呼吸机应用中的医疗风险及其防范

基于呼吸机建立的人工气道系统是一个多环节的复杂系统,存在高度不确定的应用风险性。建议将呼吸机应用中的质量控制纳入医院的医疗风险管理,实行呼吸机的专业化操作,培养业务精、懂管理、以医疗设备质量控制为重点的临床工程师参加呼吸机管理小组,制定规范的《呼吸机临床应用指南》、结合医院实际情况,建立行之有效的呼吸机风险监测与预警机制,将是减少或避免呼吸机导致的医疗事故发生的关键。

Medical Risk in Ventilator Application and Its Prevention

The artificial ventilation system is a multi-factor system with some high uncertain risks which should be under controlled by medical risk management of hospitals. The key suggestions for reducing the accidence caused by ventilator are recommented: 1) to clarify the risk factor of ventilators, 2) to set up management group of ventilators with a clinical engineer who is good at management and quality control of medical equipment on ventilators, 3) to develop ventilator clinical practice for safety use, 4) to explore the effective risk monitoring and early warning system and mechanism on ventilator application.