簡易檢索 / 詳目顯示

研究生: 紀玫瑰
Dewi - Hardiningtyas
論文名稱: In-Depth Analysis of Medical Device Recall
In-Depth Analysis of Medical Device Recall
指導教授: 紀佳芬
Chia-Fen Chi
口試委員: 許總欣
Tsung-Shin Hsu
林廷宜
Tingyi S. Lin
學位類別: 碩士
Master
系所名稱: 管理學院 - 工業管理系
Department of Industrial Management
論文出版年: 2011
畢業學年度: 99
語文別: 英文
論文頁數: 92
外文關鍵詞: Medical device recall, in-depth investigation
相關次數: 點閱:224下載:1
分享至:
查詢本校圖書館目錄 查詢臺灣博碩士論文知識加值系統 勘誤回報

  • This study analyzed 363 medical device recalls filed in 2010-2011. These medical device recalls were extracted from the monthly publications of the United States Food and Drug Administrations (US FDA). Each of the medical device recall was analyzed in terms of device type, cause of recall, and severity level. Approximately 31.4% (114 cases) of medical device recalls belonged to General and Plastics Surgery Devices. Significant association between device type and cause of recall indicated that mechanical defect had caused majority of recall in General and Plastics Surgery Devices (109 cases, 30%). These analytical findings provide a direction for conducting in-depth adverse events investigation. Thus not only engineering area (safety science) but also the hospital itself and medical researcher can use this study to derive new perspective or potential study to reduce the number of medical device problem.

    CHAPTER I 1 INTRODUCTION 1 1.1 Background 1 1.2 Statement of the Problem 7 1.3 Objectives of the Study 7 1.4 Significance of the Study 8 1.5 Limitations of the Study 8 1.6 Organization of the Study 9 CHAPTER II 11 LITERATURE REVIEW 11 2.1 Medical Device Recall 11 2.1.1 Overview of Medical Device 11 2.1.2 Medical Device Recall Regulation 13 2.1.3 Medical Device Problem 15 2.1.4 Recalls Data 16 2.2 Taxonomy in Previous Medical Device Research 19 2.3 Statistical Analysis 22 2.3.1 Descriptive versus Inferential Statistics 22 2.3.2 Parametric versus Non parametric inferential statistical tests 22 2.3.3 Inferential statistical tests employed with two independent samples (nominal data) 23 2.3.3.1 The Chi-Square Test for Homogeneity 23 2.3.3.2 The Fisher Exact Test 25 2.3.4 Measures of Correlation/ Association (nominal data) 29 2.3.4.1 The Phi Coefficient 29 2.3.4.2 Cramer’s Phi Coefficient 30 CHAPTER III 33 RESEARCH METHODOLOGY 33 3.2 Classification Phase 35 3.3 Statistical Analysis Phase 35 3.4 Evaluation Phase 35 CHAPTER IV 36 MODEL DEVELOPMENT 36 CHAPTER V 38 RESULTS AND DISCUSSION 38 5.1 Medical Device Recall Classification Scheme 38 5.1.1 Source of Injury 38 5.1.2 Cause of Recall 39 5.1.3 Severity Level 41 5.2 Frequency distribution of variables 41 5.3 Association among contributing factors 44 5.3.1 Association between cause of recall and device type 45 5.3.2 Association between device type and severity level 47 5.3.3 Association between cause of recall and severity level 48 CHAPTER VII 52 CONCLUSIONS 52 REFERENCES 53 APPENDIX 56

