cable and fluid line management system justine w. carter advisor: richard fries, datex-ohmeda
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Cable and Fluid Line Management System
Justine W. Carter
Advisor:
Richard Fries, Datex-Ohmeda
Medical Errors
2000 report of the Institute of Medicine (IOM), entitled To Err Is Human: Building A Safer Health System
44,000 to 98,000 people die in hospitals each year as the result of medical errors.
Medical Errors - eighth leading cause of death in this country—
– higher than motor vehicle accidents (43,458), breast cancer (42,297), or AIDS (16,516).
The Cost of Medical Errors is Rising
The IOM report– approximately $37.6 billion each year
– about $17 billion associated with preventable errors.
– no unified effort to address the problem of medical errors and patient safety, awareness of the issue has been growing.
Medical Error - Adverse Event
An adverse event is defined
– "an injury caused by medical management rather than by the underlying disease or condition of the patient.”
70 percent of adverse events found in a review of 1,133 medical records were preventable;
– 6 percent were potentially preventable;
– 24 percent were not preventable.
Need for new reorganized cable and line system in the ICU
When patient is transported, moved, or turned over
– Cables become tangled and/or disconnected– Untangling cables is time consuming
– Misidentification of devices connected
– Results in medical errors
Dee Snyder, 2003
Dee Snyder, 2003
ICU equipment Considerations
IV pump - Water, sugar, vitamins, and medications are given
Ventilator - Oxygen
Feeding Tube - nose, throat, stomach, intestines nasogastric (NG) tube - nose, stomach
– removes food or liquids from stomach Moniter wires - connected from patient to machine
– heart, carbon dioxide,
Design System to Eliminate This Problem
Multiparameter Cable
Combines:
ECG,
SpO2
temperature
Neonatal Intensive Care Unit
Neonatal Intensive Care Unit
Neonatal Intensive Care Unit
Neonatal Intensive Care Unit
Design Generalized Multiparameter Cable
Combine Cables for
– Heart Moniter– Cardiorespoiratry moniter– Pulse Oximeter– Carbon Dioxide Moniter– Respitory or Mechanical
ventilator– IV Pumps
Design Retractable Cable
Proposed Design for Cable and Line Centralizer
Current Status
Researched similar devices Contacted Dr. Bill Walsh,Neonatology Preliminary sketch Researching Retractable Cord
Future Work
Design final schematic Research product materials Research statistical information about medical
errors Re-Visit Medical Center Research Retractable Cord System
References
Medical Errors: The Scope of the Problem. Fact sheet, Publication No. AHRQ 00-P037. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/qual/errback.htm
http://space.interactiveinstitute.se/projects/iva-projektet/readymadedesign%20final.pdf
http://www.vh.org/pediatric/patient/pediatrics/copingwithintensivecareunit/index.html
Dr. Steve Robinson
Dr. Bill Walsh
Intensive Care Unit patients connected to many cables and fluid lines
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