In healthcare, it’s often the smallest errors that have the most devastating consequences. The FDA has documented numerous fatal cases where tubing was mistakenly connected to the wrong device or port—IV fluid entering a trach cuff, enteral feeding into the lungs, or air injected into a bloodstream instead of a pressure cuff. These are not just system errors—they’re human tragedies.
Each of these cases underscores one chilling truth: Misconnections kill.
The Power of Prevention Starts at the Bedside
Many of these errors happen during handoffs, busy shifts, or moments of fatigue. Often, the tubes and devices look deceptively similar. What’s missing? A system to manage, label, and organize all lines.
That’s where we come in.
The Beata Clasp: Simple Tool, Life-Saving Impact
The Beata Clasp is a soft, reusable medical line organizer that wraps around the top of a bed rail and securely holds up to four medical lines in place. By keeping lines visible, separate, and traceable, it eliminates confusion during emergencies and routine care.
When lines are easy to trace, nurses are less likely to connect the wrong port, and patients and families are more aware of the purpose of each line—empowering everyone at the bedside to speak up and stay safe.
“Always trace a tube or catheter from the patient to the point of origin before connecting any new device or infusion.” – FDA Patient Safety Tip
The Missing Link: Education + Certification
While device standards like ISO 80369 have helped manufacturers reduce connection risks, line management protocols at the clinical level are still inconsistent. That’s why we created the Line Management Awareness Program—a comprehensive, evidence-based training solution for hospitals and health systems.
The program includes:
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Visual tools and posters
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Sample hospital policies for tubing identification
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A certification course for nurses and frontline staff
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Patient and family education materials
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Step-by-step workflow instructions for line tracing and reconciliation
A standardized line reconciliation process—especially during shift changes or patient transfers—can drastically reduce risk.
Why This Matters for Value-Based Care
In a healthcare landscape shifting toward value-based care, where outcomes and safety are tied directly to reimbursement and reputation, preventing one tubing misconnection can save thousands of dollars—and more importantly, a life.
Improved organization at the bedside:
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Reduces emergency room re-admissions due to avoidable harm
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Promotes patient-centered care and transparency
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Enhances nursing workflow and job satisfaction
Take Action: Be the Advocate for Safer Lines
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Implement The Beata Clasp in your unit or pilot program
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Enroll in our Line Management Awareness Program and become a certified advocate
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Encourage your hospital to adopt a system-wide tubing safety protocol
Let’s stop using tongue depressors and tape to organize life-saving lines. Let’s build a culture where nurses, families, and even patients know what each line is for—and what to do when something doesn’t look right.
Ready to Hold the Line?
Visit www.beataclasp.com to request a free sample or learn more about our line safety certification program. We’re here to support nurses and patient safety teams every step of the way.