Patient Safety Alert 3: Programmable Medical Equipment Risks and Interventions (PDF)

Strategies and Tactics

The following preliminary guiding principles for anesthesia machines were established and are intended to apply to other programmable devices. Identified risks and interventions include:

Risk:

Uncertainty about how ventilator default settings are chosen for anesthesia machines.

Safety Strategy:

Foster close collaboration

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What happens when a vendor changes the ventilator's default settings?  How much do you need to manage the anesthesia machines?

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