Failure to Act: Tubing Misconnections in the United States.

Abstract

Technology Today| March 15 2021 Failure to Act: Tubing Misconnections in the United States Debora Simmons, PhD, RN, CCNS, FAAN Debora Simmons, PhD, RN, CCNS, FAAN Debora Simmons is Assistant Professor, University of Texas Health Science Center at Houston, School of Biomedical Informatics, 10915 Cory, Manvel, TX 77578 (Debora.J.Simmons@uth.tmc.edu). Search for other works by this author on: This Site PubMed Google Scholar AACN Adv Crit Care (2021) 32 (1): 11–13. https://doi.org/10.4037/aacnacc2021920 Views Icon Views Article contents Figures & tables Video Audio Supplementary Data Share Icon Share Facebook Twitter LinkedIn Email Tools Icon Tools Cite Icon Cite Get Permissions Citation Debora Simmons; Failure to Act: Tubing Misconnections in the United States. AACN Adv Crit Care 15 March 2021; 32 (1): 11–13. doi: https://doi.org/10.4037/aacnacc2021920 Download citation file: Ris (Zotero) Reference Manager EasyBib Bookends Mendeley Papers EndNote RefWorks BibTex toolbar search Search nav search search input Search input auto suggest search filter All ContentAACN Advanced Critical Care Search Advanced Search For over 20 years, clinicians have reported failures to connect the correct tubing to intravenous (IV), epidural, intracranial, intrathecal, gas, and other high-risk systems that resulted in death to the patient. Despite abundant evidence and consensus among organizations and agencies, tubing misconnections in the United States remain a pervasive risk to patient safety. Simply stated, the health care industry has been unable to remove a deadly and obvious threat to patients. Luer lock connectors are in every health care setting where therapies are delivered in the form of a fluid, feeding, gas, or device. Often called Luer connectors or small-bore connectors, they are the most convenient way to connect delivery systems in health care and are found at the end and/or beginning of tubing and syringe systems for delivery of IV, enteral, and respiratory therapies, gases (such as driving gases for equipment), drains,... ©2021 American Association of Critical-Care Nurses2021 You do not currently have access to this content.