ECRI 发布2025年 医疗技术风险 top 10（附：涉及医院感染部分的翻译）

ICBC

1. Risks with AI-Enabled Health Technologies
2. Unmet Technology Support Needs for Home Care Patients
3. Vulnerable Technology Vendors and Cybersecurity Threats
4. Substandard or Fraudulent Medical Devices and Supplies
5. Fire Risk in Areas Where Supplemental Oxygen Is in Use
6. Dangerously Low Default Alarm Limits on Anesthesia Units
7. Mishandled Temporary Holds on Medication Orders
8. Infection Risks and Tripping Hazards from Poorly Managed Infusion Lines
9. Skin Injuries from Medical Adhesive Products
10. Incomplete Investigations of Infusion System Incidents



ECRI_top 10_2025.pdf (801.81 KB, 下载次数: 20)

2024-12-13 11:07 上传

点击文件名下载附件

ICBC

简单翻译一下，翻译不对的地方请大家指正

1. 人工智能健康技术的风险

2. 家庭护理患者未满足的技术支持需求

3. 脆弱的技术供应商和网络安全威胁

4. 不合格或伪劣的医疗设备和用品

5. 供氧区域的火灾风险

6. 麻醉设备默认警报限值过低

7. 临时处理不当的暂停用药

8. 输液管管理不善导致的感染风险和绊倒危险

9. 医用粘合剂产品导致的皮肤损伤

10. 输液系统事故调查不完整

那颜

ICBC 发表于 2024-12-13 11:14
简单翻译一下，翻译不对的地方请大家指正
1. 人工智能健康技术的风险 2. 家庭护理患者未满足的技术支持需求 ...

如有可能，可以翻译医院感染相关，机器翻译也可以，大家先睹为快

ICBC

那颜 发表于 2024-12-13 14:24
如有可能，可以翻译医院感染相关，机器翻译也可以，大家先睹为快

应版主要求，试着翻译一下，不当之处敬请指正



8. Infection Risks and Tripping Hazards from Poorly Managed Infusion Lines
输液管管理不善导致的感染风险和绊倒危险

Failure to properly manage infusion linesand connectors can lead to severe patient harm. While medication errors andmisconnections are perhaps the best-known risks, they aren’t the onlyopportunities for harm. The potential for healthcare-associated infections(HAIs) and tripping hazards can be just as consequential.

不能正确管理输液管和连接器可能导致严重的患者伤害。虽然药物错误和错误连接可能是最著名的风险，但它们并不是造成伤害的唯一机会。医院感染（HAIs）和绊倒危险的可能性也同样重要。

Infections associated with improper linemanagement may result from:

与线路管理不当有关的感染可能源于：

−       Pathogens entering the connector and infusion line (e.g., if theconnector is not cleaned and disinfected before access)

病原体进入连接器和输液管（例如，如果连接器在进入前未进行清洁和消毒）

−       Environmental contaminants contacting the insertion site or theouter surface of the infusion line (e.g., if a healthcare worker touches theinsertion site or tubing with contaminated gloves)

接触注射部位或输液管外表面的环境污染物（例如，如果医护人员带着被污染的手套接触注射部位或输液管）

−       The drug, solution, or other infusate becoming contaminated (e.g.,if sterile technique is not followed during preparation or if aseptic techniqueis not followed at the point of use)

药物、溶液或其他输液剂被污染（例如，如果在制备过程中未遵循无菌技术或在使用时未遵循无菌技术）

HAIs can have severe consequences,including longer hospital stays and increased rates of patient morbidity anddeath. To minimize the risks, healthcare workers should follow infectioncontrol best practices, including employing aseptic technique when inserting,accessing, and maintaining lines, and using standard precautions or additionaltransmission-based precautions, as appropriate.

医院感染（HAIs）可产生严重后果，包括延长住院时间和增加患者发病率和死亡率。为了最大限度地降低风险，医疗工作者应遵循感染控制最佳做法，包括在插入、使用和维护输液管时采用无菌技术，并酌情采用标准预防措施或其他基于传播的预防措施。

Another circumstance that can lead to harmis if infusion lines are allowed to dwell on the floor. This creates a trippinghazard that can lead to patient or staff injuries from a fall, as well aspatient harm if the infusion line becomes dislodged. Staff should checkinfusion lines to ensure that they are not on the floor. Additionally,facilities may consider using a catheter securement product to decrease therisk of dislodgement.

