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Medical Gas Mix-Ups
Take a Look! Before
You Hook
Won't Connect?
Don't Connect! |
Proper labeling of a medical oxygen canister
![proper labeling of a medical oxygen canister](canister.jpg) |
The Food and Drug Administration (FDA) is very concerned
about deaths and injuries from medical gas mix-ups. For example,
patients who were thought to be receiving medical
grade oxygen have received a different gas (e.g., nitrogen) that had been
mistakenly connected to the oxygen supply system. Medical gas mix-ups have
caused many deaths and serious injuries (for details, see Guidance for Hospitals, Nursing Homes, and Other
Health Care Facilities: CDER Public Health Advisory). This web page provides
educational materials you can use to help reduce these risks of medial gas
mix-ups in your
facilities. It also provides other resources about
medical gas mix-ups.
Medical Gas Safety - FDA
Educational Products
For information on obtaining the flier or poster, please email dpapubs@fda.hhs.gov
or call 301-796-3703.
- Flier: CDER
Public Health Advisory: Medical Gas Mix-Ups Can Cause Death and
Serious Injury
Optional format: HTML. This
one-page, color flier is intended to alert people who handle medical
gases about the hazards of mix-ups. Please feel free to copy and
distribute this flier. Comments and suggestions are welcome.
- Poster: Medical
Gas Mix-Ups: "Take a look before you hook."
Please feel free to download, print,
and distribute this poster.
- Video Webcast: "Preventing Deaths and Serious
Injuries from Medical Gas Mix-Ups." To view the webcast and
read the transcript, go to the Center for Devices and Radiological
Health's FDA
Patient Safety News, Video Webcast Center, and scroll to Show #1:
February 2002, on the bottom of the page.
Medical Gas Mix-up Alerts
Guidance and Standards
Back to Top
Compressed Gases
FDA/Center for Drug Evaluation and Research
Last Updated: June 6, 2008
Originator: OTCOM/DLIS
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