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New solutions to reduce wrong route medication errors
Journal article   Open access   Peer reviewed

New solutions to reduce wrong route medication errors

Ronald S Litman, Victoria I Smith, Phoebe Mainland and Janell L Mensinger
Pediatric anesthesia, v 28(1), pp 8-12
Jan 2018
PMID: 29148218
url
https://doi.org/10.1111/pan.13279View
Published, Version of Record (VoR)Maybe Open Access (Publisher Bronze) Open

Abstract

tubing misconnections small bore connectors Medication errors
Wrong route medication errors due to tubing misconnections are potentially life-threatening complications that have been made possible by the universal use of the Luer connector. The new International Organization of Standardization standards for small bore connectors, ISO 80369 series, have been developed to reduce the risk of these types of erroneous connections. Tubing connectors for different routes of clinical application will contain differently designed connectors that are physically incompatible. However, design and manufacturing standards have progressed slowly, and clinical roll-outs have been delayed, despite the implementation of California laws to promote their use. We are currently in a state of transition where new connectors for enteral and neuraxial use will be entering the clinical market in the next few years, and increasing use will identify additional patient safety concerns.

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16 citations in Scopus

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Collaboration types
Domestic collaboration
International collaboration
Web of Science research areas
Anesthesiology
Pediatrics
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