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Risk assessment in the use of medical devices: A proposal to evaluate the impact of the human factor

机译:医疗器械使用中的风险评估:评估人为因素影响的建议

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In the last years technological development have led to an increase in the reliability and safety of the medical devices. However it is not possible to analyze the reliability of such systems without considering the "human factor" and the man's role in the dynamics of accidents. Assessing the probability of occurrence of the error by the user is not simple, in fact the variables are many and always different depending on the context. Starting from an overview of the literature focused especially on Healthcare field, this study proposes a procedure to evaluate the risk linked to the human factor in the use of medical devices. Considering life cycle of the device, level of cognitive engagement of tasks, environmental conditions, stress, sense of responsibility, level of training and experience, this semiquantitative procedure gives information about level of risk associated to the human error in the usage of medical devices in terms of "risk indexes". In addition, it would be useful to compare more devices to each others, to reduce risk if it is applied in the design phase of the device, to facilitate users making devices more user-friendly, to improve performances and efficiency of medical devices. The procedure is applied to evaluate and compare the risk linked to the human error in the use of two in vitro diagnostic medical devices (IVD).
机译:近年来,技术发展导致医疗设备的可靠性和安全性提高。但是,如果不考虑“人为因素”和人为因素在事故动态中的作用,就无法分析此类系统的可靠性。评估用户发生错误的可能性并不简单,实际上,变量取决于上下文,并且很多并且总是不同的。从专门针对医疗保健领域的文献综述开始,本研究提出了一种程序,用于评估与使用医疗器械相关的人为因素相关的风险。考虑到设备的生命周期,任务的认知参与水平,环境条件,压力,责任感,培训水平和经验,该半定量过程可提供有关在医疗设备使用中与人为错误相关的风险水平的信息。 “风险指数”的术语。另外,将更多的设备彼此进行比较是有用的,以降低在设备的设计阶段中应用该设备的风险,以帮助用户使设备更加用户友好,从而提高医疗设备的性能和效率。该程序用于评估和比较使用两种体外诊断医疗设备(IVD)时与人为错误相关的风险。

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