Failure of a “foolproof” pin-index medical pipeline system

Failure of a “foolproof” pin-index medical pipeline system

Abstract Background The pin-index medical gas pipeline system, which complies with Japan Industrial Standard (JIS), is considered to be “foolproof” and is widely used in Japan to avoid medical gas misconnections. Case presentation The wall-mounted gas outlet used in our hospital (NSV outlet, CENTRAL...

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Bibliographic Details
Main Authors: Tatsuhiro Ishimura, Yoshihiro Ikuta, Tatsuo Yamamoto
Format: Article
Language:English
Published: SpringerOpen 2016-08-01
Series:JA Clinical Reports
Subjects:
Medical gas
Foolproof
Misconnection
Online Access:http://link.springer.com/article/10.1186/s40981-016-0044-7

Internet

http://link.springer.com/article/10.1186/s40981-016-0044-7

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