    Autian, J. (2004). Adverse Effects of Medical Devices. International Journal of Risk and Ssafety in Medicine , 16, 113-132.
    Balka, E., Doyle-Waters, M., Lecznarowicz, D., & FitzGerald, J. M. (2007). Technology, governance and patient safety: Systems issues in technology and patient safety. International Journal of Medical Informatics , S35-S47.
    Braithwaite, J., Runciman, W. B., & Merry, A. F. (2009). Towards safer, better healthcare: harnessing the natural properties of complex sociotechnical systems. Quality and Safety in Health Care , 18, 37-41.
    Bright, R. A., Flack, M. N., & Gardner, S. N. (2007). The Medical Product Surveillance Network (MedSun). In S. L. Brown, R. A. Bright, & D. R. Tavris, Medical Device Epidemiology and Surveillance (pp. 63-77). England: John Wiley & Sons Ltd.
    Brixey, J., Johnson, T. R., & Zhang, J. (2002). Evaluating a Medical Error Taxonomy. AMIA.
    Brown, S. L., Bright, R. A., & Tavris, D. R. (2007). Medical Device Epidemiology and Surveillance. West Sussex: John Wiley & Sons Ltd.
    Caplan, R. A., Vistica, M., Posner, K., & Cheney, F. (1997). Adverse anesthetic outcomes arising from gas delivery equipment: A closed claims analysis. The Journal of the American Society of Anesthesiologists , 87 (4), 741-748.
    Castro, F. P., Chimento, G., Munn, B. G., Levy, R. S., Timon, S., & Barrack, R. L. (1997). An analysis of Food and Drug Administration medical device reports relating to total joint components. The Journal of Arthroplasty , 12 (7), 765-771.
    Chang, A., Scyve, P. M., Croteau, R. J., & O'Leary, D. S. (2005). The JCHAO Patient Safety Event Taxonomy: A Standardized and Classification Schema for Near Misses and Adverse Events. International Journal for Quality in Health Care , 17 (2), 95-105.
    Dain, S. (2002, May 22). Normal accidents: human error and medical equipment design. The Heart Surgery Forum , 5 (3), pp. 254-257.
    Dovey, S. M., Meyers, D. S., Phillips, R. L., Green, L. A., Fryer, G. E., Galliher, J. M., et al. (2002). A preliminary taxonomy of medical errors in family practice. Quality and Safety in Health Care , 11, 233-238.
    Elder, N. C., & Dovey, S. M. (2002). Classification of medical errors and preventable adverse events in primary care. Journal of Familiy Practice , 51 (11), 927-932.
    Gross, T. P., Witten, C. M., & Uldriks, C. (2007). Medical Device Regulation in the USA. In S. L. Brown, R. A. Bright, & D. R. Tavris, Medical Device Epidemiology and Surveillance. West Susex: John Wiley & Sons Ltd. .
    Health Canada. (2011, March 17). Advisories, Warning, and Recalls. Retrieved July 11, 2011, from Health Canada: http://hc-sc.gc.ca/cps-spc/advisories-avis/index-eng.php
    Higgs, R. (1995). Policy analysis, and wrecking ball: FDA registration of medical devices, Cato Policy Analysis No. 235.
    Jacobson, B., & Murray, A. (2007). Medical Devices : Use and Safety. Elsevier Ltd.
    Jha, A. K., Prasopa-Paizier, N., Larizgoitia, I., & Bates, D. W. (2010). Patient safety research: an overview of the global evidence. Quality and Safety in Health Care , 10, 42-47.
    Kohn, L. T., Corrigan, J. M., & Donaldson, M. S. (1999). To Err is Human. Washington, DC: National Academy Press.
    Makeham, M. A., Dovey, S. M., County, M., & Kidd, M. R. (2002). An international taxonomy for errors in general practice: A pilot study. Medical Journal of Australia , 177, 68-72.
    NCC MERP. (1998). NCC MERP Taxonomy of Medication Errors. National Coordinating Council for Medication Error Reporting and Prevention.
    NCIPC. (2010). WISQARS Injury Mortality Reports, 1999 - 2007. Atlanta: National Center for Injury and Prevention Control.
    Nolan, T. W. (2000). System changes to improve patient safety. British Medical Journal , 320, 771-773.
    Sanders, M., & McCormick, E. (1993). Human Factors in Engineering and Design (seventh ed.). New York: McGraw-Hill.
    Shah, R. K., Kentala, E., Healy, G. B., & Roberson, D. W. (2004). Classification and consequences of errors in otolaryngology. Laryngoscope , 114, 1322-1335.
    Sheskin, D. (2000). Handbook of Parametric and Nonparametric Statistical Procedure (2nd ed.). US: Chapman & Hall/CRC.
    Taib, I. A., McIntosh, A. S., Caponecchia, C., & Baysari, M. T. (2011). A Review of Medical Error Taxonomies: A Human Factors Perspective. Safety Science , 49, 607-615.
    TGA. (2011, June 8). About Recalls. Retrieved July 11, 2011, from Department of Health and Ageing - Therapeutic Goods Administration: http://www.tga.gov.au/safety/recalls-all.htm
    US FDA. (2009, May 21). About MedSun. Retrieved June 17, 2011, from The MedSun Web page: http://www.fda.gov/MedicalDevices/Safety/MedSunMedicalProductSafetyNetwork/ucm112683.htm
    US FDA. (2011, April 8). Device Classification Panels. (US FDA) Retrieved May 5, 2011, from The US FDA Web: http://www.fda.gov/MedicalDevices/DeviceRegulationandGuidance/Overview/ClassifyYourDevice/ucm051530.htm
    US FDA. (2011, May 10). Device Problem Code Hierarchy. (US FDA) Retrieved June 14, 2011, from The US FDA Web: http://www.fda.gov/MedicalDevices/Safety/ReportaProblem/EventProblemCodes/ucm134761.htm
    US FDA. (2011, June 2). Medical Device Recalls. Retrieved July 11, 2011, from US Food and Drug Administration: http://www.fda.gov/MedicalDevices/Safety/RecallsCorrectionsRemovals/default.htm
    US FDA. (2011, January). MedSun - Medical Product Safety Network. (US FDA) Retrieved January 28, 2011, from The MedSun Web page: http://www.fda.gov/MedicalDevices/Safety/MedSunMedicalProductSafetyNetwork/default.htm
    US FDA. (2011, February 25). What Happens in A Medical Device Recall? Retrieved July 11, 2011, from US Food And Drug Administration: http://www.fda.gov/MedicalDevices/Safety/RecallsCorrectionsRemovals/ucm243982.htm
    van Vuuren, W., Shea, C. E., & van der Schaaf, T. W. (1997). The Development of An Incident Analysis Tool for The Medical Field. Eindhoven: Eindhoven University of Technology.
    Whitmore, E. (2004). Development of FDA-regulated medical products: prescription drugs, biologics, and medical devices. Milwaukee: ASQ Quality Press.
    WHO. (2003). Medical Device Regulations: Global Overview and Guiding Principles. Geneva: World Health Organization.
    Woods, D. M., Johnson, J., Holl, J. L., Mehra, M., Thomas, E. J., Ogata, E. S., et al. (2005). Anatomy of a patient safety event: A pediatric patient safety taxonomy. Quality and Safety in Health Care , 14, 422-427.
    Zhang, J., Patel, V. L., Johnson, T. R., & Shortliffe, E. H. (2004). A cognitive taxonomy of medical errors. Journal of Biomedical Informatics , 37, 193-204.

    無法下載圖示 全文公開日期 2016/07/11 (校內網路)
    全文公開日期 本全文未授權公開 (校外網路)
    全文公開日期 本全文未授權公開 (國家圖書館:臺灣博碩士論文系統)
    QR CODE