Assessing Equipment, Supplies, and Devices for Patient Safety Issues
# Background Medical equipment, supplies, and devices (ESD) serve a critical function in healthcare delivery and how they function can have patient safety consequences. ESD-related safety issues include malfunctions, physically missing ESDs, sterilization, and usability. Describing ESD-related safe...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Patient Safety Authority
2023-03-01
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| Series: | Patient Safety |
| Online Access: | https://doi.org/10.33940/data/2023.3.2 |
| _version_ | 1797341566075928576 |
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| author | Raj M. Ratwani Katharine T. Adams Tracy C. Kim Deanna-Nicole C. Busog Jessica L. Howe Rebecca Jones Seth Krevat |
| author_facet | Raj M. Ratwani Katharine T. Adams Tracy C. Kim Deanna-Nicole C. Busog Jessica L. Howe Rebecca Jones Seth Krevat |
| author_sort | Raj M. Ratwani |
| collection | DOAJ |
| description | # Background
Medical equipment, supplies, and devices (ESD) serve a critical function in healthcare delivery and how they function can have patient safety consequences. ESD-related safety issues include malfunctions, physically missing ESDs, sterilization, and usability. Describing ESD-related safety issues from a human factors perspective that focuses on user interactions with ESDs can provide additional insights to address these issues.
# Methods
We manually reviewed ESD patient safety event reports submitted to the Pennsylvania Patient Safety Reporting System to identify ESD-related safety issues using a taxonomy that was informed by the Food and Drug Administration Manufacturer and User Facility Device Experience taxonomy. This taxonomy consisted of the following high-level categories: malfunctions, physically missing, sterilization, and usability. The type of ESD and associated components or ESD subtypes, event classification, and care area group were noted for each report.
# Results
Of the 450 reports reviewed, the most frequent ESD-related safety issue coded was malfunction (n=365 of 450, 81.1%) followed by sterilization (n=40 of 450, 8.9%), usability (n=36 of 450, 8.0%), and physically missing (n=9 of 450, 2.0%). Among the coded malfunctions, software/output problem (n=122 of 365, 33.4%) was the most frequent, followed by general malfunction (n=103 of 365, 28.2%); material integrity (n=72 of 365, 19.7%); and activation, positioning, or separation (n=68 of 365, 18.6%). The most frequent ESDs noted were infusion pump, instrument set, and intravenous, and the most frequent components/subtypes noted were alarm/alert, tubing, and tray.
# Conclusions
ESD-related patient safety issues, especially malfunctions, impact patient care despite current policies and practices to address these issues. Healthcare facilities may be able to address some ESD-related patient safety issues during procurement through use of the accompanying procurement assessment tool. |
| first_indexed | 2024-03-08T10:20:55Z |
| format | Article |
| id | doaj.art-afc30cdb48eb428b99880143d3b92deb |
| institution | Directory Open Access Journal |
| issn | 2689-0143 2641-4716 |
| language | English |
| last_indexed | 2024-03-08T10:20:55Z |
| publishDate | 2023-03-01 |
| publisher | Patient Safety Authority |
| record_format | Article |
| series | Patient Safety |
| spelling | doaj.art-afc30cdb48eb428b99880143d3b92deb2024-01-28T00:01:07ZengPatient Safety AuthorityPatient Safety2689-01432641-47162023-03-0151Assessing Equipment, Supplies, and Devices for Patient Safety IssuesRaj M. RatwaniKatharine T. AdamsTracy C. KimDeanna-Nicole C. BusogJessica L. HoweRebecca JonesSeth Krevat# Background Medical equipment, supplies, and devices (ESD) serve a critical function in healthcare delivery and how they function can have patient safety consequences. ESD-related safety issues include malfunctions, physically missing ESDs, sterilization, and usability. Describing ESD-related safety issues from a human factors perspective that focuses on user interactions with ESDs can provide additional insights to address these issues. # Methods We manually reviewed ESD patient safety event reports submitted to the Pennsylvania Patient Safety Reporting System to identify ESD-related safety issues using a taxonomy that was informed by the Food and Drug Administration Manufacturer and User Facility Device Experience taxonomy. This taxonomy consisted of the following high-level categories: malfunctions, physically missing, sterilization, and usability. The type of ESD and associated components or ESD subtypes, event classification, and care area group were noted for each report. # Results Of the 450 reports reviewed, the most frequent ESD-related safety issue coded was malfunction (n=365 of 450, 81.1%) followed by sterilization (n=40 of 450, 8.9%), usability (n=36 of 450, 8.0%), and physically missing (n=9 of 450, 2.0%). Among the coded malfunctions, software/output problem (n=122 of 365, 33.4%) was the most frequent, followed by general malfunction (n=103 of 365, 28.2%); material integrity (n=72 of 365, 19.7%); and activation, positioning, or separation (n=68 of 365, 18.6%). The most frequent ESDs noted were infusion pump, instrument set, and intravenous, and the most frequent components/subtypes noted were alarm/alert, tubing, and tray. # Conclusions ESD-related patient safety issues, especially malfunctions, impact patient care despite current policies and practices to address these issues. Healthcare facilities may be able to address some ESD-related patient safety issues during procurement through use of the accompanying procurement assessment tool.https://doi.org/10.33940/data/2023.3.2 |
| spellingShingle | Raj M. Ratwani Katharine T. Adams Tracy C. Kim Deanna-Nicole C. Busog Jessica L. Howe Rebecca Jones Seth Krevat Assessing Equipment, Supplies, and Devices for Patient Safety Issues Patient Safety |
| title | Assessing Equipment, Supplies, and Devices for Patient Safety Issues |
| title_full | Assessing Equipment, Supplies, and Devices for Patient Safety Issues |
| title_fullStr | Assessing Equipment, Supplies, and Devices for Patient Safety Issues |
| title_full_unstemmed | Assessing Equipment, Supplies, and Devices for Patient Safety Issues |
| title_short | Assessing Equipment, Supplies, and Devices for Patient Safety Issues |
| title_sort | assessing equipment supplies and devices for patient safety issues |
| url | https://doi.org/10.33940/data/2023.3.2 |
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