分类的。对报告不良事件持积极态度很普遍,202人(93.95%)承认医疗器械存在不良事件的可能性,并认同报告的重要性。然而,在注意到不良事件(138名参与者,64.19%)和实际报告(60名参与者,27.91%)之间存在显著差距,表明需要改进报告实践。只有104名参与者(48.37%)参加过关于医疗器械安全的研讨会或继续医学教育(CME)课程。
结论 该研究揭示了古吉拉特邦南部医护人员对医疗器械警戒有坚实的知识基础和积极态度。然而,在认知和实际报告实践之间存在明显差异。为了提高医疗器械警戒的有效性,建议采取有针对性的教育计划和简化报告程序等干预措施。这些努力对于确保及时发现、报告和管理与医疗器械相关的不良事件至关重要,并从而提高患者安全和整体医疗质量。