The event occurred on an unspecified date and involved a spinning spiros® closed male luer, red cap where the spiros disconnected from back of the spiros where the luer lock is inserted on a trifuse set, with a fixed collar.There was unspecified blood loss reported, not enough to warrant a transfusion, but enough to be concerning, as the patient was a bone marrow transplant (bmt) patient with a low hemoglobin and heightened infection risk.There was also a spill of an unspecified hazardous drug, but it was reported to be a small amount since patient was on a continuous and slow hazardous drug infusion.There was patient involvement, adverse event and no patient harm.
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