Medical equipment education regarding the noninvasive positive pressure ventilation apparatus

DOI Web Site 1 Citations
  • Honte Satoshi
    Committee for promotion of medical safety, National Hospital Organization Asahikawa Medical Center
  • Atsuya Takumi
    National Hospital Organization Sendai Medical Center
  • Fujikane Toshiaki
    Committee for promotion of medical safety, National Hospital Organization Asahikawa Medical Center
  • Kuroda Kenji
    Committee for promotion of medical safety, National Hospital Organization Asahikawa Medical Center
  • Nishimura Hideo
    National Hospital Organization Asahikawa Medical Center

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Other Title
  • 非侵襲的陽圧換気療法機器安全使用のための医療機器教育の実施とその効果
  • ヒシンシュウテキ ヨウアツ カンキ リョウホウ キキ アンゼン シヨウ ノ タメ ノ イリョウ キキ キョウイク ノ ジッシ ト ソノ コウカ

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Abstract

<p>Complications and accidents related to the artificial respiratory apparatus can be lethal at times. Therefore, mastering its knowledge and technique for safe use is crucial.</p><p>The disability care ward at the National Hospital Organization Asahikawa Medical Center has 40 beds. About 10 NPPV (Noninvasive Positive Pressure Ventilation) apparatus are constantly operating on neuromuscular disease patients of this ward. For the safe use of the NPPV apparatus, we have created an apparatus manual incorporating the incidents on medical treatment in the past. With this manual, we gave the ME (Medical Equipment) education to all nurses of the ward.</p><p>Fourteen incidents on medical treatment regarding the NPPV apparatus occurred in 2 years before the ME education. However, it decreased to 1 occurrence in 2 years after the ME education. For the confirmation of knowledge and technique, we evaluated the nurses in both written and practical tests. The tests revealed that there were nurses who were only able to answer correctly by 50% or less. The tests also revealed that the answer rate of the problem regarding the circuit of the NPPV apparatus was less than 50%. Many nurses had only insufficient technique regarding the connection of the circuit.</p><p>These results suggest that even if the incident on medical treatment has not occurred outwardly, there is an underlying possibility of an accident to occur. We conclude that, for the safe use of the NPPV apparatus, a periodical evaluation of knowledge and technique along with the training course and the ME education is necessary.</p>

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