CMS has issued a memo to State Survey Agencies regarding Luer Misconnection Adverse Events. As noted in the memo, there was a patient death in an ASC as a result of this misconnection. While the ASC was not deemed by AAAHC, we feel it is important to share this memo as an alert for all organizations where such devices are present. For more information, click here or contact Michon Villanueva at (847) 853-6063.

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