另一种可能导致伤害的情况是，如果输液管停留在地板上。这造成了绊倒的危险，可能导致患者或工作人员因跌倒而受伤，如果输液管移位，也会对患者造成伤害。工作人员应检查输液管，确保输液管不在地板上。此外，医院可以考虑使用导管固定产品来降低脱位的风险。

Whilemedication errors and misconnections are perhaps the best-known dangers,infection risks and tripping hazards from mismanaged lines can be just asconsequential.

虽然用药错误和连接错误可能是最著名的危险，但由于线路管理不善，感染风险和绊倒危险也可能同样重要。

ICBC

那颜 发表于 2024-12-13 14:24
如有可能，可以翻译医院感染相关，机器翻译也可以，大家先睹为快

应版主要求，试着翻译一下，不当之处敬请指正





9. Skin Injuries from Medical Adhesive Products 医用粘合剂产品导致的皮肤损伤

Medical adhesive products are used for avariety of applications— from dressing a wound, to securing an IV line, toattaching an electrode for an electrocardiogram. Tapes, dressings, and otheradhesive products are intended to benefit patient care. But not all adhesivesare the same, and not all patients will respond similarly to an adhesiveproduct. Inappropriate choices can lead to skin tears, blisters, adversereactions like contact dermatitis, or other forms of injury.

医用粘合剂产品用于各种应用——从包扎伤口，到固定静脉注射线，再到连接心电图电极。胶带、敷料和其他粘合剂产品旨在使患者护理受益。但并不是所有的粘接剂都是一样的，也不是所有的病人对粘接剂产品的反应都是一样的。不恰当的选择会导致皮肤撕裂、水泡、接触性皮炎等不良反应或其他形式的伤害。

Factors that can contribute tomedical-adhesive-related skin injuries, or MARSI, include:

可导致医用粘合剂相关皮肤损伤（MARSI）的因素包括：

−       Patient risk factors, such as age, nutrition, or underlying medicalconditions.

患者风险因素，如年龄、营养状况或潜在医疗状况。

−       The properties of the adhesive product. Stronger adhesives provide amore secure hold but also pose a higher likelihood of damaging the skin.

粘合剂产品属性。更强的粘合剂提供更安全的固定，但也有更高的可能损害皮肤。

−       Selection of an inappropriate product for the intended application.

根据实际应用选择了不合适的产品。

−       Errors when applying or removing an adhesive product.

使用或移除粘合剂产品出现错误。

MARSI can occur in any care setting,medical specialty, and patient population. While most skin injuries resolvewithin a few days, they nevertheless cause unnecessary discomfort and pain;additionally, they can leave patients susceptible to infection, which can leadto more severe consequences.

医用粘合剂相关皮肤损伤（MARSI）可以发生在任何护理环境、医学专业和患者群体中。虽然大多数皮肤损伤在几天内就会消退，但它们仍然会造成不必要的不适和疼痛；此外，它们可能使患者容易受到感染，这可能导致更严重的后果。

This hazard illustrates how purchasingdecisions can impact patient care: Without access to appropriate products,staff may be forced to use one that is suboptimal for the situation. ECRIrecommends purchasing—and providing staff with easy access to—an appropriateselection of adhesive products. For their part, clinicians should assesspatients for MARSI risk factors and select an adhesive product with the loweststrength that still meets the requirements of the task.

这种危害显示购买决策如何影响患者护理：如果无法获得合适的产品，工作人员可能被迫使用不适合的产品。ECRI建议购买那些员工方便使用的粘合剂产品。对于临床医生来说，他们应该评估患者的MARSI风险因素，并选择一种强度最低但仍能满足任务要求的粘合剂产品。

Inappropriateadhesive choices can lead to skin tears, blisters, adverse reactions likecontact dermatitis, or other forms of injury.

不恰当的粘合剂选择会导致皮肤撕裂、水泡、接触性皮炎等不良反应或其他形式的伤害。

jerkran

孙老师牛，学习了     

暖冬1

国际前沿知识，跟着大咖老师学习了