Current strategies to reduce infusion mix-ups in intensive care units are limited and mostly ineffective. The pathways between IV bags and patient access ports remain chaotic despite years of medical and technological advancement. “Spaghetti syndrome”—a term for tangles associated with multiple IV lines—can cause avoidable and potentially fatal medication errors (e.g. accidental line disconnection or rate adjustments on wrong pumps).
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NURSE BUDDY reduces time and mistakes when identifying multiple infusions. However, since label/organizers do not eliminate the potential for errors, other risk-mitigation practices (e.g., tracing infusion pathways before making changes and after staff hand-off) must still be promoted. The tracing label locks under the infusion pump and unlocks with a 90 degree twist then traces down the IV line where a matching organizer label confirms the IV tubing content.
At INFUSION SAFETY LLC, our goal is to standardize label/organizer/tracer usage with patients who receive multiple infusions, a seemingly obvious gap in the current standards. No patient should suffer or die from IV infusion mix-ups and misconnection. NURSE BUDDY makes it easy for nurses to do the right thing.