The Joint Commission's Sentinel Event Alert 53 (August 2014) titled, "Managing risk during transition to new ISO tubing connector standards" describes how tubing misconnections can result in patient injury and death due to the fact that tubes with different functions can be connected using a variety of connectors, or connections that are created by using adapters, catheters or tubing. In an effort to reduce medical tubing misconnections and improve patient safety and comply with guidance from the U.S. Food and Drug Administration, the Joint Commission and the Centers for Medicare & Medicaid Services, legacy feeding devices and adaptors are being phased out by Global Enteral Device Supplier Association (GEDSA) member manufacturers. Although somewhat delayed by the Coronavirus 19 pandemic, this transition is underway. Is your organization taking steps to standardize enteral feeding devices and adaptors?
See additional information by copying/pasting the following URLs into your Internet browser:
Joint Commission's Sentinel Event Alert 53: http://stayconnected.org/wp-content/uploads/2017/01/joint-commission-sentinal-alert-53.pdf\
Global Enteral Device Supplier Association ENFit ® Connector Conversion Schedule for the U.S.: http://stayconnected.org/wp-content/uploads/2019/07/ENFit-Connector-Conversion-Schedule-for-US.pdf