The CareFusion/ Denham/ NQF Case - the Plot Thickens
Discussion turned to recommendations for preventing infections caused by central lines, the thin tubes inserted into a vein to deliver fluids or medications. Dr. Gregg Meyer of Massachusetts General Hospital in Boston, the co-chair of the committee with Denham, brought up the forthcoming study. 'Chuck (Denham) made me aware of it,' Meyer said. He then asked Pronovost, a leading expert on preventing central-line infections, what he thoughtThe final report did delete the specific reference to ChloraPrep as the preferred method for preparing surgical sites,.After the meeting, when the committee’s draft report was published in late 2009, a recommendation for preparing surgical sites to prevent infection did not name ChloraPrep but did specify its telltale formula – a 2 percent chlorhexadine and alcohol antiseptic. That draft recommendation was challenged by 3M, a company that makes a competing product. A scientific review of the evidence by a Quality Forum ad hoc committee found a lack of clear evidence to support one skin prep product over another. As a result, the recommendation to use the ChloraPrep formulation on surgical sites didn’t make it into the final 2010 safe practices report. However, the final report did appear to endorse ChloraPrep for reduction of central line infections, On the separate issue of reducing central-line infections, the 2009 draft report endorsed a chlorhexidine antiseptic but did not specify any one concentration – just as the c...
Source: Health Care Renewal - Category: Health Medicine and Bioethics Commentators Tags: CareFusion conflicts of interest deception institutional conflicts of interest manipulating clinical research National Quality Forum Source Type: blogs
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