While steps like removing skin preparation solutions before beginning the procedure may provide a partial barrier to such errors, a far stronger barrier is a complete stop to the practice of using ‘open systems’ for injectable medications” NHS Improvement (2016).
We are not aware of any other clinical reason in any setting for the use of an ‘open system’ during invasive procedures. Due to the risk posed by unidenti able solutions in ‘open systems’ we consider their use for injectable medicines to be an indefensible practice, with the single exception of the embolization procedures described above” NHS Improvement (2016).
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