Preventing risks while working with medical technology as part of nursing care

Radka Pokojová, Sylva Bártlová
University of South Bohemia in České Budějovice, Faculty of Health and Social Sciences, Department of Nursing, Midwifery and Emergency Care, České Budějovice, Czech Republic

Korespondenční autor: Radka Pokojová (RPokojova@vnbrno.cz)

ISSN 1804-7181 (On-line)

Full verze:
Full version

Submitted:16. 6. 2016
Accepted: 26. 10. 2016
Published online: 31. 12. 2016

Summary

Introduction: One of the important risk management domains is working with medical technology as part of nursing care. Materials and methods: The aim of the research was to assess nurses’ opinions on working with medical technology and to learn about their knowledge of manipulation with oxygen. To learn about nurses’ opinions, a quantitative method and the technique of moderated interviews were used. The sample research group consisted of 772 nurses working in Czech hospitals. The sample group of nurses was representative from the point of view of Czech regions. Results: Most nurses (61.5%) believe that every employee working with medical technology must be educated by a competent firm or a qualified biomedical engineer. Fewer nurses (35.2%) think that education led by any head nurse is enough. 2.9% of nurses did not know the answer to this question. The nurses’ knowledge of the main safety risks of the manipulation with oxygen was also studied. Most nurses (70.7%) think that the main risk lies in explosions when higher fatty acids come into contact with oxygen. Fewer nurses (17.4%) see the main risk in increasing the incendiary temperature because pure oxygen causes the increase of incendiary temperature of all inflammable substances. 9.0% of nurses answered: “I do not know”. Conclusion: The way to prevent errors lies in educating staffs, establishing clear safety protocols and strict check-ups to ensure they are followed. Assessing the general knowledge of employees who work with medical technology and their knowledge of the main safety risks of manipulation with oxygen should be one of the systematically measured and assessed risk indicators. Increasing patients’ safety in providing nursing care brings positive results.

Keywords: safety; nursing care; medical technology; medical gas; adverse events

Literatura

1. de Veer AJE, Fleuren MAH, Bekkema N, Francke AL (2011). Successful implementation of new technologies in nursing care: a questionnaire survey of nurse-users. BMC Med Inform Decis Mak 11: 67. Doi: 10.1186/1472–6947–11–67.

2. Dvořáková L, Čížková M, Zmydlený T, Klimek T, Tuček V, Hanzal J (2006). Kyslík. Řada: informace, normy, předpisy [Oxygen. Set: Information, Standards, Regulations]. Praha: ČATP. [online] [cit. 2016–04–30]. Available from: http://www.catp.cz/…e/kyslik.pdf (Czech).

3. Flewwelling CJ, Easty AC, Vicente KJ, Cafazzo JA (2014). The use of fault reporting of medical equipment to identify latent design errors. Journal of Biomedical Informatics 51: 80–85. Doi: 1016/j.jbi.2014­.04.009.

4. Guidance for Hospitals, Nursing Homes, and other Health Care Facilities – Public Health Alert (2001). U.S. Department of Health and Human Services, Food and Drug Administration, Center for Drug Evaluation and Research. [online] [cit. 2016–03–30]. Available from: http://www.fda.gov/…cm070285.pdf

5. Kelly FE, Hardy R, Hall EA, McDonald J, Turner M, Rivers J et al. (2013). Fire on an intensive care unit caused by an oxygen cylinder. Anaesthesia 68(1): 102–104. Doi: 10.1111/anae.12089.

6. Mehraban MA, Hasanpour M, Yazdannik A, Ajami S (2013). Technology User’s Training is a waif. Iran Red Crescent Med J 15(11):e 10305. Doi: 10.5812/ircmj­.10305.

7. Newton RC, Mytton OT, Aggarwai R, Runciman WB, Free M, Fahlgren B, et al. (2010). Making existing technology safer in health care. Qual Saf Health Care 19: i15–i24. Doi: 10.1136/qshc.2009­.038539.

8. Preventing Surgical Fires FDA Safety Communication (2011). [online] [cit. 2016–03–10]. Available from: http://www.fda.gov/…cm275189.htm

9. Top 10 Hospital C-Suite Watch List for 2016 (2016). ECRI Institute. [online] [cit. 2016–03–30]. Available from: https://www.ecri.org/…Hazards.aspx

10. Vyhláška č. 84/2008 Sb., o správné lékárenské praxi, bližších podmínkách zacházení s léčivy v lékárnách, zdravotnických zařízeních a u dalších provozovatelů a zařízení vydávajících léčivé přípravky [Regulation no. 84/2008 Coll., on correct pharmaceutical practice, detailed conditions of handling pharmaceuticals in pharmacies, medical facilities and those of other operators and facilities supplying medicinal products] (2008). In: Sbírka zákonů České republiky, částka 25, pp. 1104–1125 (Czech).

11. Weiner JP, Kfuri T, Chan K, Fowles JB (2007). “e-Iatrogenesis”: the most critical unintended consequence of CPOE and other HIT. J AM Med Inform Assoc 14(3): 387–388.

12. Wiklund M (2013). Human factors: identifying the root causes of use errors. MDDI. [online] [cit. 2016–05–30]. Available from: http://www.mddionline.com/…g-rootcauses- use-errors

13. Zákon č. 268/2014 Sb., o zdravotnických prostředcích a o změně zákona 634/2004 Sb., o správních poplatcích, ve znění pozdějších předpisů [Act no. 268/2014 Coll., on medical devices and on amendment to Act no. 634/2004 Coll., on administrative fees, as amended] (2014). In: Sbírka zákonů České republiky, částka 110, pp. 3146–3187 (Czech).

14. Zákon č. 378/2007 Sb., o léčivech a o změnách některých souvisejících zákonů (zákon o léčivech) [Act no. 378/2007 Coll., on pharmaceuticals and on amendments to some related Acts (Act on Pharmaceuticals)] (2007). In: Sbírka zákonů České republiky, částka 115, pp. 5342–5428 (Czech).