Latest News - (includes Archived news)
March 2010
ECRI Institute Introduces New Health Devices Five Star Rating System
When ECRI Institute’s Health Devices Programme began rating medical products in 1971 the Medical Device Landscape was very different. Continuing from that point, almost four decades later, we have revised our formal ratings process and have now launched a new rating system.
We are now rating products on a scale of one to five stars. Thia scale replaces our former ratings of Preferred, Acceptable and Not Recommended. We will still continue to use a rating of Unacceptable for those products that are completely unsuitable for purchase or use. However, this is something that has thankfully become increasingly rare over the years.
For more information about ECRI Institute’s Health Devices activities, call +44 (0)1707 831001 +44 (0)1707 831001 , ext. 493, e-mail info@ecri.org.uk, or write to ECRI Institute, Weltech Centre, Ridgeway, Welwyn Garden City, Herts AL8 2AA,
March 2010
ECRI Institute Evaluates Real Time Location Systems
When Real Time Locations Systems (RTLS) were first introduced they were used mainly for asset tracking. However, applications for today’s technology have expanded and now include a range of hospital systems hoping to take full advantage of the technologies’ potential.
Tracking of staff and patients can improve workload, increase throughput and help prevent (in certain clinical conditions) wandering. In addition, healthcare facilities are also utilising such systems to continuously monitor the temperature of refrigerated and frozen medications, blood and other items.
Choosing the most appropriate system (or systems) can be exceedingly complex. It is important you understand what you want you’re tracking system to accomplish before the selection process begins. ECRI’s Health Devices evaluation guidance article helps you think through process so that you can get the most out of your real time locating system implementation.
For more information about ECRI Institute’s Health Devices activities, call +44 (0)1707 831001 +44 (0)1707 831001 , ext. 493, e-mail info@ecri.org.uk, or write to ECRI Institute, Weltech Centre, Ridgeway, Welwyn Garden City, Herts AL8 2AA,
March 2010
ECRI Institute Evaluates Manual Defibrillators
Whilst this is a long established technology, if you are investing in external manual defibrillators there are certain features that you should pay particular attention to. One such advance that ECRI Institute has found especially valuable is cardio pulmonary resuscitation (CPR) feedback which assists rescuers in performing proper, effective CPR through the provision of visual and audio guidance.
In this Health Devices Evaluation we provide judgements and ratings for nine distinct defibrillator products and rate them according to our Health Devices rating scale.
For more information about ECRI Institute’s Health Devices activities, call +44 (0)1707 831001 +44 (0)1707 831001 , ext. 493, e-mail info@ecri.org.uk, or write to ECRI Institute, Weltech Centre, Ridgeway, Welwyn Garden City, Herts AL8 2AA,
March 2010
ECRI Institute Evaluates Surgical Video Systems
As the increase of minimally invasive surgery continues, the concurrent use of surgical video systems continues to rise. These systems which typically consist of an endoscope, video camera, light source, video processor and at least one display unit allow for the real time viewing of colour images of the interior of the body during endoscopic procedures.
ECRI Institute’s Health Devices Evaluation reviews five high definition systems from four separate manufacturers rating each system based on image quality, human factors design, safety and compatibility.
For more information about ECRI Institute’s Health Devices activities, call +44 (0)1707 831001 +44 (0)1707 831001 , ext. 493, e-mail info@ecri.org.uk, or write to ECRI Institute, Weltech Centre, Ridgeway, Welwyn Garden City, Herts AL8 2AA,
March 2010
ECRI Institute Publishes “Understanding Cardiac Output Monitoring Techniques”
Cardiac output, the amount of blood being pumped by the heart per minute, is a core vital sign that indicates circulatory wellbeing. The traditional approach to monitoring cardiac output is pulmonary artery catheterisation using thermodilution as the measurement method. This procedure is often associated with a number of complications and there is significant debate regarding the evidence base for the technique in terms of improving clinical outcomes.
ECRI Institute has reviewed the published literature relevant to alternative techniques. These do have some limitations; however, they all may be still useful under certain clinical conditions. Our Health Devices Evaluation article describes the alternative approaches available and the devices that use them.
For more information about ECRI Institute’s Health Devices activities, call +44 (0)1707 831001 +44 (0)1707 831001 , ext. 493, e-mail info@ecri.org.uk, or write to ECRI Institute, Weltech Centre, Ridgeway, Welwyn Garden City, Herts AL8 2AA,
March 2010
Device Evaluation: Portable/Transport Ventilators
Many of today’s portable ventilators come with an increased range of advanced capabilities which were only formerly available in “full size” ventilator systems.
Portable/transport ventilators are compact lightweight devices used to provide breathing support in a variety of applications. Today’s models have longer battery life and fit an increasing range of capabilities into a small product package.
Not all applications, however, demand such an extensive set of features. In long term care, for instance, simplicity and low costs are an advantage and many advanced features may go unused. It is important to understand precisely which capabilities are needed and find a product with the features that match.
ECRI Institute’s Health Devices Evaluation, published in March 2010, provides an evaluation of this technology.
For more information about ECRI Institute’s Health Devices activities, call +44 (0)1707 831001 +44 (0)1707 831001 , ext. 493, e-mail info@ecri.org.uk, or write to ECRI Institute, Weltech Centre, Ridgeway, Welwyn Garden City, Herts AL8 2AA,
December 2009
ECRI Institute Issues "Top Ten Health Technology Hazards for 2010"
What are the biggest safety hazards hospitals and healthcare facilities should watch out for today? ECRI Institute an independent not for profit health research organisation that researches the best approaches to patient care, releases its 2010 Top Ten Health Technology Hazards, a list of hazards that healthcare organizations should protect against. The list is available now as a free download.
The list of hazards is updated each year based upon the prevalence and severity of incidents reported to ECRI Institute by healthcare facilities nationwide; information found in the Institute's medical device problem reporting databases; and the judgment, analysis, and expertise of the organization's multidisciplinary staff. Many of the items on this year's list are well-recognised hazards with numerous reported incidents over the years.
