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Preventable tragedies: superbugs and how ineffective monitoring of medical device safety fails patients.
US Senate Health, Education, Labor, and Pensions Committee. January 13, 2016.
Insufficient sterilization of duodenoscopes and other medical equipment has been linked to health care–associated infection outbreaks. This report summarizes findings from a government investigation into existing methods for monitoring and reporting device problems and provides recommendations for Congress, hospitals, and the Food and Drug Administration to augment identification and prevention of safety issues associated with medical devices.
Journal Article > Study
Reid M, Estacio R, Albert R. Am J Med Qual. 2009;24:520-524.
This study characterizes the types and severity of patient safety events at academic hospitals that were reported to a voluntary error reporting system.