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Nutrition in Clinical Practice
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Invited Reviews

Enteral Feeding Misconnections: An Update

Peggi Guenter, PhD, RN, CNSN1
Rodney W. Hicks, PhD, MSN, MPA, ARNP2
Debora Simmons, MSN, RN, CCRN, CCNS3

From the 1 American Society for Parenteral and Enteral Nutrition, Silver Spring, Maryland; 2 Anita Thigpen Perry School of Nursing, Texas Tech University Health Sciences Center, Lubbock, Texas; and 3 University of Texas, Houston.

Correspondence: Address correspondence to: Peggi Guenter, PhD, RN, CNSN, American Society for Parenteral and Enteral Nutrition (A.S.P.E.N.), 8630 Fenton St. Suite 412, Silver Spring, MD 20910; e-mail: peggig{at}aspen.nutr.org.

Enteral misconnections are defined as inadvertent connections between enteral feeding systems and nonenteral systems such as intravascular lines, peritoneal dialysis catheters, tracheostomy tube cuffs, medical gas tubing, and so on. Sentinel event data and causative factors are outlined along with potential solutions to prevent such medical errors. The solutions can be grouped into 3 areas: (1) education, awareness, and human factors; (2) purchasing strategies; and (3) design changes. Updates on safety innovations and programs are presented.

Key Words: enteral nutrition • safety

Nutrition in Clinical Practice, Vol. 24, No. 3, 325-334 (2009)
DOI: 10.1177/0884533609335174
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