2025 Quality Summit ePoster Presentation - First Honorable Mention (Non-CE)-2025 Quality Summit ePoster

2025 Quality Summit ePoster - First Honorable Mention

Video Transcription

Video Summary

Mohammad Kashif from Taba Heart Institute, Karachi, presented a case of a Pseudomonas aeruginosa outbreak in their cath lab, linked to contaminated contrast media used during coronary procedures. Over 1.5 months, five patients developed infections post-procedure, with one fatality. Despite routine cleaning, infections persisted until testing revealed the contaminated contrast bottles as the source. The team ceased using that brand and involved the supplier for quality assurance. Key lessons included the importance of broad testing beyond surfaces, vendor accountability, and teamwork. This outbreak highlighted hidden infection risks even in advanced labs and emphasized proactive patient safety measures.

Keywords

quality assurance

NCDR physician-level dashboard

PCI patient metrics

radiation dose reduction

continuous quality improvement

Pseudomonas aeruginosa outbreak

contaminated contrast media

coronary procedures infection

infection control

patient safety measures