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AAMI TIR50 2014 RA 2017

$115.49

AAMI TIR50:2014/(R)2017 – Post-market surveillance of use error management

Published By Publication Date Number of Pages
AAMI 2014 46
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This document will address the issue of use error detection for medical devices from clinical, manufacturer, and regulatory perspective regarding human factors assessment. The goal is to provide guidance on how clinicians and manufacturers can best collect and leverage post-market use error data to improve product safety and usability.

PDF Catalog

PDF Pages PDF Title
2 Blank Page
3 Title page
4 AAMI Technical Information Report
Copyright information
5 Contents
7 Glossary of equivalent standards
8 Committee representation
10 Foreword
11 1 Purpose
2 Scope
2.1 Stakeholder entities (not all inclusive)
2.2 Reporting entities (not all inclusive)
12 3 Terms and definitions
13 4 How to use this document
5 Background
5.1 Manufacturer’s perspective
14 5.2 Clinical perspective
15 5.3 Lay users perspective
6 Regulatory focus on use error post-market surveillance
16 7 Process recommendations for manufacturers
7.1 Process flow high level introduction
18 7.1.1 Deployment
7.1.1.1 Identifying potential use errors
19 7.1.1.2 Identifying collector/influencer roles and tools
20 7.1.1.3 Computer systems impact
7.1.1.4 Tying use error risk analysis to customer complaint and inquiry categorization
21 7.1.1.5 Training
7.1.2 Valid use event reports received (inputs for “reports”)
22 7.1.3 Triage
24 7.1.4 Analysis
25 7.1.5 Monitor and trend
27 7.1.6 Action
28 7.2 How post-market surveillance use error management drives value for your company
7.2.1 Data trending
7.2.2 Recommendations for how and when to take action
29 8 Process recommendations for clinical users
8.1 Process flow high-level introduction
30 8.2 Use error event
8.3 Immediate impact on user/patient
32 8.4 Evaluate experience to determine root cause
34 8.4.1 Monitor, trend and report to patient safety bodies
8.5 Reporting to manufacturer
8.6 Organization activities
8.6.1 General training on use error
8.6.2 Develop an understanding of the value of reporting close calls
35 8.6.3 Address the blame game
8.6.4 How post-market surveillance use error management drives value in clinical environments
8.6.5 Develop use error and close call reporting process for clinical organizational environments
36 8.6.6 User dissatisfaction
8.6.7 Utilize internal resources to identify use error events
8.6.8 Proactive assessment
37 8.6.9 Scalability
38 Annex A: Example questions for collecting use error or close call data
A.1 Introduction
A.2 High level use error event questions
A.3 Probing use error event questions
A.3.1 The Story (if time is short these are the minimum questions to be asked)
39 A.3.2 Area specific questions: UPCARE inspired questions to help further understand the circumstances surrounding the event
43 Annex B: Connecting use error to customer complaints
B.1 Introduction
B.2 Injecting device example
46 Bibliography
AAMI TIR50 2014 RA 2017
$115.49