Читать книгу The Coming Healthcare Revolution: Take Control of Your Health - Sheldon Cohen M.D. - Страница 12

Very ill patients may require multiple catheters and tubes used for drainage of body fluids and as portals of entry to deliver necessary medications. Personnel have made misconnection errors resulting in wrong medication delivery to the wrong body site. Nine such cases reported resulted in eight deaths and one loss of function. The Joint Commission has recommended preventive measures that all hospitals must adopt. They include:

•Labeling of all high risk catheters such as those that enter the spinal canal or an artery

•Staff must always trace a tube or catheter from its point of origin to the patient before connection is made with a new device or an infusion

•When a patient arrives at a new setting, staff must always recheck and trace all patient tubes and catheters from their source

•Staff must route tubes and catheters having different purposes in different directions

•Non-clinical staff, patients and families must get help from clinical staff whenever there is a perceived need to connect or disconnect infusions or devices

•High-risk catheters must be labeled and not have injection ports