Using HFMEA to assess potential for patient harm from tubing misconnections.
Kimehi-Woods J, Shultz JP. Using HFMEA to assess potential for patient harm from tubing misconnections. Jt Comm J Qual Patient Saf. 2006;32(7):373-381.
The authors describe a health failure mode and effects analysis to explore system and behavioral factors that contribute to tubing misconnections.