Feds ap­prove DMC’s cor­rec­tive ac­tion plan for safety is­sues

Modern Healthcare - - REGIONAL NEWS - —Jay Greene, Crain’s Detroit Busi­ness

Detroit Med­i­cal Cen­ter has re­ceived fed­eral ap­proval for a cor­rec­tive ac­tion plan af­ter fail­ing a sur­prise in­spec­tion in Jan­uary that found nu­mer­ous vi­o­la­tions of fed­eral in­fec­tion con­trol and pa­tient safety rules.

The vi­o­la­tions the fed­eral in­spec­tors re­ported in­clude fail­ure to main­tain enough ster­ile sur­gi­cal equip­ment for sur­geons, in­suf­fi­cient clean­ing of dust in ster­ile ar­eas and lack of con­tain­ment of re­frig­er­ated med­i­ca­tions.

DMC hos­pi­tals cited were Chil­dren’s Hospital of Michi­gan, Detroit Re­ceiv­ing Hospital and Harper Univer­sity Hospital, ac­cord­ing to the CMS re­port.

Med­i­cal cen­ter of­fi­cials con­tend many of the cor­rec­tive plans have been im­ple­mented. They in­clude: re­or­ga­ni­za­tion of the cen­tral ster­ile pro­cess­ing depart­ment, re­view of all pro­cesses re­lated to the pre­treat­ment, de­con­tam­i­na­tion and ster­il­iza­tion of in­stru­ments, in­vest­ment in new in­stru­ments and equip­ment, and creation of an in­stru­ment as­sess­ment and in­ven­tory process.

DMC’s prob­lems with ster­ile sur­gi­cal pro­cess­ing were un­cov­ered by a six-month in­ves­ti­ga­tion by the Detroit News. State and fed­eral reg­u­la­tors found a va­ri­ety of prob­lems at DMC’s down­town ster­ile pro­cess­ing depart­ment that serves four hos­pi­tals.

Last fall, the CMS an­nounced that DMC had cor­rected more than a dozen vi­o­la­tions of reg­u­la­tions cov­er­ing em­ployee and man­age­ment train­ing prob­lems, lack of doc­u­men­ta­tion and var­i­ous in­fec­tion con­trol prac­tices.

De­fi­cien­cies in­cluded staff not wear­ing pro­tec­tive gear when deal­ing with bod­ily flu­ids, not hav­ing enough in­stru­ments to start surg­eries, and con­tin­u­ally un­clean in­stru­ments.

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