Five of the top ten hazards outlined in ECRI Institute's 2010 list are:
- Cross-contamination from Flexible Endoscopes
- Alarm Hazards
- High Radiation Dose from Computed Tomography
- Retained Devices and Un-retrieved Fragments Left in Patients
- Problems with Computerised Equipment and Systems
November 2009
ECRI Institute Issues Health Plan Watch List: 2010 Top 7 Technologies
In this era of healthcare reform, scrutinising costs and being forced to make tough decisions affecting patients and financial status are extremely challenging. With an array of new technologies attracting attention, knowing which ones to focus on can be a challenge.
Helping to answer critical questions being asked by health plans around the country, ECRI Institute® an independent not for profit organisation that researches the best approaches to improving patient care, announces the release of its list of top seven technologies for 2010 that insurers and other payers should be paying close attention to now.
Click here to read more
November 2009
Preventing Surgical Fires: Important New Recommendations Released
ECRI Institute and Anesthesia Patient Safety Foundation Offer Resources for Reducing Fire Risk
A flash fire on a patient during surgery is a very real tragedy, often leading to disfigurement, disability or even death. Though surgical fires are uncommon their consequences are grave enough to warrant ongoing prevention education by healthcare providers.
Click here for more details
AUGuST 2009
The 2009 ECRI-AIMS Users Meeting
Crowne Plaza Hotel, Birmingham NEC, United Kingdom
28th & 29th October 2009
The ECRI-AIMS team are pleased to invite you and your colleagues to join us for the 2009 ECRI-AIMS Users Meeting on the 28th and 29th of October. In response to feedback from last year’s meeting, we will focus on training, both on existing and new aspects of ECRI-AIMS. We will also be launching our exciting new Custom Report Writer for ECRI-AIMS, which we see as the “Holy Grail” of reporting, with demonstration and training sessions. As well as the full ECRI-AIMS team, we expect to be joined by the AIMS Product Manager from Phoenix Data Systems in the USA, our development partner. A provisional programme is attached for your information.
We would be grateful if all those wishing to attend could now register at http://www.ecri.org.uk/formtraining.php as soon as possible, in order that we can finalise arrangements. The booking fee of £345 +VAT will include all meals, the meeting dinner and overnight accommodation on the 28th. We realise, of course, that funding is increasingly scarce for everyone and, as ECRI Institute is a not-for-profit organisation, the charges for meetings such as this are used simply to cover our costs. To help with your financial administration, we will be happy to bill you under any heading that you may require, e.g. “Training for ECRI-AIMS”.
As in previous years, the meeting will start with lunch on Wednesday, the 28th of October, and finish with lunch on the 29th. The Crowne Plaza is easily accessible by road and is very close to both Birmingham International rail station and airport. This now traditional 2-day format affords a unique opportunity to meet and network with other ECRI-AIMS users, and we look forward to welcoming as many people as possible to this year’s meeting.
Click here for a copy of the Provisional Programme
August 2009
NEW - Coroners Investigators Handbook Second Edition Launched
Much of this book is based upon the practical experience of investigating deaths on behalf of a Coroner with exacting and high standards, in an environment where police resources are freed up to carry out their many other duties by the Coroner’s Office carrying out a full investigative function where appropriate. unction where appropriate.
Edition 2 builds on the theme of death scene investigation and examines many areas in more depth, drawing on new legislation and practices.
Click here for the Brochure and Order Form
August 2009
FIXING BAD LINKS – preventing misconnections in your hospital
MISCONNECTING LINES AND CABLES CAN HAVE DEADLY CONSEQUENCES. EQUIPMENT DESIGNS THAT REDUCE THE RISKS ARE GRADUALLY BECOMING AVAILABLE, BUT MUCH OF THE BURDEN FOR SAFE CONNECTIONS STILL FALLS ON THE HOSPITAL. READ OUR CURRENT RECOMMENDATIONS FOR PROTECTING YOUR PATIENTS.
Any time lines or cables link patients to medical devices, there is the potential for misconnections to occur—misconnections that can result inpatient injury or death. Although this has been recognized as a serious problem for years, incidents are still common.
The most powerful tool for avoiding these dangerous mishaps is the use of connectors that are designed to prevent misconnections. Unfortunately, these sorts of connectors are available only for certain types of lines and cables; for many other types, no such designs exist. This places the burden on hospitals to implement policies and procedures that reduce the risk of misconnections—an approach that isn’t nearly as effective as equipment design solutions.
Fortunately, the issue is receiving increased attention from a number of sources, and a handful of groups have come out with new information and recommendations. While not significantly different from the guidance we provided in our last article on the subject (“Preventing Misconnections of Lines and Cables,” March 2006), this new material adds some useful refinements, which we have incorporated into the revised and consolidated recommendations
For more information about the ECRI Institute Health Devices activities, call +44 (0)1707 831001, ext. 493, e-mail info@ecri.org.uk, or write to ECRI Institute, Weltech Centre, Ridgeway, Welwyn Garden City, Herts AL8 2AA, United Kingdom.
August 2009
COMPUTER-AIDED SURGERY
COMPUTER-AIDED SURGERY LETS YOU VISUALISE THE POSITION OF INSTRUMENTS AND IMPLANTS DURING PROCEDURES. IT IMPROVES SURGICAL ACCURACY AND ENHANCES CAPABILITIES IN AREAS WHERE DIRECT VISIBILITY IS LIMITED. HOW DOES THE TECHNOLOGY WORK, AND HOW MIGHT IT AFFECT YOUR BUDGET?
Computer-aided surgery (CAS) enables surgeons to verify in real time, on a video display, the location and orientation of a surgical probe, instrument, or implant superimposed on previously obtained images of the patient’s anatomy.
It is similar to seeing your car on the map of a GPS (global positioning system) navigation device. The patient images are typically obtained before surgery using a conventional imaging modality, such as a computed tomography (CT) or magnetic resonance (MR) system. During surgery, the position of the instrument—or, more commonly, of a surgical probe inserted in the area where the instrument is being used—is tracked using attached or integrated sensors. The real-time tracking data is aligned with the previously obtained image data using anatomical landmarks or markers placed on the patient. CAS, also commonly called image-guided surgery or surgical navigation, enables the surgeon to safely and effectively perform a procedure when direct visibility is hindered or impossible.
