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Johns Hopkins Hospital

Patient-safety monitoring identifies IV catheter as likely source of infection

Published in Hospital Law Weekly, February 2nd, 2006

In a case study reported in the journal Infection Control and Hospital Epidemiology online January 6, 2006, a team of Hopkins patient-safety experts describe how the introduction of a catheter valve newly marketed to the hospital in April 2004 coincided with a spike in potentially deadly bloodstream infection picked up by patients in the hospital's pediatric intensive care unit, or PICU, and other intensive care units.

Once the increased rate was confirmed, an investigation began that identified an intravenous catheter valve as the likely source of infection. No one at Hopkins died from the infections. Hopkins stopped using the valve and alerted the U.S. Food &...

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