Resources

Additional Information about Luer Misconnections

Gallauresi, Beverly, R.N., B.S., M.P.H., Eakle, Melissa, R.N., M.B.A., M.S.N., Morrison, Audrey, R.N. Misconnections Between Medical Devices With Luer Connectors: Under-recognized but Potentially Fatal Events in Clinical Practice, Safe Practices in Patient Care. July 2007, Vol. 3, No. 2.
http://www.safe-practices.org/SafePractice8.pdf

ECRI Institute. Health Devices: Preventing Misconnection Risks in the Hospital. Volume 35, Number 3. March 2006.
https://www.ecri.org/PatientSafety/Pages/safetyresources_pages_default.aspx

The Joint Commission Sentinel Event Alert. Tubing Misconnections—A Persistent and Potentially Deadly Occurrence. April 3, 2006, Issue 36.
http://www.jointcommission.org/SentinelEvents/SentinelEventAlert/sea_36.htm

ISMP Medication Safety Alert! Problems Persist With Life-Threatening Tubing Misconnections. June 17, 2004.
http://www.ismp.org/newsletters/acutecare/articles/20040617.asp

WHO Collaborating Centre for Patient Safety Solutions. Patient Safety Solutions. Avoiding Catheter and Tubing Misconnections. May 2007, Vol. 1, Solution 7.
http://www.ccforpatientsafety.org/common/pdfs/fpdf/presskit/PS-Solution7.pdf

FDA Patient Safety News (Video). More Patient Deaths from Luer Misconnections. October 2007.
http://www.accessdata.fda.gov/scripts/cdrh/cfdocs/psn/transcript.cfm?show=68#5

Association for the Advancement of Medical Instrumentation (AAMI). ISO/IEC small bore connector new work proposal package including contact information. August 2006.
http://www.aami.org/Applications/CommitteeCentral-app/Documents/SBC_PA.pdf

International Organization for Standardization (ISO). ISO/CD 80369-1. Updated 2008. http://www.iso.org/iso/iso_catalogue/catalogue_tc/catalogue_detail.htm?csnumber=45976