Survey results reveal tubing misconnections are common and underreported—Parts I and II.
Survey results reveal tubing misconnections are common and underreported—Parts I and II. ISMP Medication Safety Alert! Acute Care. October 31, 2024;29(22 & 23):1-5;1-4.
Tubing misconnections are known to cause patient safety incidents. This two-part series examines characteristics of misconnections, how often they occur, and what can be done about them. The series shares the results of a national survey documenting the problem and strategies to ward off tubing misconnections. Strategies include training patients and clinicians, using simulation to analyze processes for potential failures, and completing an FMEA prior to any equipment conversion program.