Tubing misconnections are a significant threat to patient safety. The accidental connection of different delivery systems—through which patients receive medication, nutrients and other fluids—can result in serious patient harm, even death. A number of organizations, including AAMI, and federal regulators have banded together to work on a new initiative that aims to reduce that risk through the development and use of new small-bore connectors and standards. The FDA’s Scott Colburn and Pamela Scott, both with the Center for Devices and Radiological Health, join Thomas Hancock, with the Global Enteral Device Supplier Association (GEDSA), and Tricia Otstot, a nurse whose mother died as a result of a tubing misconnection, to talk about this important issue. Sponsored by GEDSA.

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