For example, CAS may allow the surgeon to manipulate surgical instruments during endoscopic sinus surgery to remove diseased tissue without cutting nearby nerves or arteries. During a brain tumour resection, CAS allows surgeons to check the location of a surgical probe or instrument relative to the tumour. In placing spinal pedicle screws, CAS helps verify screw positioning, and orientation to prevent misplacements. And during knee replacement surgery, the femur can be cut at a precisely determined angle to ensure proper alignment of the implant with existing bone structure.
CAS is currently used in neurosurgery, spine, ear/nose/throat (ENT), and orthopaedic procedures. It has a longer history and has been used in more procedures in neurosurgery than in any other application. CAS is commonly used for this application, as the small spaces in neurosurgical procedures lend themselves to the need for navigation.
For more information about how to access this report or for information about the ECRI Institute’s Health Devices activities, call +44 (0)1707 831001, ext. 493, e-mail info@ecri.org.uk, or write to ECRI Institute, Weltech Centre, Ridgeway, Welwyn Garden City, Herts AL8 2AA, United Kingdom.
August 2009
New Lung Cancer Vaccines May Lower Costs, Accelerate Treatment
ECRI Institute Reports Perspectives on Therapeutic Cancer Vaccines
In one to three years, new therapeutic vaccines could change standard treatment regimens for the most commonly diagnosed lung cancer—nonsmall cell lung cancer. Therapeutic cancer vaccines (TCVs), currently in late-phase clinical trials, may be introduced as adjuvant therapy that reduces undesirable side effects caused by toxic radiation and chemotherapy, according to a recent Health Technology Forecast released by ECRI Institute® (www.ecri.org), an independent, nonprofit organization that researches the best approaches to improving patient care.
The vaccines, which could be considered “personalised medicine,” are designed to stimulate the body’s natural defenses against cancer. By attacking proteins and molecules associated with cancer development, TCVs have the potential to shrink tumors and slow their growth.
ECRI Institute reviewed preliminary results from ongoing trials released by four vaccine manufacturers in its report, “Therapeutic Vaccines for Lung Cancer©.” If those preliminary results are upheld in ongoing phase III trials and eventually result in approval by the U.S. Food and Drug Administration, ECRI Institute researchers anticipate that TCVs will be widely implemented into lung cancer treatment programs.
“The current vaccines may only be successful in a select number of cancer cases,” says Randall Hulshizer, M.S., lead author of the ECRI Institute report. “But we expect that future advances in therapeutic cancer vaccines may increase life quality and expectancy for lung cancer patients and could decrease the overall cost of treatment by reducing side effects and amount of chemotherapy or radiation needed.”
ECRI Institute’s evidence reports, forecasts, and guidance are researched and written by a multidisciplinary staff of 300 full-time doctoral-level scientists, clinicians, technologists, medical librarians, and other healthcare professionals, which includes Evidence-based Practice Center staff. Forecasts, technology assessments, and comparative-effectiveness reviews evaluate technologies along the continuum from innovation to wide diffusion into practice.
For more information about Therapeutic Vaccines for Lung Cancer or ECRI Institute’s Health Technology Assessment Information Service™, visit www.ecri.org/htais, or call +44 1707 831001, ext. 493, e-mail info@ecri.org.uk , or write to ECRI Institute, Weltech Centre, Ridgeway, Welwyn Garden City, Herts AL8 2AA, United Kingdom.
august 2009
Top 10 Hospital Technologies: C-Suite Watch List for 2009 and Beyond
Exclusive Insight on Critical Capital Decisions in ECRI Institute White Paper Available for Free Download
ECRI Institute® (www.ecri.org.uk ), an independent not for profit health research agency that evaluates the best approaches to improving patient care, reveals its top 10 list of health technologies that hospital executives should have on their radar now. The just-released list takes into account the convergence of critical patient safety, economic, and regulatory pressures facing healthcare executives today.
The final 10 list includes today’s hottest technologies and technology-related issues across a variety of clinical and operational areas, such as health IT, cardiovascular surgery, oncologic radiation, procurement, infection control, and imaging and radiology services.
ECRI Institute’s Top 10 Hospital Technology Issues: C-Suite Watch List for 2009 and Beyond, available for free download, contains easy-to-read overviews and ECRI Institute’s unbiased perspectives on complex and high-profile technologies and processes of care that are prominent and will continue to be so in the next few years. The new executive report is intended to help guide healthcare leaders in planning for capital expenditures.
“Prioritizing is a tough but essential job for executives who face a squeeze on their capital budgets, insistent demand from clinicians concerned with patient care and personal income, and the wellbeing and strategic directions of their institutions,” says Jeffrey C. Lerner, PhD, president and CEO, ECRI Institute. “This difficult-to-compile ranking of 10 critical technologies will help them to pay close attention to technologies and issues that have a significant impact.”
Four of the technologies on ECRI Institute’s Top 10 List include:
1. Electronic Medical Records: What should you be doing now?
2. Hybrid Operating Rooms: How many of your ORs should have imaging capability?
3. Ultrahigh-Field-Strength MRI and Premium Performance CT: Do you really need them? Now?
4. Therapeutic Hypothermia After Heart Attack, Stroke, Spinal Cord Injury: Dawn of a New Era in Emergency Medicine?
In creating its first annual c-suite watch list, ECRI Institute drew upon its 40 years of experience in researching the safety, effectiveness, and cost-effectiveness of health technologies, and the comparative effectiveness and health technology assessment work of its Evidence-based Practice Center staff of healthcare professionals and scientists.
For a complete list of the top 10 technologies, including overviews and perspectives, download the complimentary white paper, Top 10 Hospital Technology Issues: C-Suite Watch List for 2009 and Beyond, at no charge on ECRI Institute’s Web site at https://www.ecri.org/Forms/Pages/Top_10_Technologies.aspx.
For more information about ECRI Institute’s activities, visit www.ecri.org.uk , or call +44 (0) 1707 831001, ext. 491, e-mail info@ecri.org.uk, or write to ECRI Institute, Weltech Centre, Ridgeway, Welwyn Garden City, Herts AL8 2AA, United Kingdom.
