US medical authorities strengthen efforts to increase patient care safety


The US Hospital-Acquired Condition Reduction Program will decline avoidable hospital harm. With iatrogenic pneumothorax included on the list of adverse conditions, this is a good opportunity for Hamilton Medical to increase awareness of our products, which promote safer care, in the growing US market.

Based on adverse events such as iatrogenic pneumothorax or pulmonary embolisms, the initiative aims to reduce the number of hospital acquired conditions and improve patient safety during hospital stays. A quarter of the worst performing hospitals will have their Medicare payments reduced by 1% for all hospital discharges occurring after Oct. 1, 2014. 

The Partnership for Patients is also part of a far-reaching effort to make hospital care safer, more reliable, and less costly. The organization works with federal agencies, hospital network engagement networks, and private-public partners. The ventilator-associated pneumonia (VAP) is one of nine hospital-acquired conditions that Partnership for Patients has identified as a core patient safety area of focus.

Our two strongest features that help to reduce the risk of VAP and iatrogenic pneumothorax are ASV and IntelliCuff. Studies show that ASV decreases the weaning duration in medical patients. In post-cardiac surgery, ASV allows earlier extubation than conventional modes. As the risk of developing VAP increases with ventilator length of stay, reducing weaning duration and time to extubation reduces the risk of developing VAP. According to the Continuous Control of Tracheal Cuff Pressure study, the confirmed VAP rate was reduced to 9.7% with automatic cuff pressure regulation vs. 22% in the control group (p= 0.032).*

ASV also reduces the risk of iatrogenic pneumothorax by automatically limiting pressures and volumes. P/V Tool and esophageal monitoring helps to reduce stress/strain injury to the lung, which could reduce the likelihood of iatrogenic pneumothorax by managing and optimizing PEEP, tidal volume and lung recruitment.  

* Nseir S, Continuous Control of Tracheal Cuff Pressure and Microaspiration of Gastric Contents in Critically Ill Patients. Am J Respir Crit Care Med 184:1041–1047, 2011

Source: Modern Healthcare

Date of Printing: 03.07.2022
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