Buy this domain.

free-best-hosting.com

Stringent Patient Monitoring at Johns Hopkins Uncovers Serious Safety Problem with New Medical Device | 24-7-news.com cialis online

Stringent Patient Monitoring at Johns Hopkins Uncovers Serious Safety Problem with New Medical Device

AddThis Social Bookmark Button

Sudden and unexplained increases in bloodstream infections at the Johns Hopkins Hospital led to the discovery of a completely unintended and unforeseen health and safety hazard with a new catheter device that was actually supposed to make patient care easier and safer.

According to Dr. Trish Perl, senior hospital epidemiologist and an associate professor of medicine and pathology at The Johns Hopkins University School of Medicine: "No one could have anticipated this outcome. But, our experience underscores how advances in technology designed to improve health care may also have hidden risks to patients that can only be identified by paying close attention to what happens after the technology is put into practice."

As reported in the current online edition of the journal of Infection Control Hospital Epidemiology, the new device known as the Alaris SmartSite Plus intravenous catheter valve, caused a steep increase in potentially deadly bloodstream infections contracted by patients in Johns Hopkins’ pediatric intensive care unit (PICU) and other ICUs.

Although no one at the hospital died from the infections, the anomaly caused a great deal of concern and could have turned out much worse, indeed.

As a result of the discovery of the problem, an internal investigation was launched by the hospital and headed up by Dr. Lisa Maragakis, the hospital’s epidemiologist, who stated: "While new technology in health care is frequently beneficial or easier to use, it takes time and use to determine whether these devices are in fact safe. It may be harder to clean and disinfect some new technologies, which can lead to potential complications. New medical devices should be monitored after their introduction as closely as drug therapies because, as more hospitals are finding out, the ‘bug’ may be in the equipment itself."

The Alaris device and others like it are considered safer and easier to use than previous models because a positive pressure feature prevents blood from flowing back into the catheter. The valve also contains an enclosed needle plunger with a screw-top for easy attachment to syringes for administering medications and taking blood samples.

Unfortunately, as the Hopkins investigation revealed, the Alaris device and others like it also have ridges in the screw-top mechanism that could potentially catch blood or other fluids, thereby providing a breeding ground for possible infections. An opaque plastic cover made it impossible for hospital staff to see through it to make sure that such fluids were cleaned out between procedures.

According to Dr. Maragakis, who is also an assistant professor at Hopkins: "Guarding against bloodstream infections is a daily battle in the hospital environment because patients are unusually susceptible to catching something hazardous, many are weak from their own illness with limited immune defenses, and they are also at increased exposure to other sick peoples’ germs."

Patients in intensive care are already at greater risk for picking up infections because have intravenous tubing such as a central catheter put inside them. Such openings in the body make ICU patients vulnerable to dangerous bacteria.

A spike in bloodstream infections in the PICU triggered an investigation that then analyzed statistics compiled quarterly by the hospital that revealed bloodstream infections in the catheterized patients in the ICU had increased dramatically over the latter half of 2004.
At first, the staff was stumped by the increase and approached the problem by tightening up and monitoring safety practices and following infection control procedures “to the letter.” When all human error was eliminated, the investigative team concluded the likely source of the problem was mechanical.

Fortunately, one of the infection control staff, Karen Bradley, R.N., B.S.N., had recently attended a national meeting of medical professionals where participants discussed reports of new catheter valve devices being linked to an outbreak of bloodstream infections. The design of the device appeared to be the problem in that it did not allow for a complete  cleanout of fluids thereby permitting blood and other fluids to collect and serve as a source of infection.

Upon recognizing the similarity to the previously reported case, Bradley also found that a new catheter device had been introduced at Hopkins. When the old-style catheters were re-introduced in the PICU, the bloodstream infections there quickly dropped back to previous baseline levels.

These results prompted the hospital to discontinue the use of the new device throughout the hospital. Hopkins also reported its findings to the Food and Drug Administration (FDA), the agency that approves the use of medical devices, and the Centers for Disease Control and Prevention (CDC), which monitors infections in hospital.

« »

Comments are closed.

NEWS CATEGORIES

GOVERNMENT NOTICES

ARCHIVES


Defective Johnson & Johnson Depuy ASR Hip Implants

The Johnson & Johnson Depuy ASR Hip Implant is suppose to last 15 years, but can fail in only a few years after surgery. Victims with faulty hip implants endure excruciating pain, pain in the groin, death of tissue in the hip joint and loss of surrounding bone. GET ALL THE FACTS NOW! CLICK HERE!
defective-hip-replacement.com

CAT Scans Radiation Exposure

If you had a CT or CAT scan and now have a band of missing hair, skin reddening or any other problems possibly related to a radiation overdose, you may have been exposed to much radiation due to incorrect settings on these machines. CONTACT US TODAY!
CAT-Scans-Radiation-Exposure.com

Water Contamination From Fracking

Hydraulic Fracturing of Fracking a way to extract natural gas from shale is contaminating water supplies across the country. Get the facts to keep your drinking water safe for your family.
WaterContaminationFrom Fracking.com

Overexposure to PCBs

Many people unknowingly have been exposed to high levels of PCBs. Recently 3 schools in NY City were found to have dangerous levels of PCBs throughout. Many workers for Monsanto, General Electric, and Westinghouse were exposed to high levels of PCBs. PCBs are a dangerous toxic substance that doesn't break down easily and can cause chloracne, bleeding and neurological disorders, liver damage, spontaneous abortions, malformed babies, cancer, and death. GET THE FACTS!
Overexposure to PCBs.com

Great Photography

Tallis Photo, the number one photographer for great corporate, wedding, and special occasion photos. CONTACT US TODAY!
TallisPhoto.com

Poligrip Lawsuit

Super Poligrip or Fixodent May Cause Nerve Damage. 800-LAW-INFO
Poligrip-Lawsuit.com

Personal Injury Lawyer Nassau County

If you or someone you love was injured CONTACT US TODAY!
Nassau-Personal-Injury-Lawyer-Online.com

Nursing Home Blog

When a loved one is abused at a nursing home, it is time to take action. STOP nursing home abuse!
nursing-home-blog.com

Car Accident Lawyer Nassau County

If you or someone you love was injured in an auto accident CONTACT US TODAY!
www.nassau-car-accident-lawyer-online.com

Suffolk County Auto Accident Lawyer

If you or someone you love was injured in an auto accident in Suffolk County, NY CONTACT US TODAY!
www.suffolk-car-accident-lawyer-online.com

Don't Be Denied Veterans Benefits

If you or someone you love was denied veterans benefits CONTACT US TODAY!
www.veterans-benefits-denial.com

Oil Rig Spills Lawyer

Oil Rig Spills harm the environment and cause heavy losses to coastal game and fishing industries, as well as a loss of waterway usage, resulting in a loss of income to individuals and businesses, and a loss of beach front usage. Don't let a spill cause you harm, CONTACT US TODAY!
www.oil-rig-spills.com

Whistle Blower

Stand up and say what you think is right. See something, say something.
whistlebloweradvisor.com