The ideal solution, it seemed, was to make it more difficult to commit such an error by designing feeding tubes with connectors that were sized differently from those ...
Missed connections happen all the time--just consult Craigslist. When it comes to making the wrong tubing connections, however, the results are dire. Although not a new concern for hospital personnel, ...
A pediatric intensive nurse was taking care of a very fussy baby girl on the night shift. The baby had a urea cycle defect (an inborn error of metabolism) and ...