Article: Unraveling Misconnections In Medical Tubing

By Jim Brown

A 24-year-old woman was nearly nine months pregnant when she was hospitalized for vomiting and dehydration. A nurse was supposed to connect a bag containing a nutritional solution to the woman's feeding tube to provide her with nutrients. Instead, the nurse mistakenly connected the feeding tube to the patient's IV line and injected the nutritional solution directly into her vascular system. Shortly after the mistake, the mother and her baby died.

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