首页|三级医疗机构Ⅲ类医疗器械使用质量安全风险评估研究

三级医疗机构Ⅲ类医疗器械使用质量安全风险评估研究

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目的 评估某市三级医疗机构的Ⅲ类医疗器械使用质量安全风险,建立Ⅲ类医疗器械风险评估长效机制,维护医患用械安全.方法 某市市场监督管理局通过德尔菲专家咨询法设计调研问卷,确定评估标准并遴选成立专家库,在2020-2022年以"行政+专家"的方式,对全市三级医疗机构Ⅲ类医疗器械使用环节开展质量安全风险评估与分析.结果 37家被评估的医疗机构平均得分为88.4分.扣分项目中,Ⅲ类医疗器械贮存环节涉及的医疗机构占比最高,共扣分84.5分,涉及风险机构33家,占比89.19%.所有子项目风险评估中,涉及风险机构占比最高的前3项为库房场所设施设备、质量管理制度、温湿度监测记录,其中两项属于贮存环节.结论 "行政+专家"的医疗器械使用质量评估新模式有利于推动Ⅲ类医疗器械使用质量安全监管由末端控制向风险控制转变、由经验主导向技术主导转变,有效加强行政监督能力.
Study on Quality and Safety Risk Assessment of Class Ⅲ Medical Device Usage in Tertiary Medical Institutions
Objective To evaluate the quality and safety risks of Class Ⅲ medical device usage in a tertiary medical institution in a city,establish a long-term risk assessment mechanism for Class Ⅲ medical device,and maintain the safety of medical equipment for doctors and patients.Methods A survey questionnaire was designed by the municipal market supervision administration through Delphi expert consultation method,the evaluation criteria was determined and an expert database was selected.Then a quality safety risk assessment and analysis on the usage of Class Ⅲ medical devices in the city's tertiary medical institutions was carried out in the way of"administrative+experts"from 2020 to 2022.Results The average score of 37 evaluated medical institutions was 88.4.Among the deduction items,the proportion of medical institutions involved in Class Ⅲ medical device storage was the highest,with a total of 84.5 points,and 33 risk institutions were involved,accounting for 89.19% .In the risk assessment of all sub-projects,the top 3 items involving the highest proportion of risk institutions were warehouse facilities and equipment,quality management system,temperature and humidity monitoring records,two of which belonged to the storage link.Conclusion The new model of"administrative+expert"medical device usage quality assessment is conducive to promoting the quality and safety supervision of Class Ⅲ medical devices use from end control to risk control,from experience-led to technology-led transformation,and effectively strengthen the ability of administrative supervision.

class Ⅲ medical devicesusagerisk assessmentadministrative supervision

郑丽纯、蒋永兆、操练武、吴凤祥、周燕

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南京大学医学院附属口腔医院/南京市口腔医院 医疗设备科,江苏 南京 210008

南京大学口腔医学研究所,江苏 南京 210008

南京市市场监督管理局 医疗器械监管处,江苏 南京 210018

Ⅲ类医疗器械 使用环节 风险评估 行政监督

江苏省重点研发计划社会发展面上项目江苏省医院协会医院管理创新研究课题南京大学医学院附属口腔医院3456骨干人才资助项目

BE2022670JSYGY-3-2023-344022M502

2024

中国医疗设备
中国整形美容协会

中国医疗设备

CSTPCD
影响因子:0.825
ISSN:1674-1633
年,卷(期):2024.39(7)
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