Augsut 2009
Premuium CT Systems
Deciding which premium computed tomography (CT) system to purchase is no longer about figuring out how many slices you need your scanner to provide. Today’s top-of-the-line systems are equipped with a variety of high-end capabilities, and generally provide better image quality and dose savings than other scanners. In this Evaluation, we help you sort through the marketplace by reviewing five premium CT systems from four manufacturers, rating each on its performance in routine, cardiac, paediatric, and advanced imaging.
Like any evolving technology, computed tomography (CT) has its cutting edge. All major CT manufacturers have introduced new technologies that aim to improve the clinical capabilities of CT while reducing radiation dose. The scanners that boast these advanced new features are what we call “premium” CT systems.
Each manufacturer has taken a different approach to its premium systems, and hospitals surveying the marketplace are no longer faced simply with a “battle of slices”—a competition to see which company can offer the greatest number of slices on its scanners. Rather, they’re confronted with a choice among many high-end capabilities and features, some of which are designed for specialized uses. This can make the selection process complex and challenging.
Keep in mind, though, that many hospitals
o The bottom line
o Evaluation at a glance
o If you’re buying, think about . . .
o Quantitative results comparison
For more information about the ECRI Institute Health Devices activities, call +44 (0)1707 831001, ext. 493, e-mail info@ecri.org.uk, or write to ECRI Institute, Weltech Centre, Ridgeway, Welwyn Garden City, Herts AL8 2AA, United Kingdom.
August 2009
Is surgery a remote possibility? Robotic surgical system under development has telesurgery capabilities
Published: 07/01/2009
Summary: Health Technology Trends spoke with the developer of a robotic surgical system that is being tested for its remote surgical functionalities.
Advances in robotic surgical technologies have spawned a multibillion dollar global industry since the da Vinci Surgical System (Intuitive Surgical, Inc., Sunnyvale, CA, USA) was first cleared for marketing in the United States in 1997 for use during thoracoscopic and laparoscopic surgical procedures. As surgical indications for its use have expanded, more hospitals and health systems are investing sizeable capital in these systems. Now one company is taking robotic surgery to the next level, not only enhancing the existing technology, but testing its system for remote use across hundreds of miles.
For more information about the ECRI Institute Health Devices activities, call +44 (0)1707 831001, ext. 493, e-mail info@ecri.org.uk, or write to ECRI Institute, Weltech Centre, Ridgeway, Welwyn Garden City, Herts AL8 2AA, United Kingdom
March 2009
NEW Medical Technology for the IT Professional: An Essential Guide for Working in Today's Healthcare
ECRI Institute is pleased to announce the publication of this new special report focused to help gain a strong understanding of today’s IT-intensive medical technology. The guide covers medical technologies that are heavily IT-based or highly integrated into IT infrastructures. Each chapter examines a specific medical technology—what it is and how it works—then dives deeper into the issues affecting IT. Illustrations and clear-cut language help you fully understand:
• Components and functions behind technologies like infusion pumps and RFID
• How to address interfacing, software applications, installation and data integration issues
• Factors impacting acquisition, implementation, patient safety and ongoing support of medical technology
What’s more, each chapter ends with a concise “what you need to know” summary—to provide a quick-read synopsis and reinforce key learning points.
Priced at £98 plus £5 shipping this extensive report provides an invaluable resource for what can sometimes be a complex operational subject. If you would like to order please use Customer Enquiries link on the home page of this web site.
Download a copy of the Table of Contents
February 2009
ECRI Institute provides HCAI Technologies Reports
Following the presentation by Dr Jeffery Lerner, President and Chief Executive Officer of ECRI Institute at the recent International HCAI Technology Innovation Summit in London we are pleased to provide access to two reports:
• Rapid test to screen for methicillin-resistant Staphylococcus aureus (MRSA) View
• New cephalosporin antibiotics for methicillin resistant Staphylococcus aureus (MRSA) View
Both of these reports are drawn from the extensive resources of ECRI Institute’s Health Technology Assessment Information Service (HTAIS). For further information about HTAIS services please e-mail info@ecri.org.uk or telephone: 01707 831001 Ext 491.
Computer-Aided Mammography Finds More Cancer, More False Positives
ECRI Institute’s Newest Evidence Report Details Results from Seven Studies
Computer programs designed to help radiologists could identify more cases of breast cancer, but they might also increase the number of false positive results, which can lead to biopsies in healthy women, according to ECRI Institute’s recent systematic review.
Click here to read more
ECRI Institute Announces its 2008 List of Top 10 Health Technology Hazards
In a recent Health Devices guidance article, ECRI Institute, an independent not for profit organisation that researches the best approaches to improving patient care, reveals its 2008 list of the 10 most dangerous health technology hazards facing hospitals.
The list is updated annually based on problems reported to and investigated by ECRI Institute and includes detailed descriptions of these hazards, as well as information on how to avoid them.
The top five health technology hazards identified in the 2008 list are:
1. Alarm Hazards
2. Needlesticks and Other Sharps Injuries
3. Air Embolism from Contrast Media Injectors
4. Retained Devices and Un-retrieved Fragments Left in Patients
5. Surgical Fires
This comprehensive guidance article is from the November 2008 issue of Health Devices, a monthly resource provided to members of ECRI Institute’s Health Devices System, Health Devices Gold, and SELECTplus™ programs. For information about membership in the Health Devices System, contact ECRI Institute by telephone at +44 (0) 1707 831001, ext. 491; by e-mail at info@ecri.org.uk ; or by fax at +44 (0)1707 393138.
Alarm Safety: Strategies for Managing Today’s Top Health Technology Hazard
ECRI Institute has identified alarm hazards as the number one device-related risk on its 2008 list of top 10 health technology hazards. The severity and frequency of alarm-related incidents pushed them to the top of the list. When things go well, clinical alarms are critical in preventing patient injury or death. However, caregivers don’t always get or respond to an alarm's “message.”
