Download Oral Presentation 3, March 14, 2003

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
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44,000 to 98,000 people die in hospitals each year as
the result of medical errors.
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Medical Errors - eighth leading cause of death in this
country—
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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
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approximately $37.6 billion each year
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about $17 billion associated with preventable errors.
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no unified effort to address the problem of medical errors and
patient safety, awareness of the issue has been growing.
Medical Error - Adverse Event
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An adverse event is defined
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"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;
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6 percent were potentially preventable;
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24 percent were not preventable.
Need for new reorganized cable
and line system in the ICU
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When patient is transported, moved, or turned
over
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Cables become tangled and/or disconnected
Untangling cables is time consuming
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Misidentification of devices connected
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Results in medical errors
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Dee Snyder, 2003
Dee Snyder, 2003
ICU equipment Considerations
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IV pump - Water, sugar, vitamins, and medications are
given
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Ventilator - Oxygen
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Feeding Tube - nose, throat, stomach, intestines
nasogastric (NG) tube - nose, stomach
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removes food or liquids from stomach
Moniter wires - connected from patient to machine
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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
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Combine Cables for
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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
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Researched similar devices
Contacted Dr. Bill Walsh,Neonatology
Preliminary sketch
Researching Retractable Cord
Future Work
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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/ivaprojektet/readymadedesign%20final.pdf
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http://www.vh.org/pediatric/patient/pediatrics/copingwithintensivec
areunit/index.html

Dr. Steve Robinson

Dr. Bill Walsh
Intensive Care Unit patients connected to many
cables and fluid lines