Emergency provider preference for powered intraosseous devices and satisfaction with features improving safety, reliability, and ease-of-use.

IF 2.9 3区医学 Q3 ENGINEERING, BIOMEDICAL Expert Review of Medical Devices Pub Date : 2023-04-01 DOI:10.1080/17434440.2023.2190019

Drew Jones, Kimberly Alsbrooks, Andrew Little

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引用次数: 2

Abstract

Background: Powered intraosseous (IO) systems are valuable devices for emergent situations, with limited data on user preferences. A simulation/survey-based study was conducted among emergency medical service (EMS) providers to evaluate attitudes toward general powered IO system features to measure preferences/satisfaction for the most-commonly used and a novel powered IO system (with a passive safety needle, battery life indicator, and snap-securement/dressing).

Research design and methods: Forty-two EMS providers completed a simulated activity using both powered IO systems and a 30-item questionnaire, including multiple choice, free-text, ranking, and Likert-like questions. Ranking scores were reported using a scale of 0 (least important/satisfactory) to 100 (most important/satisfactory). Statistical significances were evaluated via Wilcoxon signed-rank sum test.

Results: Providers indicated driver performance (mean score ± SD; 77.8 ± 27.5) and IO needle safety mechanism (63.1 ± 27.9) as the most important features. Participants reported significantly higher (p < 0.001) satisfaction with the novel IO system overall, and its needle safety, battery life indicator, securement/dressing, and ease-of-use. Powered driver performance satisfaction was similar and favorable for the novel (88.1 ± 18.2) and traditional (87.1 ± 15.3) systems.

Conclusions: These findings highlight the value of clinician/user input and demonstrate EMS providers are more satisfied with a powered IO system featuring design elements intended to enhance safety and ease-of-use.

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急救提供者对动力骨内装置的偏好，以及对提高安全性、可靠性和易用性的特性的满意。

背景:有动力的骨内(IO)系统在紧急情况下是有价值的设备，关于用户偏好的数据有限。在紧急医疗服务(EMS)提供者中进行了一项基于模拟/调查的研究，以评估对一般供电IO系统功能的态度，以衡量最常用和新型供电IO系统(带有被动安全针、电池寿命指示器和快照安全/包扎)的偏好/满意度。研究设计和方法:42家EMS供应商使用动力IO系统和30项问卷完成了模拟活动，包括多项选择、自由文本、排名和李克特式问题。排名分数用0(最不重要/满意)到100(最重要/满意)的等级报告。采用Wilcoxon符号秩和检验评价统计学显著性。结果:供应商表示驾驶员表现(平均得分±SD;(77.8±27.5)和IO针安全机制(63.1±27.9)是最重要的特征。结论:这些发现突出了临床医生/用户输入的价值，并表明EMS供应商对具有旨在提高安全性和易用性的设计元素的动力IO系统更满意。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Expert Review of Medical Devices 医学-工程：生物医学

CiteScore

5.90

自引率

3.20%

发文量

审稿时长

6-12 weeks

期刊介绍： The journal serves the device research community by providing a comprehensive body of high-quality information from leading experts, all subject to rigorous peer review. The Expert Review format is specially structured to optimize the value of the information to reader. Comprehensive coverage by each author in a key area of research or clinical practice is augmented by the following sections: Expert commentary - a personal view on the most effective or promising strategies Five-year view - a clear perspective of future prospects within a realistic timescale Key issues - an executive summary cutting to the author''s most critical points In addition to the Review program, each issue also features Medical Device Profiles - objective assessments of specific devices in development or clinical use to help inform clinical practice. There are also Perspectives - overviews highlighting areas of current debate and controversy, together with reports from the conference scene and invited Editorials.