ECRI Institute’s materials for managing this vital activity will provide a better understanding of this number one hazard, why addressing alarms is an important safety goal, and what you can do about it. Materials published include:
• Key factors that impact the ability to react and respond to alarm-related incidents
• Technology solutions improve alarm response time
• Educational initiatives that can be implemented to train staff on how to effectively handle and respond to alarms
• Policy and procedure changes that can help and improve alarm safety
Email info@ecri.org.uk for more information
November 2008
NEW ECRI-AIMS Inspection Templates Module
The NEW ECRI-AIMS Inspection Templates module enables the production of fully customisable Model- or Equipment Type-Specific checklists that can be attached to Work Orders and either completed on-screen or on a PDA.
All recorded values and pass/fail results are saved with the Work Order and can also be exported
Click here to view the Inspection Templates Brochure
For more infromation or a quotation either email aims@ecri.org.uk or call +44 (0)1707 831 003
September 2008
rL Solutions & ECRI Institute Introduce IMPro
rL Solutions and ECRI Institute are proud to introduce - a powerful new application
that is designed to help hospitals better detect, manage, prevent and control infection
risks. Directors of Infection Prevention & Control (DIPCs) will spend less time on
administrative tasks and more time preventing infections through automated
tools including:
· Real-time surveillance of micro-isolates
· Real-time alerts of admissions risks
· Workload management through Run Sheets
· Dynamic reports that allow for drill-down from summary info to granular details
Click here for more information
March 2008
Inhaled Insulin for Type 2 Diabetes Shows Mixed Results
Inhaled insulin, taken before meals, can improve blood glucose control for people with type 2 diabetes who have not had good results with short-acting injected insulin that is taken in addition to the baseline insulin administered throughout the day and night, according to ECRI Institute (www.ecri.org) in a new review of the body of published research.
People who use insulin to manage their type 2 diabetes typically have to take extra insulin at mealtimes to regulate the glucose response to food. They can use short-acting injected insulin or inhaled insulin.
The review examined several clinical issues surrounding the use of inhaled insulin by patients with type 2 diabetes. It looked at how inhaled insulin compares to injected insulin as a mealtime insulin supplement for patients who are already using injected insulin daily.
The report also compared use of inhaled insulin by type 2 diabetes patients who had not previously taken insulin in any form. Inhaled insulin was compared to the effectiveness of oral antidiabetic drugs used alone and to antidiabetic drugs used with inhaled insulin.
The Windows on Medical Technology report is published by ECRI Institute, an independent nonprofit that researches the best approaches to improving patient care. The institute produces systematic reviews on medical devices, drugs, biotechnologies, procedures, and health services.
Jonathan Treadwell, Ph.D., senior research analyst at ECRI Institute, led a team of investigators who analyzed eight studies encompassing 1,881 patients with type 2 diabetes to make the comparisons between inhaled insulin, injected insulin, and oral medication regimens.
For more information on ECRI Institute's systematic reviews and other technology assessment services, e-mail info@ecri.org.uk
March 2008
MRI Plus X-ray Mammography Doubles Breast Cancer Detection in Women at High Risk
For women at high risk of breast cancer, use of magnetic resonance imaging (MRI) plus X-ray mammography for screening will detect more breast cancers than mammography alone, says ECRI Institute (www.ecri.org) in a new technology assessment report. But the number of false positives -indicating a problem where none exists - will rise significantly also.
Click here for more details
January 2008
Medical Video
Medical video is seeing greater use for a wider variety of applications,
but the technology and terminology continue to confuse many
users. As a result, hospitals risk buying the wrong equipment or
buying higher-specification equipment than they need. This article
untangles the field's terminology and provides the fundamental technological
background you need to make purchasing decisions.
The world of video transmission and display has become vastly more complicated in the 21st century. The variety of equipment options has multiplied. Signal and display standards have proliferated. Even the choice of a display monitor is no longer a simple question of "How big a screen do we need?" but involves a host of considerations such as the resolution and aspect ratio of the incoming signal, and the comparative virtues of plasma and liquid crystal display (LCD) screens.
This article will help you understand the fundamentals of video equipment and begin making informed
decisions about what you need. To help you get started, here's a compact summary of what you should know about the subject.
Our discussion of medical video covers three main topics:
- The signal, which is the actual information that is being
distributed.
- Distribution, which is the route by which the signal
travels to its destination.
- The display, which is the device used to present the
video information to the user.
If you would like more information on this article contact us either by email, info@ecri.org.uk, or by phone on the office number.
2008 Healthcare Standards Official Directory On-line
ECRI's Healthcare Standards Directory 2008 is the only authoritative reference that compiles verified titles of hard-to-find and recently issued healthcare standards, clinical guidelines, laws and regulations. Listings of more than 37,500 standards, practise guidelines, position papers, technical statements, technology statements, policies, procedures, hazard reports and more.
Save an immense amount of time searching for standards with Healthcare Standards On-line at your fingertips. (Healthcare Standards is also available in printed form). To subscribe to Healthcare Standards on-line please contact ECRI Europe.
January 2008
64-slice CT Technology Evaluation
In this month's Evaluation, we test and rate four 64-slice computed tomography systems. Computed tomography systems offering 64 slices are highly popular because of their fast acquisition time. As our study shows, all four can meet your basic CT needs, but each offers different features and capabilities that will be advantageous to particular users.
- ECRI Institute ratings %0Q#cLI>Evaluation at a glance
- Discussion of findings
- Guidance for choosing a system: interpreting CT specification
June 2007
ECRI Institute Provides Guidance on Limiting Excessive Physiologic Monitoring Alarms
While physiologic monitoring systems play a vital role in protecting patients, effectiveness can be compromised if alarms overwhelm clinical staff. Excessive alarms can distract nurses from performing other tasks that are important to patient care and can create a "cry wolf" environment in which nurses ignore or inappropriately inactivate alarm signals.
In a recent Health Devices report, ECRI Institute (www.ecri.org), an independent nonprofit organization that researches best approaches to improving patient care, identifies common sources of unnecessary alarms and recommends steps to reduce them.
Full Press Release
June 2007
A Safer ICU Environment: New Guide Can Help Healthcare Facilities Take Action to Protect Patients
Although the intensive care unit (ICU) poses difficult patient safety and risk management challenges, many hospitals have been successful in reducing errors and adverse events in their ICUs.
