I guess one problem is that the failures of the `can't improvise' case are really easy to see and imagine. Whereas the other failure of mixing up connectors could always be blamed on human error.
Someone should figure out which scenario causes more damage. With enough stocking, we should be able to avoid the need for improvisation?
As a technical solution, medical connectors could come with bits that prevent mistakes (and clearly different colours and perhaps even outside textures to use sense of touch, too); but with the safety bits simple to break off on both sides, so that you can still plug them together.
So you can still plug together arbitrary things, but you get a short moment where you have to consciously use some force.