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Call to Action: Experience in Adopting the ENFit System to Guard Against Accidental Tubing Misconnections
Catheter misconnections involving enteral-to-IV tubing are well documented in the patient safety literature.  They often lead to severe consequences for patients and families. Despite the recent adoption of connector design standards for enteral devices (ENFit™), a Joint Commission Sentinel event advisory in 2014, and a consortium of manufacturers to support compliance and rapid development of ENFit devices in hospitals and health systems, the US response has been underwhelming at best. Initial adoption delays associated with previously unidentified problems in clinical practice led to the re-engineering of a new low-dose tip ENFit syringe. However, even with these improvements, due to the complexity of the change that is required, a large number of organizations have yet to be fully compliant with this transition—leaving patients in a vulnerable position.

Join ISMP faculty as they review the many challenges associated with wrong route errors, discuss the product design concerns that led to the re-engineering of the new ISO standard and the lose-dose tip syringe. Most importantly, we will highlight the patient safety benefits to an ENFit transition. Also, hear directly from an organization who has successfully made the ENFit transition, their practice implications, and the lessons learned in the implementation of ENFit-compliant devices to advance patient safety.

Feb 24, 2021 01:00 PM in Eastern Time (US and Canada)

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