AHRQ Patient Safety Network ►Safety considerations to mitigate the risks of misconnections with small-bore connectors intended for enteral applications.

AHRQ Patient Safety Network

In wake of UCLA Health outbreak, the US Food and Drug Administration releases report highlighting risk of inadequately sterilized endoscopic retrograde cholangiopancreatography (ERCP) equipment.Rockville, MD: Center for Devices and Radiological Health, US Food and Drug Administration; February 11, 2015.

Safety considerations to mitigate the risks of misconnections with small-bore connectors intended for enteral applications.

Rockville, MD: Center for Devices and Radiological Health, US Food and Drug Administration; February 11, 2015.

Mistakes due to small-bore Luer connector similarities can contribute to patient harm. This guidance provides ways for manufacturers, policy makers, and product designers to prevent misconnections, including recommendations regarding improvements for labeling, user testing, and risk assessment.

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