CHR Research Fights Deadly Superbug at Root Cause of Multiple Deaths

CHR Research Fights Deadly Superbug at Root Cause of Multiple Deaths

Patients are increasingly developing antibiotic-resistant bacterial infections (i.e., “Superbugs”).  These patients can develop a Superbug infection after undergoing endoscopic retrograde cholangiopancreatography (ERCP), which is a widespread medical procedure used to combat certain diseases of the liver, bile ducts, and pancreas, including blockages, narrowing, stones, narrowing, and tumors.  The U.S. Food and Drug Administration reports that more than 500,000 of these procedures are done annually in the United States. Carbapenem-resistant Enterobacteriaceae (CRE) is the technical name for these Superbug germs that have high levels of resistance to antibiotics.  The Centers for Disease Control and Prevention reported that these infections typical occur in hospitals, nursing homes, and similar healthcare facilities.  This is an extremely serious matter because, according to a report cited by the CDC, the infection can lead to death in about 50% of cases.

And where does the infection spread from?  In comes from the duodenoscope.  And what is a duodenscope?


That’s the tip of an endoscopic retrograde cholangiopancreatography (ERCP) duodenoscope, which are sent through the mouth, throat, and stomach into the top of the small intestine (duodenum) and utilized for ERCP procedures.

The FDA warns in a recent advisory, if "not thoroughly cleaned and disinfected, tissue or fluid from one patient can remain in a duodenoscope when it is used on a subsequent patient."

Dr. Louise Underdahl, a Research Fellow at the University of Phoenix Center for Healthcare Research, is leading a study called “Application of Human Factors/Usability Engineering to Design Error-Tolerant Medical Devices.”  Dr. Underdahl and her co-authors are focusing on ways to (i) identify FDA perspectives on obstacles to achieving manufacturer compliance and (ii) clarify manufacturers’ perspectives on obstacles to incorporating error tolerant features.  The interim goal is to identify a sustainable process for incorporating error tolerance in device design, which will lead to the ultimate goal of saving lives. For more information about this potentially ground-breaking study, open the attached presentation.


About the Author

Louise Underdahl



Journal of Leadership Studies-Symposium Piece-Relational Leadership: Perspectives of Key Constructs on Diversity, Inclusion, and Social Equity in Higher Education

Psychology Today
Blog Posts Published


American Psychological Association Conference-Utilizing Clinical Hypnotherapeutic Intervention with CBT to Treat Pandemic-Aug. 13-2021 Symptomology

ILA Conference Geneva Switzerland 2021
Presenter -Topic-"The Stress Arc in Leadership and 3 Powerful Disciplines for Mitigating Major Stress Impacts in a New Era"-Upcoming
Presenter -Topic-“Improving Higher Education’s Role in Diversity and Social Equity through Relational Leadership in the New Era”-Upcoming
Presenter-Topic-"Healthcare Leadership-Using Virtuous Leadership in Chaos to Reimagine Beneficial Practices of Employee Cognitive Psychology"-Upcoming
2021-Knowledge Without Boundaries National Summit-College of Doctoral Studies Research Conference-University of Phoenix-Panel Discussion-"Exploring Emergent Trends in Leadership and Education"-Based on published symposia article from the Journal of Leadership Studies-


Louise Underdahl
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