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基于AHP的导尿类医疗器械不良事件监测研究OA

Research on Adverse Event Monitoring of Urinary Catheter Medical Devices Based on AHP

中文摘要英文摘要

目的 为医疗器械监督管理部门提供监管依据,采取有效机制开展不良事件的风险控制及预防,降低患者、医务人员使用医疗器械风险,保障人民群众用械及生命财产安全.方法 依托山东省医疗器械不良事件监测专项研究平台进行不良事件数据分析,确定研究品类;采用层次分析法(Analytic Hierarchy Process,AHP)确定研究品类器械不良事件发生的指标原因权重,并对其进行一致性检验分析;从器械监管、生产、使用的不同角度制定针对性措施并加以实施,持续跟踪监测.结果 确定研究品类为导尿类医疗器械,AHP结果确定产品质量问题是导致导尿类医疗器械不良事件发生的首要原因,2个维度一致性检验结果(CR=0)均符合要求,与省平台数据统计结果一致;使用管理及人员管理是导致导尿类医疗器械不良事件发生的关键影响因素;针对性措施实施后,医疗机构导尿类医疗器械不良事件的发生率显著降低.结论 利用AHP进行数据分析可有效确定医疗器械不良事件发生的根因指标;针对性采取措施开展医疗器械不良事件的风险控制,不仅能推动医疗机构提高对所用产品性能与功能的要求,还能促进企业提升产品质量,进而切实减少甚至避免同类不良事件重复发生.

Objective To provide a regulatory basis for medical device supervision and administration departments,adopt effective mechanisms to conduct risk control and prevention of adverse events,reduce the risks of medical device use for patients and medical staff,and ensure the safety of people's medical device use as well as life and property.Methods Based on the Shandong Provincial Medical Device Adverse Event Monitoring Special Research Platform,data analysis of adverse events was conducted to determine the research category of medical devices.The analytic hierarchy process(AHP)was used to determine the index weight of causes for adverse events of medical devices in the research category,and consistency test analysis was performed on the weights.Targeted measures were formulated and implemented from different perspectives of device supervision,production and use,followed by continuous tracking and monitoring.Results The research category was determined as urinary catheterization-related medical devices.The AHP results showed that product quality issues were the primary cause of adverse events of urinary catheterization-related medical devices.The consistency test results of the two dimensions(CR=0)all met the requirements,which were consistent with the statistical results of the provincial platform.Usage management and personnel management were key influencing factors leading to adverse events of urinary catheterization-related medical devices.After the implementation of targeted measures,the incidence of adverse events of urinary catheterization-related medical devices in medical institutions decreased significantly.Conclusion Data analysis using AHP can effectively identify the root cause indicators of medical device adverse events.Implementing targeted measures for risk control of medical device adverse events can not only promote medical institutions to improve the requirements for the performance and function of the products used,but also drive enterprises to enhance product quality,thereby effectively reducing or even avoiding the recurrence of similar adverse events.

孟华阳;赵玉娟;潘恩;徐滨;杨建卫;马宝荣;徐可苓

山东第一医科大学第二附属医院 医学工程部,山东 泰安 271000山东省药品不良反应监测中心 医疗器械监测评价科,山东 济南 250200泰安市食品药品检验检测研究院 药品不良反应监测科,山东 泰安 271000泰安市食品药品检验检测研究院 药品不良反应监测科,山东 泰安 271000山东省药品不良反应监测中心 医疗器械监测评价科,山东 济南 250200山东第一医科大学第二附属医院 医学工程部,山东 泰安 271000山东第一医科大学第二附属医院 医学工程部,山东 泰安 271000

医药卫生

医用耗材医疗器械不良事件层次分析法(AHP)导尿类医疗器械产品质量一致性检验

medical consumablesmedical device adverse eventsanalytic hierarchy process(AHP)urinary catheterization-related medical devicesproduct qualityconsistency test

《中国医疗设备》 2025 (11)

110-116,7

山东省医疗器械专项研究平台(2024SDADR024).

10.3969/j.issn.1674-1633.20241990

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