This was seen on a listserv by and (b)(4) staff person and shared with (b)(4).Are any hospitals experiencing disconnections between iv tubing spikes and iv medication bags? we have documented at least 15 patient safety events involving bo primary and secondary iv tubing spikes falling out of iv medication bag ports.The events have occurred with quva fentanyl (with at least one in a douglas medical product bag), sandoz clindamycin, nephron norepinephrine bottles, wg critical care midazolam, bbraun ns 100 ml pab, and bbraun 100 ml addease.There have been no obvious visible defects in any quarantined supplies/drug devices.Evaluation by vendors has not revealed root cause.While these are similar to the events described in the 2/10/2022 acute care (b)(4)medication safety alert, our experiences have been with a different iv tubing vendor and medications bags from unrelated manufacturers.We would greatly appreciate sharing and learning from other health systems that have experienced similar events.(b)(4).
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