Today, an intensive care unit patient room contains anywhere from 50 to 100 pieces of medical equipment made by dozens of manufacturers, and these products rarely, if ever, talk to one another. This means that clinicians must painstakingly review and piece together information from individual devices—for instance, to make a diagnosis of sepsis or to recognize that a patient’s condition is plummeting. Such a system leaves too much room for error and requires clinicians to be heroes, rising above the flawed environment that they work in. We need a heath care system that partners with patients, their families and others to eliminate all harms, optimize patient outcomes and experience and reduce waste. Technology must enable clinicians to help achieve those goals. Technology could do so much more if it focused on achieving these goals and worked backwards from there.

This week marks a step that holds tremendous promise for patients and clinicians. On Monday the Masimo Foundation hosted the Patient Safety Science & Technology Summit in Laguna Niguel, California, an inaugural event to convene hospital administrators, medical technology companies, patient advocates and clinicians to identify solutions to some of today’s most pressing patient safety issues. In response to a call made by keynote speaker former President Bill Clinton, the leaders of nine leading medical device companies pledged to open their systems and share their data.

Lack of interoperability between medical devices plays no small role in the 200,000 American deaths caused by preventable patient harm each year, such as in the case of 11-year-old Leah Coufal. After undergoing elective surgery, Leah received narcotics intended to ease her pain.

When Leah received too much medication, it suppressed her breathing, eventually causing it to stop altogether. Had she been monitored, a device could have alerted clinicians when Leah’s breathing slowed to a dangerous level.

But as we know, clinicians are busy and unfortunately don’t always respond to alarms from bedside machines. If a machine measuring her breathing had been linked with the device delivering her medication, it could have automatically stopped the drugs from infusing into her blue, oxygen-deprived veins.

All of this is possible today; technology is not a barrier. Until now, the only thing that’s stood in the way is a lack of leadership and a lack of willingness for device manufacturers to cooperate.

Through collaboration between health care providers and the private sector, health care can move from a system that relies on the heroism of individual clinicians to one that utilizes safe design.

Additional links:
· See my video interview about the summit
· Read an article with the pledge

Director of the Johns Hopkins Medicine Armstrong Institute for Patient Safety and Quality, Peter Pronovost, MD, PhD is a practicing anesthesiologist and critical care physician who is dedicated to making hospitals and health care safer for patients. Pronovost has chronicled his work in his book, Safe Patients, Smart Hospitals: How One Doctor’s Checklist Can Help Us Change Health Care from the Inside Out. His posts appear occasionally on THCB and on his own blog, Points from Pronovost.

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7 Responses for “Connecting Medical Devices and Their Makers”

  1. Whatsen Williams says:

    “Through collaboration between health care providers and the private sector, health care can move from a system that relies on the heroism of individual clinicians to one that utilizes safe design.”

    Safety and efficacy of medical devices is guided by the F D and C Act and is determined by the FDA. Why are the law being subverted for HIT devices?

    Why are the vendors of EMRs and CPOEs being given a pass from the laws that were written to assure that there products met safety standards?

    I am also curious as to the role of the EHR and the CPOE devices in the narcotic overdose in the 11 year old that you reported above.

  2. Curly Harrison, MD says:

    So we need more technology devices to save the patients from technology?

    I like your check lists better. Good old fashioned low tech.

    Just think, the checklist could have reminded the nurse to check on the 11 year old avery 5 minutes, but instead, the nurse was busy clicking away on the user unfriendly CPOE and EMR devices, ignoring and neglecting the patients.

  3. Doctor Mawrdough says:

    Commenter asks “Why are the vendors of EMRs and CPOEs being given a pass from the laws that were written to assure that there (sic) products met safety standards?”

    ANS: Sad but true, the US Government knows what’s best for its doctors and patients, based on what the EHRA vendors and its trade group HIMSS proselytized them with and the lobbying and campaign contributions put out there by same.

  4. @Burnseyjp says:

    Thank you

  5. Priya Patel says:

    Not only is connecting medical devices with the correct physician is important, so is the correct form of treatment.

    Please view my website (http://www.facebook.com/AnsweringAfib) to get more information on this cause.

    And don’t forget to like!

  6. Brad Crowne says:

    The know how of many sophisticated medical devices provided now a days like catheters, medical imaging devices ,viscosupplementation injections,cardio devices,drug regulatory devices are very necessary now a days

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