• April 26, 2021 ‐ PSQHNebraska Medicine’s ENFit Conversion Designed to Improve Patient SafetyBy Stacie Ethington, MSN, RN-BCBackgroundAdverse outcomes caused by enteral tubing misconnections are well documented in The Joint Commission’s Sentinel Event Alertfrom August 2014 that states “Tubing misconnections continue to cause severe patient injury and death.” To address the issue, in fall 2020 Nebraska Medicine converted legacy enteral tubes and disposables to be compatible with the ISO 80369-3 standard, also known as ENFit®, that is designed to prevent misconnections and disconnections.

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