ECRI Institute's (www.ecri.org.uk) new guide, Critical Care Safety: Essentials for ICU Patient Care and Technology, shares details of such approaches and provides information and tools to help facilities develop ICU patient safety and quality improvement plans. Each 150-page guide includes a CD-ROM with more than 40 tools, such as staff education materials, forms and checklists, and self-assessment questionnaires.
Full press release
For more information contact the European office by emailing info@ecri.org.uk
April 2007
Coming Soon: A New Way to Look at ECRI
We are refreshing our name, unveiling a new logo, and redesigning our Web site to help you discover and explore all we have to offer. Watch for the changes.
March 2007
How Safe are Today's CT Scans? ECRI Provides Guidance on Reducing Cancers Caused by CT Scans
Despite being a life-saving diagnostic tool, CT scanners are estimated to cause around 6,000 cancers each year in the United States, roughly half of them fatal. Several surveys show that medical professionals and patients lack a clear understanding of the risks inherent with CT doses. In a recent report, ECRI, a nonprofit healthcare research organization, recommends more attention be paid to reduce the number of deaths and injuries caused by radiation doses.
Full press release
January 2007
Selecting an Anaesthesia System for Inpatient and Outpatient Use ECRI Offers Product Comparisons and Purchasing Guidance
Selecting the appropriate anaesthesia system is key for hospitals in ensuring patient safety during surgery. ECRI, an independent, not for profit health services research agency, recently published an evaluation of six anaesthesia systems for full-range, inpatient surgical use and two anaesthesia systems designed for outpatient use. Two in-depth articles, published in consecutive issues of ECRI's Health Devices journal, provides product specifications and purchasing options, based on ECRI's first-hand testing, to assist healthcare facilities in selecting an anaesthesia system.
Find out more
January 2007
Comparative Evaluation of Asset Tracking Systems
Keeping track of medical devices, supplies, and other objects in the healthcare setting can be challenging. Asset tracking, a new and evolving technology, gives hospitals the ability to detect, identify, and locate assets (e.g., infusion pumps, wheelchairs) at any time, as well as record the physical locations of those assets over time. ECRI an independent, not for profit health services research agency, recently published an overview of asset tracking for hospitals that choose to start the selection process for this technology now.
Find out more
November 2006
The Coroner's Investigative Handbook
This book is written to assist the Coroner's Investigator. It provides unique guidance to those who investigate deaths on behalf of the Coroner. It is distinctive in its approach and understanding of the requirements of the Coroners Court.
Available from the ECRI UK office priced £37.00 excluding p+p.
Click here for brochure and order form
September 2006
ECRI Annual European Users Meeting 2006
The 8th Annual European Users Meeting will be held on the 22nd and 23rd of November. The meeting will again be held at the Arden Hotel in Solihull (close to the M42/M1/M6, Birmingham International station and Birmingham International Airport). Proceedings will start with lunch on the Tuesday and finish with lunch the following day, in order to give delegates time to travel to and from the meeting. As a result of the considerable interest in our new ECRI-AIMS system already shown by the HECS community, we are devoting a sizeable part of the programme to this topic. We are fortunate to have Carl Ciaramitaro from Phoenix Data Systems speaking at the meeting, and there will be opportunities to discuss all aspects of the system and future plans for development, both with him and with ECRI staff. A live system.will also be available for delegates to try. The programme will also include a presentation and discussion on reliability-centered maintenance, one of the newest topics in clinical engineering, as well as the chance to discuss usability issues with HECS and see the latest Equipment Library module. As well as the formal programme, the meeting dinner and related socialising affords delegates the chance to meet with other like-minded people in enjoyable surroundings. You can now register for the meeting on-line at www.ecri.org.uk/formtraining.php. We have been able to maintain the cost at last year's level of £295 +VAT, and this includes all meals, etc. and overnight accomodation on the 22nd of November. Spaces are limited, so please book early to avoid disappointment. If you have any queries, please do not hesitate to let us know.
September 2006
ECRI Launches new-generation Equipment Management System to replace HECS4
ECRI-AIMS is a NEW web based technology mangement system developed specifically to meet the needs of European and International healthcare.
Click here to see more details
August 2006
Health Technology Assessment Update
HTA subscribers receive semi-monthly reports giving details of the latest updates and released reports. Click here to view the latest update or here to find out more information on the service.
July 2006
High Hospital Volume Linked to Lower Ventilator-Associated Mortality
Hospitals with the greatest volume of intensive care unit (ICU) patients requiring mechanical ventilation experience the lowest patient mortality rates, according to a study in the July 6, 2006, New England Journal of Medicine. The study's authors reviewed the records of more than 20,000 non-surgical patients receiving mechanical ventilation in 37 hospital ICUs during a 2-year period. They found that patients in hospitals that treated 400 or more such patients annually experienced 37% lower mortality than patients in hospitals with 150 or fewer cases. For patients who did not die, no difference in hospital or ICU length of stay related to patient volume was observed.
ECRI Risk Management Recommends: Share this information with hospital executive staff and clinicians to support ICU improvement initiatives. Facilities that provide care to non-surgical mechanically ventilated patients can assess their mortality rates and volume of this patient population compared to those presented. Join state, regional, or other coordinated ICU improvement campaigns to collaborate with other critical care facilities and providers, share resources, and receive support for patient safety initiatives.
July 2006
Health Technology Assessment Update
HTA subscribers receive semi-monthly reports giving details of the latest updates and released reports. Click hereto view the latest update or here to find out more information on the service.
July 2006
Magnetic Resonance Imaging Systems Evaluated
ECRI Offers Selection and Purchasing Recommendations Magnetic resonance (MR) imaging is an essential diagnostic tool. Choosing the right MR system involves careful planning and selecting benefits and features that meet the needs of healthcare facilities. ECRI (www.ecri.org.uk), an independent, nonprofit health services research agency, recently published an evaluation of three 1.5-tesla MR systems. The in-depth article published in ECRI's Health Devices journal provides information on selection criteria, extensive product specifications, and detailed results and analysis from ECRI's testing to assist healthcare organisations in selecting and purchasing an MR system. MR systems are vital clinical devices that come with a high cost to purchase and install. ECRI offers guidance on options to consider during the selection process, such as different field strengths, gradient systems, coils, channels, and specialised imaging features. In addition, ECRI details offerings of three 1.5-tesla MR systems marketed by GE, Siemens, and Toshiba. The systems are rated for two different uses: inpatient imaging (performed in hospitals) and outpatient imaging (most often performed in imaging centers). Additionally, the systems are evaluated and rated according to their ability to meet the needs of three specialised applications-breast and cardiac imaging and functional MR imaging. In this issue, ECRI found key differentiators between models: each of the three models received a preferred rating in at least one specific category of use. Hospitals and stand-alone MR imaging centers will find ECRI's recommendations to be essential in the selection and purchasing process.
