Improving patient safety by design -- a new spinal/intrathecal injection safety system.

摘要

Giving the wrong drug by the spinal, epidural or iv route can cause serious morbidity or be fatal.1-3 Such drug injection errors arise in part because Luer tapered fit connectors used for a wide range of medical devices are the same size and can be incorrectly identified and erroneously connected together. Increasing patient safety will require the replacement of existing Luer connectors with incompatible alternatives.