7
YEAR
IN
REVIEW
"Nontuberculous Mycobacterium Infections
Associated with Heater-Cooler Devices," addressing
issues with safe use of the device, and CDC issued
interim practical guidance on such devices.
"e most important action to protect patients
will be to remove contaminated heater-cooler devices
from operating rooms and ensure that those in
service are correctly maintained," according to the
CDC. Both WellSpan York Hospital and Penn State
Hershey have done so. n
Infection Control in the US
5 events from 2015 that affected hospitals, resulted in changed processes or uncovered new safety risks
2
Misdiagnosis
Diagnostic
errors account
for 6 to 17
percent of
hospital
adverse events
3
A
study
found
92
percent
of
endoscopes
had
microbial
residue
that
exceeded
benchmarks
Endoscope
reprocessing
risks
4
Cases
more
than
tripled
between
2001
and
2012
Legionnaires'
outbreaks
5
Heater-cooler
devices used
were identified
as potential
safety
hazards
NTM
&
open-
heart
surgery
1
16 cases were
reported through
Nov. 16, 2015
Plague
on
the
Rise
