title: Enteral feeding misconnections: an update.
abstract: Enteral misconnections are defined as inadvertent connections between enteral feeding systems and nonenteral systems such as intravascular lines, peritoneal dialysis catheters, tracheostomy tube cuffs, medical gas tubing, and so on. Sentinel event data and causative factors are outlined along with potential solutions to prevent such medical errors. The solutions can be grouped into 3 areas: (1) education, awareness, and human factors; (2) purchasing strategies; and (3) design changes. Updates on safety innovations and programs are presented.
authors.affiliation: American Society for Parenteral and Enteral Nutrition, 8630 Fenton St. Suite 412, Silver Spring, MD 20910, USA. peggig@aspen.nutr.org
authors.forename: Peggi
authors.initials: P
authors.lastname: Guenter
authors.forename: Rodney W
authors.initials: RW
authors.lastname: Hicks
authors.forename: Debora
authors.initials: D
authors.lastname: Simmons
mesh_terms: D004750:Enteral Nutrition / Q000009:adverse effects* / Q000295:instrumentation*; D004867:Equipment Design; D004869:Equipment Safety; D006801:Humans; D019300:Medical Errors / Q000009:adverse effects* / Q000517:prevention & control* / Q000706:statistics & numerical data; D012308:Risk Management / Q000379:methods