For more details either email info@ecri.org.uk or phone +44 (0)1707 831 001
May 2006
Selecting Ventilators for the Intensive Care Unit ECRI Publishes Ratings on Ten Models
Intensive care ventilators provide temporary support for critically ill patients who require total or partial assistance to maintain adequate ventilation in the intensive care unit. ECRI recently published its ratings for ten ventilators designed for use in the intensive care unit. The in-depth article in the April 2006 issue of Health Devices journal highlights ECRI's product testing results, and describes the product capabilities and safety features that alert users of potentially dangerous conditions that can help hospitals protect patients.
In this issue, ECRI presents complete product profiles for four newly tested models and updated findings for six previously tested models; products marketed by Draeger Medical, Hamilton Medical, Maquet, Puritan Bennett, Respironics, and Viasys are included. The study focuses on the models for Intensive Care Unit applications and offers purchasing strategies to make the appropriate choice. ECRI identifies key advantages related to alarms and safety mechanisms, ease of use, cost-effectiveness, and scope of capabilities and features in treating many patients. ECRI recommends factoring in clinician preferences when making purchasing decisions, as respiratory therapy in this environment is a highly individualised practice.
Click here for more details on Health Devices
Alternatively contact us directly either by email at info@ecri.org.uk or by phoning on +44 (0)1707 831 001
May 2006
Clinical Trials Explained Book Launch
The BMJ, in association with ECRI Europe and the National Translational Cancer Research Network , has launched a new book, Clinical Trials Explained.
. What will happen during and after a clinical trial? . How will a trial affect my quality of life? . What are the benefits and risks of a trial . What does giving consent mean and what will it involve? . Will I incur costs during and because of the trial?
These are the questions that should be raised every time a healthcare professional talks through with a patient the pros and cons of entering a clinical trial.
Clinical Trials Explained has been designed in consultation with doctors and patients who have taken part in trials, providing an essential and detailed guide to the clinical trials process. It therefore helps both clinicians and patients make well informed decisions on whether to take part in a clinical trial.
For more details on the book and ordering information click here
March 2006
ECRI Launches Bulimia Nervosa Web Site
In coordination with National Eating Disorders Awareness Week, ECRI announces its launch of a new Bulimia Nervosa Resource Guide Web site. This comprehensive, evidence-based resource for family and friends trying to support someone with bulimia nervosa sets a new standard for patient and consumer healthcare information. www.bulimiaguide.org is the only Web site that compares the effectiveness of treatments for bulimia nervosa based on the results of an in-depth scientific analysis of all the available clinical research on treatments. Content on the site is free to the public and includes the following resources: Bulimia Nervosa: Resource Guide for Family and Friends, a 75-page printable guide; Efficacy of Treatments for Bulimia Nervosa, a 650-page evidence report; a searchable directory of residential facilities that treat bulimia nervosa; a list of ongoing clinical trials; a review of 48 state mental health parity laws and mandates, and a catalog of current health insurance coverage policies for bulimia nervosa. Health plans and healthcare organizations are asked to post the link www.bulimiaguide.org on their Web sites as a free public service announcement. See ECRI's press release for more information.
March 2006
Investigating Medical-Device-Related "Burns"
Accidental skin injuries that develop in the healthcare setting are often initially mistaken for thermal or electrical burns caused by medical devices. These skin injuries can have significant consequences for patients including, severe disfigurement, skin pressure ulcers and lesions, and burns, which can be evident immediately or days after the procedure. Such injuries can have a variety of causes and only a thorough investigation will reveal the nature and origin of the related skin injury. Click here to read more
February 2006
Health Technology Assessment November Update
HTA subscribers receive semi-monthly reports giving details of the latest updates and released reports. Click here to view the latest update or here to find out more information on the service.
February 2006
New Technologies for Cassette-Based Digital X-Ray Systems
ECRI Evaluates and Offers Purchasing Guidance on Product Models
Cassette-based digital x-ray (DX) systems-or computed radiography (CR) systems-are flexible and affordable, which has secured their continued use in clinical settings. ECRI gives ratings of one cassette-based DX system, updates new product offerings from four previously rated suppliers, and offers an overview of new CR technologies.
ECRI's Health Devices report identifies key advantages related to both image quality and cost. Purchasing guidance on the new CR technology developments is offered. Also in this medical imaging-focused issue, ECRI outlines the potential risks and hazards of "keepsake ultrasound," a practice being performed by sonographers who may not be properly trained.
For further information please contact ECRI at info@ecri.org.uk
November 2005
Health Technology Assessment November Update
HTA subscribers receive semi-monthly reports giving details of the latest updates and released reports. Click here to view the latest update or here to find out more information on the service.
ETS - "Smart Purchasing"
You may know the price of things, but do you which direction clinical and medical technology is going to take in future and how much it's going to cost?
The latest in the ECRI health technology purchasing armoury is Emerging Technology Services (ETS)
This service gives you valuable insights into the direction Trends in Medical Technology are taking and allows you to 'Horizon Scan' future developments. It covers the financial impact, the health impact, speed of adoption, utilisation, plus ECRI's perspectives and predictions of all kinds of Health technologies and therapies.
ETS offers access to THREE major ECRI databases:-
- Technology Assessment Resource Guide for Emerging Technologies (TARGET)
- Health Technology Forecast
- Health Technology Trends
Contact ECRI for further information or a trail.
HECS - The Next Generation - Now replaced by ECI-AIMS
This year's European HECS Users Meeting will be different for two reasons. Firstly, it is being held on the 8th and 9th of November, rather than in the summer as previously. Secondly, the highlight of the meeting will be a first look at the new generation technology management software that ECRI intends launching early next year to replace HECS4.
