Resources on Tubing Misconnections
NeoChild agrees with the Joint Commission’s recommendation to cease use of standard luer syringes for oral medications or enteral feedings. In addition, NeoChild is proud to provide the ‘The SafeChild System®’, a product developed with a “designed incompatibility,” as urged by the Joint Commission to prevent dangerous misconnections of tubes and catheters.
The following are resources that explain the need for hospitals to use non-compatible lines. Please take the time to review these important documents to make sure your hospital is doing all that is possible to prevent these tragic occurrences from happening:
Joint Commission Recommendations on Tubing Misconnections
The Joint Commission, Sentinel Event Alert, Issue 36 - April 3, 2006
“Tubing misconnections—a persistent and potentially deadly occurrence”
The Joint Commission and the World Health Organization on Tubing Misconnections
Patient Safety Solutions. Volume 1, Solution 7. May 2007
“Avoiding Catheter and Tubing Misconnections”
The Joint Commission and USP Medication Safety Forum
The Joint Commission Journal on Quality and Patient Safety, Volume 34, Number 5. May 2008
“Enteral Feeding Misconnections: A Consortium Position Statement,” Guenter et al.
The American Society for Parenteral and Enteral Nutrition
Journal of Parenteral and Enteral Nutrition, Special Report 2009
“Enteral Nutrition Practice Recommendations.” Bankhead et al
Food and Drug Administration
Luer Misconnections
The New York Times reports on Tubing Misconnections Tragedies
The New York Times, August 20, 2010 by GARDINER HARRIS
"U.S. Inaction Lets Look-Alike Tubes Kill Patients"
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