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http://dx.doi.org/10.21288/resko.2017.11.2.125

The Safety Management for Compression Medical Device through the Quality Improvement Activities  

An, Young-Jae (인하대병원 의용공학팀)
Kim, Kyu-Sung (인하대학교 의과대학 이비인후과)
Shin, Jeong-Ae (인하대병원 가치혁신팀)
Lee, Hye-Ryun (인하대병원 가치혁신팀 환자안전담당)
Hwang, Kyu-Jung (인하대병원 서 12병동 간호단위)
Park, Ji-Young (인하대병원 서 12병동)
Kim, Sae-Rom (인하대병원 의료기기 안정성정보 모니터링)
Kang, Su-Kyung (메드트로닉 SCD 교육담당)
Kwon, Dae-Gyu (인하대학교 의과대학 정형외과)
Publication Information
Journal of rehabilitation welfare engineering & assistive technology / v.11, no.2, 2017 , pp. 125-132 More about this Journal
Abstract
Intermittent pneumatic compression is frequently used for prophylaxis of deep vein thrombosis, however there is a lot of complains by frequent adverse event. In this paper, we analyzed the cause of adverse event and we tried to improve for the cause of machine, nurses, patients, system by diverse strategy. And we could improve the index of each cause, the rate of error was decreased finally. The proactive activity of quality improvement for medical device can contribute to decrease the error, that will improve the quality of medical service and achieve the safe medial culture.
Keywords
Intermittent pneumatic compression; Deep vein thrombosis; Adverse event; Quality improvement; Safety management;
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1 Westrich GH, Sculco TP. Prophylaxis against deep venous thrombosis after total knee arthroplasty. Pneumatic plantar compression and aspirin compared with aspirin alone. J Bone Joint Surg Am. vol. 78, pp. 826-834, 1996.   DOI
2 Knudson MM, Morabito D, Paiement GD, Shackleford S. Use of low molecular weightheparin in preventing thromboembolism in trauma patients. J Trauma. vol. 41, pp. 446-459, 1996.   DOI
3 Martinelli I, Bucciarelli P, Mannucci PM, Thrombotic risk factors: Basic pathophysiology. Crit Care Med. vol. 38 (suppl 2), pp. S3-S9, 2010.   DOI
4 Rules about Stability information management of Side Effect of Medical Appliances etc., 2013.
5 Bovill EG, van der Vliet A, Venous valvular stasis-associated hypoxia and thrombosis: What is the link?. Annu. Rev. Physiol., vol. 73, pp. 527-545, 2011.   DOI
6 Yoon-Hee Cho, Definition and Necessity of QI Activity. The Korean Journal of Gastrointestinal Endoscopy vol. 41, Suppl. 2, pp. 179-182, 2010.
7 Lucas, Exercise of self-care agency and patient satisfaction with nursing care. Nurs Admin Qurrterly, vol. 2(3), pp. 23-30, 1988.
8 Manny R. Radiology maintenance circle of quality assurance. J of clincal engineering, vol. 17, no. 4, pp. 321-325, 1992.   DOI
9 H. H. Kang, R. H. Juh, J. S. Kim, S. H. Kim, S. J. Huh, A Study on Quality Improvement of Medical Equipments. Journal of Korean Society of Quality Assurance in Health Care, vol. 5, no. 2, pp. 190-201, 1998.
10 Song IJ. Present situations and the reality of quality assurance: Department of Nursing, Yonsei Medical Center. J Nurs Query vol 5, pp. 48-59, 1996.
11 Joseph PM. Quality improvement & team building. Clinical Engineering, pp. 2570-2616, 1995.
12 Korea Health Industry Development Institute. A Study of Medical Device and Quality Management System of Reorganization Plan 2015.
13 Goldhaber SZ. Pulmonary embolism, Lancet, vol.363, pp.1295-305, 2004.   DOI
14 Beckman MG, Hooper WC, Critchley SE, Ortel TL. Venous thromboembolism:a public health concern. Am J Prev Med, 38(suppl), pp. S495-S501, 2010.   DOI
15 Leali A, Fetto J, Moroz A. Prevention of thromboembolic disease after non-cemented hip arthroplasty. A multimodal approach. Acta Orthop Belg. vol. 68, pp. 128-134, 2002.
16 Donabedian A, The Quest for Quality Health Care : Whose Choice ? Whose Responsibility, The Mount Sinai J of Med, vol. 56, no. 5, pp. 406-422, 1989.
17 Hull RD, Raskob GE, Gent M, et al. Effectiveness of intermittent pneumatic leg compression for preventing deep vein thrombosis after total hip replacement. JAMA, vol. 263, pp. 2313-2317, 1990.   DOI
18 Gallus A, Raman K, Darby T. Venous thrombosis after elective hip replacement-the influence of preventive intermittent calf compression and of surgical technique. Br J Surg. vol. 70, pp. 17-19, 1983.   DOI
19 Santori FS, Vitullo A, Stopponi M, et al. Prophylaxis against deep-vein thrombosis in total hipreplacement. Comparison of heparin and foot impulse pump. J Bone Joint Surg Br. vol. 76, pp. 579-583, 1994.   DOI
20 Pitto RP, Hamer H, Heiss-Dunlop W, Kuehle J. Mechanical prophylaxis of deep-vein thrombosisafter total hip replacement a randomised clinical trial. J Bone Joint Surg Br. vol. 86, pp. 639-642, 2004.   DOI
21 Bradley JG, Krugener GH, Jager HJ. The effectiveness of intermittent plantar venous compressionin prevention of deep venous thrombosis after total hip arthroplasty. J Arthroplasty. vol. 8, pp. 57-61, 1993.   DOI