Building Safety into Medical Devices: The Non-injectable Arterial Connector Preventing Wrong Route Drug Administration

  • Maryanne MariyaselvamEmail author
  • Arun Gupta
  • Peter Young
Conference paper
Part of the Advances in Intelligent Systems and Computing book series (AISC, volume 482)


A never event is a serious and preventable error in healthcare. Wrong route drug administration into the arterial line can cause significant injury to the patients hand. Analysis of the incident data showed errors occurred during levels of heightened stress when medication was required to be given urgently, however during these circumstances healthcare workers did not seem to recognize the arterial line despite being coloured differently to standard venous lines. By using human factors design principles it was possible to develop a solution which prevents wrong route drug administration into the arterial line and does not interfere with normal clinical practice. We highlight that it was possible to eliminate a serious error in healthcare around the world.


Medical devices Human factors systems engineering Serious adverse events Arterial systems Wrong route drug administration 


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Copyright information

© Springer International Publishing Switzerland 2017

Authors and Affiliations

  • Maryanne Mariyaselvam
    • 1
    Email author
  • Arun Gupta
    • 2
  • Peter Young
    • 3
  1. 1.The University of Cambridge, Lucy Cavendish CollegeCambridgeUK
  2. 2.Cambridge University HospitalsCambridgeUK
  3. 3.The Queen Elizabeth Hospital NHS Foundation TrustKings LynnUK

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