In April 2013, ECRI issued a call to action to collaborate in an
initiative to report laboratory testing events. The result is the
third PSO Deep Dive™ analysis identifying laboratory-related
events and unsafe conditions, along with risk reduction
Historically, the Luer connector was used for many incompatible
purposes: intravenous infusions, epidural catheters, enteral
feedings, blood pressure cuffs, etc. Misconnections have occurred
with catastrophic results.
California law will soon mandate that hospitals use mutually
incompatible connectors for three purposes: intravenous,
neuraxial (e.g., epidural), and enteral. While the law driving
the adoption deadline is in California, hospitals throughout the
world will be making this change.
The final offering of the AAMI Foundation’s HTSI
Webinar Series on Alarm Management will address the
importance of educating and training staff on alarm system
management and the tools that hospitals will need to continue to
meet The Joint Commission’s patient safety goal. This session
will also address ways and the importance of establishing and
maintaining a comprehensive database of alarmed equipment.
This webinar will also review the patient safety goal in terms of
what was covered during the webinar series and review the
checklists from each topic.