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研究生: 李俊賢
Lee, Jonathan
論文名稱: 醫療器材可用性評估模式之研究
A Study on Usability Evaluation Model for Medical Devices
指導教授: 王明揚
Wang, Min-Yang, Eric
口試委員: 趙金榮
Chao, Chin-Jung
邱銘傳
Chiu, Ming-Chuan
學位類別: 碩士
Master
系所名稱: 工學院 - 工業工程與工程管理學系碩士在職專班
Industrial Engineering and Engineering Management
論文出版年: 2015
畢業學年度: 103
語文別: 中文
論文頁數: 132
中文關鍵詞: 醫療器材血糖機風險管理可用性工程可用性測試
外文關鍵詞: Medical Device, Blood Glucose Meter, Risk Management, Usability Engineering, Usability Testing
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  • 摘要

    隨著醫療器材與技術的進步,由醫療器材使用錯誤所引起的傷害事件,也逐漸受到重視。在許多醫療器材於設計開發過程中未進行可用性評估,使器材設計不符合人的直覺習慣,難於學習和使用。隨著醫療的發展,如今包括患者自身在內的使用者使用醫療器材的技能較低,但醫療器材卻越來越複雜,很少情況下醫療器材使用者能夠處理難以使用的使用者介面。設計具備良好可用性的醫療器材面臨很大挑戰。

    因此,本研究以人因工程及風險管理之觀點,並考量醫療器材法規要求,建立一套有系統的醫療器材可用性評估模式。醫療器材製造業者可於產品設計開發過程即導入本研究之可用性評估模式,以降低器材使用風險,提昇產品可用性。最後以家用血糖機做為個案評估之醫療器材,執行醫療器材可用性測試,以驗證本研究可用性評估模式之成效,並將評估結果彙整成為血糖機介面設計原則,提供後續研究參考。

    關鍵字:醫療器材、血糖機、風險管理、可用性工程、可用性測試


    Abstract

    With advances in medical devices and technology, adverse events caused by use errors have become an increasing cause for concern. Many of the medical devices developed without applying a usability evaluation are non-intuitive, difficult to learn and to use. As healthcare evolves, less skilled users including patients themselves are now using medical devices and medical devices are becoming more complicated. In simpler times, the user of a medical device might be able to cope with an ambiguous, difficult-to-use user interface. The design of a usable medical device is a challenging endeavor.

    Therefore, in this study we focus from a perspective of human factors and risk management in medical device use, and also consider regulatory requirements for medical devices, to establish a systematic model of medical device usability evaluation. Medical device manufacturers can integrate this model into product design and development process, to reduce future risks associated with device use, and to improve the usability of products. Finally, the research utilizes home-use blood glucose meters as an empirical study to verify the validity of the model. The usability testing was performed, and we aggregated the results into blood sugar machine interface design principles. We hoped that this study may provide a reference for future study on medical device usability evaluation.

    Keywords: Medical Device, Blood Glucose Meter, Risk Management, Usability Engineering, Usability Testing.

    摘要 i Abstract ii 誌謝 iii 目錄 iv 圖目錄 vi 表目錄 vii 第一章 緒論 1 1.1 研究背景與動機 1 1.2 研究目的 4 1.3 研究範圍及限制 5 1.4 論文架構 5 第二章 文獻回顧 7 2.1 醫療器材 7 2.1.1 醫療器材定義 7 2.1.2 醫療器材管理模式 9 2.1.3 醫療器材潛在問題 13 2.1.4 小結 14 2.2 風險管理 15 2.2.1 風險管理定義 16 2.2.2 風險管理流程 17 2.2.3 小結 19 2.3 可用性 20 2.3.1 可用性定義 20 2.3.2 可用性工程 21 2.3.3 可用性評估方法 23 2.3.4 小結 32 第三章 研究方法 33 3.1 研究流程 33 3.2 第一階段 建立醫療器材可用性評估模式 34 3.2.1 步驟一:回顧醫療器材可用性評估模式發展現況 35 3.2.2 步驟二:現今醫療器材可用性評估模式分析與比較 35 3.2.3 步驟三:研擬本研究醫療器材可用性評估模式架構與內容 36 3.2.4 步驟四:建立本研究醫療器材可用性評估模式 37 3.3 第二階段 驗證醫療器材可用性評估模式 37 3.3.1 步驟一:個案醫療器材評估 38 3.3.2 步驟二:測試計畫 38 3.3.3 步驟三:測試實驗 40 3.3.4 步驟四:測試結果分析 41 第四章 研究結果 43 4.1 第一階段 建立醫療器材可用性評估模式結果 43 4.1.1 步驟一:回顧醫療器材可用性評估模式發展現況 43 4.1.2 步驟二:現今醫療器材可用性評估模式分析與比較 50 4.1.3 步驟三:研擬本研究醫療器材可用性評估模式架構與內容 56 4.1.4 步驟四:建立本研究醫療器材可用性評估模式 62 4.2 第二階段 驗證醫療器材可用性評估模式結果 74 4.2.1 個案醫療器材評估 74 4.2.1.1 個案醫療器材簡介 74 4.2.1.2 個案醫療器材可用性風險分析 77 4.2.2 測試計畫 82 4.2.3 測試實驗 89 4.2.4 測試結果分析 92 4.2.4.1 績效資料分析 92 4.2.4.2 主觀資料分析 95 第五章 研究結果討論 103 5.1 第一階段 建立醫療器材可用性評估模式結果之討論 103 5.1.1 本研究之醫療器材可用性評估模式與歐盟衛生主管機關要求之比較 103 5.1.2本研究之醫療器材可用性評估模式與美國衛生主管機關要求之比較 104 5.2 第二階段 驗證醫療器材可用性評估模式結果之討論 104 5.2.1個案血糖機可用性測試結果綜合分析 104 5.2.2個案血糖機可用性問題改善建議 109 5.2.3血糖機介面設計原則 112 第六章 結論與建議 114 6.1 結論 114 6.2 未來研究建議 115 參考文獻 117 附錄一 實驗問卷(系統可用性量表滿意度調查) 129 附錄二 實驗問卷(各項任務滿意度調查) 130

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