cable and fluid line management system justine w. carter advisor: richard fries, datex-ohmeda
TRANSCRIPT
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Cable and Fluid Line Management System
Justine W. Carter
Advisor:
Richard Fries, Datex-Ohmeda
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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).
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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.
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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.
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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
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Dee Snyder, 2003
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Dee Snyder, 2003
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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,
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Design System to Eliminate This Problem
Multiparameter Cable
Combines:
ECG,
SpO2
temperature
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Neonatal Intensive Care Unit
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Neonatal Intensive Care Unit
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Neonatal Intensive Care Unit
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Neonatal Intensive Care Unit
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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
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Proposed Design for Cable and Line Centralizer
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Current Status
Researched similar devices Contacted Dr. Bill Walsh,Neonatology Preliminary sketch Researching Retractable Cord
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Future Work
Design final schematic Research product materials Research statistical information about medical
errors Re-Visit Medical Center Research Retractable Cord System
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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
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Intensive Care Unit patients connected to many cables and fluid lines