Tag Archives: ISO Connector Standards

Joint Commission Issues Sentinel Event Alert on Transition to New ISO Tubing Connector Standards

On August 20, 2014, The Joint Commission published Sentinel Event Alert Issue 53: Managing Risk During Transition to New ISO Tubing Connector Standards.

According to the latest Sentinel Event Alert, “Tubing misconnections continue to cause severe patient injury and death, since tubes with different functions can easily be connected using luer connectors, or connections can be “rigged” (constructed) using adapters, tubing or catheters. This is why new ISO (International Organization for Standardization) tubing connector standards are being developed for manufacturers.”

The Sentinel Event Alert addresses the phased implementation of the redesigned tubing connectors resulting from the new ISO connector standards, urges healthcare organizations to be vigilant and begin planning for the upcoming period of transition, which will introduce changes and new risks into the health care environment, and presents examples of adverse events related to tubing misconnections.

These suggested actions update the recommendations in The Joint Commission’s 2006 Sentinel Event Alert Issue 36: Tubing Misconnections—A Persistent and Potentially Deadly Occurrence.

Resources are also identified in the new Sentinel Event Alert, including:

The Sentinel Event Alert also includes a list of Joint Commission standards related to the use of tubing, and an infographic.

ANSI-AAMI-ISO 80369-1-2010 – Small Bore Connectors for Liquids and Gases in Healthcare Applications – Part 1 – General Requirements

ISO 80369-1 covers general aspects of non-interchangeability and appropriate validation procedures for small bore connectors for liquids and gases in healthcare applications.

Download ANSI-AAMI-ISO 80369-1-2010 – Small Bore Connectors for Liquids and Gases in Healthcare Applications – Part 1 – General Requirements.

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