1. Cable and Fluid Line Management System Justine W. Carter Advisor: Richard Fries, Datex-Ohmeda

2. Medical Errors 2000 report of the Institute of Medicine (IOM), entitled To Err Is Human: Building A Safer Health System 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).

3. 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.

4. 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.

5. 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

6. Dee Snyder, 2003

8. 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,

9. Design System to Eliminate This Problem Multiparameter Cable Combines: ECG, SpO2 temperature

10. Design Generalized Multiparameter Cable Combine Cables for – Heart Moniter – Cardiorespoiratry moniter – Pulse Oximeter – Carbon Dioxide Moniter – Respitory or Mechanical ventilator – IV Pumps

11. Proposed Design for Cable and Line Centralizer

12. Current Status Researched similar devices Contacted Edmund Lagan in Radiology Department at Vanderbilt Medical Center Completed IWB Preliminary sketch

13. Future Work Design final schematic Research product materials Research statistical information about medical errors Re-Visit Medical Center

14. 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/copingwithintensivec areunit/index.html http://www.vh.org/pediatric/patient/pediatrics/copingwithintensivec areunit/index.html Dr. Steve Robinson

15. Intensive Care Unit patients connected to many cables and fluid lines