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

2. 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

3. Dee Snyder, 2003

5. Medical Errors 2000 report of the Institute of Medicine (IOM), entitled To Err Is Human: Building A Safer Health SystemTo 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. no unified effort to address the problem of medical errors and patient safety, awareness of the issue has been growing.

6. 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.

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

8. Computer Cable Line Management System (example of current system) Pros – simple – effective – easy to manage Cons – permanent – for static applications -Bill Hays, 1998

9. 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,

10. 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

11. Proposed Design for Cable and Line Centralizer

12. Neonatal Intensive Care Unit

15. Current Status Researched similar devices Contacted Dr. Bill Walsh,Neonatology Preliminary sketch DesignSafe Completed Researching Retractable Cord

16. Future Work Implement design at NICU Research statistical information about medical errors Re-Visit Medical Center

17. 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. Bill Walsh