This system will be completely new and will, we believe, be the most advanced technology management software available in Europe. Among its features will be:
- Entirely web-based - no more client installations!
- Customised for the European market
- Greatly increased user-confirgurability, including over 20 user-definable fields
- Documents and images can be linked to records
- Reports, Work Orders, etc. can be e-mailed automatically to selected personnel
- Optional modules avalable, e.g. PDA, Contract Management, Advanced PM Scheduling, etc.
Participants will also have an opportunity to take part in a forum discussion on additional features and functions that users would like to see in the new system. As in previous years, the meeting programme was planned by the HECS Users Forum, and they are including a presentation and discussion on performance indicators - a hot topic at the moment.
The meeting started with lunch on Tuesday, and finished with lunch on Wednesday, thus enabling participants to travel to the meeting on Tuesday morning and return on Wednesday afternoon - necessitating only two days away. It will be held once again at the Arden Hotel and Conference Centre, Solihull (www.ardenhotel.co.uk), which is easily accessible by road, rail or air. The charge of £295 + VAT per head includes all meals, the meeting dinner and accommodation on Tuesday night. You can book on-line at www.ecri.org.uk/formtraining.php. Numbers are limited, so early booking is advised - even if you do not yet have an order number, please contact us to make a provisional booking.
September 2005
Laparoscopic and High-Current Electrosurgery
Electrosurgery, one of the most commonly used operating theatre technologies, can be one of the most dangerous to patients. Adverse events can include third-degree burns and perforations and even surgical fires.
Click here to read more
New - Medical Technology Management Consulting Service
ECRI has developed a coherent process for effective, well-informed technology decision-making, embracing the integration of key elements within a strategic, clinical and financial framework. ECRI has been successfully assisting hospitals, healthcare systems, and ministries of health in developing effective technology programmes that optimise patient care and cost savings.
Technology Assessment Programmes - As well as established medical technologies, we help you develop and implement a practical internal process to compare the value of a new and emerging technology (drugs, devices, and procedures). It may be for a hospital, health system, region, or nation with other existing or new technologies. You can integrate efficacy, effectiveness, epidemiological, outcomes, standard-of-care, strategic, operational, and competitive criteria. Make wiser decisions to help patients and save money.
Needs Analysis - ECRI can develop a quantitative and qualitative process to optimise equipment mix and its cost-effectiveness in technology-intensive departments, hospitals, healthcare systems, and ministries.
ECRI Addresses Radio-frequency Identification and its Potential in Healthcare
Radio-frequency identification (RFID), a technology used to manage and track inventory and assets. Drivers using electronic toll-collection systems can now cruise through tolls without stopping, and healthcare facilities that have implemented the technology can use it to track medical devices, staff, and patients.
Click here to read more
ECRI assists Council of Europe
ECRI has been appointed as Consultant to the Council of Europe to assist the committee: 'Committee of experts on management of safety and quality in health care - prevention of adverse events in health care, a system approach'
- The Council of Europe is the oldest political organisation of the European continent, founded in 1949. The council has 45 member states from Central and Eastern Europe, and is located in Strasbourg, France. The committee of experts is required to:
- Make an analytical inventory of the range of existing measures for systematically analysing and improving the safety and risk management in health care institutions. (The inventory made in the framework of the 1997-1998 coordinated Medical research programme on the development of structures for patient/citizen participation in the decision making process affecting health care should be taken into account.).
- Make a systematic review of the advantages and disadvantages of mandatory and voluntary reporting systems, in the light of the legal implications and their effectiveness, including linkages to patients' complaints systems.
- Examine the impact of disclosure and reporting of adverse events and errors on the patient
- Health care provider relationship.
- Propose the educational (graduate and postgraduate) measures to improve the understanding of medical decision making, risk assessment and adequate behaviour in the case of adverse events and errors;
- Propose a model framework for a system of disclosure, assessment and prevention of errors and events in order to continuously improving safety and quality of the health care system and the health care delivery to the individual patient;
- Propose the implementation measures at all levels of health care system.
For more information on the activities of the Committee please contact info@ecri.org.uk
ECRI's European Office Celebrates 12 years of support to UK and European Customers
Founded ten years ago ECRI opened its doors to European customers with the establishment of its office at the Weltech Centre in Welwyn Garden City, Hertfordshire UK, offering help and assistance to its clients at local level. ECRI would like to thank all its customers in helping to make the ECRI European Office a success.For more information see 'About ECRI' above.
ECRI Reviews Advancements in Magnetic Resonance Imaging Systems in the Health Devices Journal
Purchasers of magnetic resonance imaging (MRI) scanners are being confronted with some increasingly complex decisions as the technology of this expensive and sophisticated imaging tool continues to evolve. In the feature article of its April 2005 issue of Health Devices, ECRI notes that MRI capabilities that were once available only to researchers are becoming routine in clinical applications. As a result, buyers face more decisions than ever before when selecting a scanner most appropriate for their needs. Are the 3 - Tesla systems worth the financial outlay?
To help hospitals make the most appropriate purchasing decision, ECRI describes the operating principles of MRI scanners and provides important factors to consider when selecting MRI equipment. Contact info@ecri.org.uk for further details.
The Coroner's Investigative Handbook
This book is written to assist the Coroner's Investigator. It provides unique guidance to those who investigate deaths on behalf of the Coroner. It is distinctive in its approach and understanding of the requirements of the Coroners Court.
Available from the ECRI UK office priced £37.00 excluding p+p.
Click here for brochure and order form
Special Offer - ECRI Theatre Safety Posters
Four A3 laminated colour posters with diagrams detailing the safer use of use of Monopolar Electrosurgery and Safer use of Theatre Equipment - ideal for wall mounting (formally £30) available now for £25 per set (includes postage in UK) Orders can be placed on-line, allow five working days for shipping.
On-Site demonstrations of ECRI's Services are available without obligation. Please fill in your details in the 'Quotations & Orders' box, or contact Michael Stewart at mstewart@ecri.org.uk Thank you.
If anyone has any problems or suggestions relating to the site then the webmaster can be can be contacted by emailing webmaster@ecri.org.uk. All feedback is greatly welcomed.
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