Los 10 primeros riesgos de la tecnología médica para el 2016

Los miembros de ciertos programas del ECRI Institute pueden tener acceso a recursos tales como el siguiente para aprender más sobre los temas incluidos en la lista de este año:

1. Reprocesamiento de endoscopios
Clear channels: ensuring effective endoscope reprocessing. Health Devices 2010 Oct 1.
Duodenoscope reprocessing challenges lead to CRE exposures: update on a top 10 hazard. Health
Devices 2015 Mar 11.
ECRI Institute provides perspectives on FDA’s recent supplemental measures to enhance duodenoscope reprocessing. Health Devices Alerts 2015 Aug 7 (Accession No. H0245 03).
ECRI Institute recommends culturing duodenoscopes as a key step to reducing CRE infections. Health Devices Alerts 2015 May 7 (Accession No. H0245 02).
Endoscopic retrograde cholangiopancreatography (ERCP) duodenoscopes: design may impede
effective cleaning. Health Devices Alerts 2015 Feb 20 (Accession No. H0245).
Inadequate reprocessing of endoscopes and surgical instruments. Hazard #4—top 10 health technology hazards for 2015. Health Devices 2014 Nov 24.
Web conference:
Tracking scopes: best practices for identifying endoscopes during cleaning and patient use (September 30, 2015).

2. Alarmas extraviadas
Alarm hazards: inadequate alarm configuration policies and practices. Hazard #1—top 10 health technology hazards for 2015. Health Devices 2014 Nov 24.
Alarm safety handbook and Alarm safety workbook. ECRI Institute 2014.
Central station and auxiliary alarms—inaudibility continues to contribute to missed alarms. Health Devices Alerts 2015 Jul 16 (Accession No. H0264).
How the Children’s Hospital of Philadelphia used video to better understand alarm fatigue. Health
Devices 2015 Feb 4.
Inappropriately configured ancillary alarm notification systems may result in missing critical alarms. Health Devices Alerts 2014 Nov 20 (Accession No. H0242).
Over-reliance on arrhythmia detection algorithms in physiologic monitoring systems puts patients on telemetry at risk. Health Devices Alerts 2015 Jun 12 (Accession No. H0261).
Preventing the overuse of cardiac telemetry monitoring—Christiana Care Health System’s award-winning project. Health Devices 2015 Jan 14.
Web conferences:
—— Lessons learned on the use of telemetry (June 17, 2015).
—— Alarm middleware vendor roundtable: cutting through the confusion (April 29, 2015).
—— Good alarm policies are no accident (September 3, 2014).
—— Answering the call to alarm safety: getting ready for Joint Commission’s National Patient Safety Goal (August 14, 2013).

3. Seguimiento posterior a los pacientes quirúrgicos en opioides
Recursos PSO del ECRI Institute:
—— Pain relief: how to keep opioid administration safe. PSO Navigator 2013 May.
—— Patient risk factors for opioid-induced respiratory depression. PSO Research Response 2013 Jul.

4. Vigilancia inadecuada de los pacientes en telemetría
Considering a monitor watcher program? Be aware of the challenges. Health Devices 2015 Sep 16.
Improving patient surveillance in telemetry: don’t just rely on the monitor. Health Devices 2015 Sep 16.
Over-reliance on arrhythmia detection algorithms in physiologic monitoring systems puts patients on telemetry at risk. Health Devices Alerts 2015 Jun 12 (Accession No. H0261).
Preventing the overuse of cardiac telemetry monitoring—Christiana Care Health System’s award-winning project. Health Devices 2015 Jan 14.

5. Entrenamiento insuficiente en tecnologías quirúrgicas
Ethicon—HARMONIC ACE+ Shears: tissue pad may detach if shears are activated without tissue in jaws. Health Devices Alerts 2015 Jul 25 (Accession No. H0266).
Keeping score: health system closely tracks outcomes of surgical procedures using robotic equipment. Operating Room Risk Management News 2013 Nov 15.
New clinical guide to surgical fire prevention: patients can catch fire—here’s how to keep them safer. Health Devices 2009 Oct 1.
Robotic surgery: complications due to insufficient training. Hazard #8—top 10 health technology hazards for 2015. Health Devices 2014 Nov 24.

6. Configuraciones de TIC en salud y flujo de trabajo
The basics of EMR integration. Health Devices 2014 Jan 2.
Data integrity: incorrect or missing data in EHRs and other health IT systems. Hazard #2—top 10 health technology hazards for 2015. Health Devices 2014 Nov 24.
How to connect with the right EMR integration vendor. Health Devices 2014 Jan 2.
Making connections: integrating medical devices with electronic medical records. Health Devices 2012 Apr 1.

7. Prácticas inseguras de inyección
El artículo completo cita recursos de varias organizaciones.

8. Fallas mecánicas de las cámaras gamma
Failure to act on gamma camera manufacturer notices that require equipment servicing or modification can lead to serious patient injury or death. Health Devices Alerts 2015 Jun 11 (Accession No. H0259).

9. Fallas al operar apropiadamente los ventiladores
Alarm hazards: inadequate alarm configuration policies and practices. Hazard #1—top 10 health technology hazards for 2015. Health Devices 2014 Nov 24.
Ventilator disconnections not caught because of misset or missed alarms. Hazard #5—top 10 health technology hazards for 2015. Health Devices 2014 Nov 24.

10. Mal uso de los puertos USB
Cybersecurity: insufficient protections for medical devices and systems. Hazard #9—top 10 health technology hazards for 2015. Health Devices 2014 Nov 24.
GE—CARESCAPE B650 and B850 bedside monitors with software version 1.0.12: may spontaneously reboot if a device is connected to USB port. Health Devices Alerts 2015 Aug 19 (Accession No. H0273).
Spacelabs—ARKON Anesthesia Delivery Systems: may enter controlled failed state. Health Devices Alerts 2014 Apr 18 (Accession No. A22147).