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Study of Adverse Events Associated With the Use of Medical Devices Reported Under the Materiovigilance Programme of
Shruti Chandra1, Umar Farooque Shaikh2, Deepak Bhosle1
1Clinical Pharmacology and Therapeutics, MGM Medical College and Hospital, Chhatrapati Sambhajinagar, MGM Institute of Health Sciences, Navi Mumbai, IND.
Abstract:
Background Medical device adverse events (MDAEs) are critical incidents in healthcare systems that can lead to patient harm, necessitating thorough investigation and management. This study aims to comprehensively analyse MDAE reports collected over six months at a Medical Device Management Centre (MDMC). The investigation focuses on various aspects, including gender distribution, age demographics, types of medical devices implicated, department-wise distribution within hospitals, risk classification according to regulatory standards, and subsequent corrective and preventive actions undertaken. Methods The study collected and analysed 80 spontaneous MDAE reports from the MDMC database. Data were meticulously extracted, categorised, and quantified to facilitate detailed analysis. Mean and standard deviation were calculated for quantitative variables, and proportions were calculated for categorical variables to elucidate patterns and trends in MDAE occurrences. Results Analysis revealed a gender disparity, with a higher proportion of MDAEs occurring in males (62%) compared to females (38%). Middle-aged individuals (41-50 years) constituted the largest age group affected by MDAEs, comprising 36.25% of reported cases. Patient monitors, IV catheters, and syringes emerged as the most frequently implicated medical devices, with patient monitors alone accounting for 18.75% of reported events. The Medicine ICU and Dialysis Unit reported the highest number of MDAEs, with 12.5% and 10% of total cases, respectively. Risk classification based on regulatory standards categorised the majority of events as Class B (51.25%), indicating low to moderate risk, while a notable proportion were classified as Class C (32.5%), signifying moderate to high risk. Additionally, in our study, most corrective actions after an MDAE involved repairing and returning the device for hospital use (94.59%). Two cases (5.41%) were sent to the manufacturer for replacement. Additionally, 43 out of 80 adverse events involved discarding single-use devices in hospital facilities. Preventive measures, such as staff training programs, were proposed to mitigate future risks. Conclusion This study highlights important patterns in patient safety risks. Risk classification demonstrated that most events fell within Class B and Class C categories. Overall, this study emphasises the importance of systematic reporting, analysis, and management of MDAEs to reduce patient harm. Strengthening preventive measures, enhancing staff awareness, and ensuring robust regulatory compliance are essential steps toward improving medical device safety in hospital settings.
Insights
Medical device adverse events (MDAEs) disproportionately affect males and middle-aged individuals. Patient monitors and IV catheters were most frequently implicated, highlighting the need for improved safety and preventive measures in healthcare.
Area of Science:
- Healthcare Safety
- Medical Device Technology
- Risk Management
Background:
- Medical device adverse events (MDAEs) pose significant risks to patient safety within healthcare systems.
- Effective investigation and management of MDAEs are crucial for mitigating patient harm.
- This study analyzes MDAE reports to identify key trends and patterns.
Purpose of the Study:
- To conduct a comprehensive analysis of medical device adverse event reports over a six-month period.
- To investigate MDAE patterns concerning demographics, device types, hospital departments, and risk classifications.
- To evaluate the corrective and preventive actions implemented following MDAEs.
Main Methods:
- Analysis of 80 spontaneous MDAE reports from a Medical Device Management Centre (MDMC) database.
- Data extraction, categorization, and quantification to identify trends.
- Calculation of means, standard deviations, and proportions for quantitative and categorical variables.
Main Results:
- MDAEs were more prevalent in males (62%) than females (38%).
- Middle-aged individuals (41-50 years) represented the largest affected age group (36.25%).
- Patient monitors, IV catheters, and syringes were the most frequently implicated devices; Medicine ICU and Dialysis Unit reported the highest incidence.
Conclusions:
- Most MDAEs were classified as Class B (51.25%) or Class C (32.5%), indicating low to moderate and moderate to high risks, respectively.
- Corrective actions primarily involved device repair (94.59%), with few replacements.
- Strengthening preventive measures, staff awareness, and regulatory compliance are essential for enhancing medical device safety.
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