misconnection error


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misconnection error

The linking of two sets of wires or tubes that share a common fitting and therefore seem to work with each other even though they may carry incompatible or dangerous substances that should not be administered to a patient.

Patient care

Misconnection errors can be prevented by carefully tracing each tube to its source and verifying its contents; or systematically by manufacturing unique fittings or connectors that cannot link incompatible agents.

See also: error
References in periodicals archive ?
According to a Sentinel Event Alert (1) from the Joint Commission International Center for Patient Safety, tubing and catheter misconnection errors are a serious and under-reported problem in healthcare organizations.