The Association for the Advancement of Medical Instrumentation
(AAMI) has a set
of resources related to the risk of small bore connector
misconnections. Luer connectors are used for varied
applications, some of which are fundamentally dangerous if used
in the wrong context. For example, and inflator for a blood
pressure cuff can rapidly produce a fatal air embolus if
misconnected to an IV line instead.
CHPSO is participating in the standardization process for these
small-bore connectors, with the goal of eliminating the physical
possibility of some of the most-dangerous misconnections; keeping
enteral, neuraxial, intravenous and other applications separated.