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TJC Warns Hospitals of Deadly Medical Tubing Mistakes
HealthLeaders Media

With at least 21 hospital patient deaths and nearly 100 other adverse events occurring because plastic tubing intended to deliver food instead went into an IV, a Joint Commission Sentinel Event Alert urges healthcare providers to be extra diligent to avoid such mistakes.

In addition to the 2006 death of a pregnant woman whose feeding tube was placed into her bloodstream in a Kansas hospital, the commission said, this week, “116 other case studies [involved] misconnections directing enteral feeding solutions into IV lines” over the last decade.