HAVING MY SAY


4 reasons to rethink disposable ECGs lead wires


by Kathleen Fallon, RRT, Senior Marketing Manager, Hospital Accessories and Consumables, Dräger Photos courtesy Draeger I


nfection prevention (IP) has been top of mind for clinicians as they have worked to stem the spread of SARS-


CoV-2 (COVID-19) among their patient populations. While developing and implementing infection prevention (IP) protocols specifi cally aimed at COVID-19, many clinicians have taken a step back to examine their facility’s overall approach to combatting healthcare acquired infec- tions (HAI).


In light of research showing high levels of bacterial contamination of certain reus- able patient interfaces,1,2


U.S. hospitals


have increasingly switched to single- patient use monitoring accessories such as non-invasive blood pressure (NIBP) cuffs, pulse oximetry probes, and dispos- able ECG wires.3,4


Nonetheless many


hospitals continue to utilize reusable ver- sions of many other high volume, low cost consumables. For example, few have converted from reusable to single patient use electro- cardiogram (ECG) electrodes.5


This is


despite the fact that it has been shown that reusable ECGs can harbor dangerous microbes, including vancomycin-resistant enterococci (VRE). For example, in one study, researchers found 77% of “suppos- edly clean” wires were contaminated with antibiotic-resistant bacteria.6 The cost to treat a single patient with


an HAI can be as high as nearly $50,0007 and is no longer reimbursed by CMS. As they rethink their IP strategies, a growing number of hospitals are reevaluating this risk area. Here are four reasons to rethink dispos- able ECGs beyond infection risk alone:


1. Patient care and satisfaction The trend of consumer driven healthcare and the role of the patient in deciding where he or she will be treated has increased competition among healthcare provider organizations. Research from Accenture found, “U.S. hospitals that deliver ’supe- rior’ customer experience achieve net mar- gins that are 50 percent higher, on average, than those of hospitals providing ‘average’ customer experience.”-


Healthcare institutions want the best


for their patients and strive to be consid- ered high-quality in their communities. Therefore, these institutions put patient care and safety fi rst in every choice that they make. This includes using the best quality capital equipment along with the best quality accessories. High-quality, disposable ECG lead wires free of wear and tear can reinforce to the patient the quality and safety of a healthcare institution’s care delivery. As patients increasingly research hospital infection rates and complications, it is even more important to avoid HAIs related to reusable devices.


2. Clinical effi cacy and staff satisfaction Another downside of reusable ECGs com- pared with disposable is durability and reliability. The internal wires fray over time, leading to artifact on the electrocar- diogram tracing.9


Clinicians can become


frustrated as they look to fi nd fault with the monitor when in reality a deteriorating ECG lead wire set is the cause. When an ECG fails, the clinician has to take off the lead wires and put on new ones, which can prolong care delivery and cause additional patient discomfort. It’s important to note that less “patient touches” can drive higher patient satisfac- tion rates and decrease the opportunity of nosocomial infections. A study performed in cardiac telem- etry units found significantly fewer false-alarms with disposable ECG versus reusable, with the researchers concluding that disposable ECG “may save nurses time, decrease alarm fatigue and improve patient safety.”10


3. Patient care continuity Today, technology is available where you can secure for your patient a disposable ECG set and a disposable NIBP cuff that can be used from admission to discharge. Adapters enable these disposable items to be used across various brand monitors and have been tested and validated with these manufacturers’ devices.


48 January 2022 • HEALTHCARE PURCHASING NEWS • hpnonline.com


Therefore, if a patient moves from one brand of monitor in the ER to a different brand in the ICU, the same disposable cuff and ECG set can move with him or her. This approach supports continuity of care, with clinical staff not having to switch lead wires each time the patient is moved. There are also potential cost sav- ings benefi ts from using a single ECG lead set throughout the patient’s stay, rather than having to use multiple forms of this item due to monitor incompatibility.


4. Supply standardization and savings


Health systems and hospitals are increas- ingly working to standardize on supplies in an effort to reduce complexity and costs. Those that use ECG lead wires from various companies must engage in the procure-to-pay (P2P) process with each manufacturer, manage each brand’s inventory and fi nd adequate storage space to house the variety of items. By standardizing on one brand of disposable ECG lead wires, you can streamline your P2P and inventory man- agement processes, while reducing storage requirements. Supplier consolidation can also enable you to capitalize on bulk buy discounts for this particular item. To further reduce complexity and gen-


erate greater savings, consider standard- izing on one manufacturer that has capital equipment and consumables/accessories for multiple areas of the hospital (e.g., anesthesia, ventilation, monitoring, etc.) and the service to support these items.


Conclusion Supply costs, care quality and fi nancial outcomes are always top of mind for healthcare organizations. While it may be a rather small, inexpensive item compared with many of the other items you procure and use in your organization today, an ECG lead set can have a big impact in many different areas. Taking the time to rethink disposable ECGs lead wires could result in far reaching benefi ts for your organization, staff and patients. HPN Visit https://hpnonline.com/21250249 for references.


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