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Preventing Tubes Misconnection in Healthcare

The document discusses the prevention of tubing misconnections in medical settings, highlighting the risks associated with incorrect connections of various tubes and catheters. It outlines contributing factors, types of misconnections, and prevention strategies, emphasizing the importance of design features, proper labeling, and staff education. The document aims to enhance patient safety by addressing the vulnerabilities and implementing effective safeguards against tubing misconnection.

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hadeermostafa782
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66 views12 pages

Preventing Tubes Misconnection in Healthcare

The document discusses the prevention of tubing misconnections in medical settings, highlighting the risks associated with incorrect connections of various tubes and catheters. It outlines contributing factors, types of misconnections, and prevention strategies, emphasizing the importance of design features, proper labeling, and staff education. The document aims to enhance patient safety by addressing the vulnerabilities and implementing effective safeguards against tubing misconnection.

Uploaded by

hadeermostafa782
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd

Prevention of Tubes

Mis
connection
By,

Nursing Education Team

31/8/2021
OUTLINES

 Introduction

 Examples of tubing misconnection

 types of tubes and catheters involved

 Purposes of prevention

 Contributing factors of tubing misconnection

 Types of tubes misconnections

 Prevention strategies of tubing misconnection


INTRODUCTION

 The design of these devices is such that it is possible to inadvertently connect the

wrong syringes and tubing and then deliver medication or fluids through an

unintended and therefore wrong route.

 The best solution lies with introducing design features that prevent misconnections

and prompt the user to take the correct action.


INTRODUCTION

The most common types of tubes and


catheters involved

Central Venous Catheters

Automatic Blood Pressure Cuff Insufflator


Peripheral IV Catheters, Tubes

Tracheostomy Cuff Inflation Tubes,


Nasogastric Feeding Tubes,.

Percutaneous Enteric Feeding Peritoneal Dialysis Catheters,


Tubes,
EXAMPLES
Identify devices / Guidelines that safe Provide safety for
practices vulnerable to guard against patient requiring multi
tube misconnection misconnection medical tubing
Contributing factors of tubing misconnection

Luer
Positioning of Movement of
connections Routine use of Staff fatigue
functionally the patient
Used almost tubes or associated
dissimilar from one
universally in catheters for with working
tubes used in setting or
a variety of unintended consecutive
patient care in service to
purposes shifts
medical close another
applications to proximity to
link medical one another
devices
Types of tubes misconnections

Intravenous- Arterial
Connection To Wrong Port

Hemodialysis - Vascular

Enteral/Oral- Vascular

Bladder irrigation – vascular

Neuroaxial - vascular
Prevention of tubes misconnections

• Appropriate testing for performance before purchasing tubes and

connections

• Labeling of high alert catheters (arterial lines, epidural,

intrathecal)

• Trace all lines back to its origin to verify correct connections

• Route the lines with different purposes in different standardized

direction
Prevention of tubes misconnections

• After moving patient or transfer from area to area recheck and

trace connections and tubes as a part of handoff process.

• Prohibit modifying or adapting IV or enteral feeding devices

• Provide patient and family education regarding factors related to

tube misconnections

• Report and analyze all near misses an incidents that relate to tube

misconnection
Activity
Thank You

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