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基于真实世界数据的一次性使用静脉留置针不良事件分析及建议

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目的 基于真实世界数据分析一次性使用静脉留置针不良事件,并提出改进建议.方法 收集2023年1月1日至2024年4月30日临沂市药物警戒中心收到的一次性使用静脉留置针不良事件报告,剔除错报、误报、重复上报及无效报告后共纳入351例不良事件报告.分析不良事件报告的上报机构情况、产品情况、患者情况、不良事件伤害表现、留置针故障类型、不良事件原因及伤害类型和处置情况.结果 351例不良事件报告均由医疗机构上报,其中二级及以上医疗机构上报284例(80.91%);共涉及14个生产厂家、28 个产品注册证,其中国产产品注册证27个(96.43%);不良事件涉及患者年龄分布较广(2个月至97岁),主要集中在 0~10 岁和 61~80 岁;不良事件伤害表现主要是各种原因导致的二次穿刺、渗血、过敏;留置针故障主要表现为漏液、打折弯曲、断裂;故障原因主要为产品本身问题;351例报告中,168例(47.86%)的伤害程度为严重伤害,183例(52.14%)为其他伤害程度;168 例严重伤害报告中,151 例(89.88%)处置方法为更换留置针二次穿刺.结论 建议护理人员提升穿刺水平,规范操作流程;医疗机构加强护理培训和医疗器械管理,避免不合格产品进入临床;生产企业应优化生产工艺,保障产品质量安全;监管部门应加强全链条监管,保障用械安全.
The Analysis and Suggestions on Adverse Events of Disposable Intravenous Catheters Based on Real World Data
Objective To analyze the adverse events of disposable intravenous catheters and propose improvement suggestions,based on real world data.Methods With the collection of adverse event reports of disposable intravenous catheters received by Linyi Pharmacovigilance Center from January 1,2023 to April 30,2024,after excluding misreports,false reports,repeated reports and invalid reports,a total of 351 adverse event reports were included.Adverse event reports were analyzed in terms of reporting institutions,product situation,patient situation,adverse event injury manifestations,catheters failure types,causes of adverse events and types of injury,and disposal situations.Results 351 adverse event reports were all reported by medical institutions,of which 284 cases were reported by secondary and above medical institutions(accounting for 80.91%);A total of 14 manufacturers and 28 registration certificate numbers were involved,including 27 domestic registration certificate numbers(accounting for 96.43%);With a wide age distribution(2 months to 97 years old),patients involved in adverse events were mainly concentrated in the ages of 0-10 and 61-80;The main manifestations of adverse event injuries were secondary punctures,bleeding,and allergies caused by various reasons;The main manifestations of catheter failure were leakage,bending,and breakage;The main cause of the malfunction was a problem with the product itself;Among the 351 cases reported,168 cases were serious injuries(accounting for 47.86%)and 183 cases were other injuries(accounting for 52.14%).Among the 168 reports with serious injuries,151 cases were treated by replacing the catheter for secondary puncture(accounting for 89.88%).Conclusion It is suggested that nurses improve the level of puncture and standardize the operation process.Medical institutions should strengthen nursing training and medical device management to prevent unqualified products from entering clinical practice;Production enterprises should optimize their production processes to ensure product quality and safety;Regulatory authorities should strengthen full chain supervision to ensure the safety of patients using equipment.

Disposable intravenous catheterReal world dataAdverse eventsSafe use of equipment

朱媛媛

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临沂市药物警戒中心(山东 临沂 276000)

一次性使用静脉留置针 真实世界数据 不良事件 用械安全

2024

医疗装备
国家食品药品监督管理局北京医疗器械质量监督检验中心 北京市医疗器械检验所

医疗装备

影响因子:0.339
ISSN:1002-2376
年,卷(期):2024.37(21)