Mejorando la seguridad del paciente: los medicamentos en la bandeja de anestesia.
DOI:
https://doi.org/10.30445/rear.v12i3.792Palabras clave:
seguridad del paciente, errores de medicación, anestésicos, mejora de calidad, preparación de medicaciónResumen
Los errores de medicación en anestesia, siguen siendo una causa grave de daño iatrogénico. Presentamos un estudio en el que se evalúa el potencial impacto de seguridad del uso de una bandeja con códigos de colores para la preparación y el almacenamiento de medicamentos anestésicos.
Citas
- Fasting S, Gisvold SE. Adverse drug errors in anesthesia, and the impact of coloured syringe labels. Can J Anaesth 2000; 47: 1060e7
- Merry AF, Webster CS, Hannam J, Mitchell SJ, Henderson R, Reid P, Edwards KE, Jardim A, Pak N, Cooper J, Hopley L, Frampton C, Short TG: Multimodal system designed to reduce errors in recording and administration of drugs in anaesthesia: Prospective randomised clinical evaluation. BMJ 2011; 343:d5543
- Bowdle T. A.et al. Facilitated self-reported anaesthetic medication errors before and after implementation of a safety bundle and barcode-based safety system. British Journal of Anaesthesia, 121 (6): 1338e1345 (2018)
- Fasting S, Gisvold SE. Adverse drug errors in anesthesia, and the impact of coloured syringe labels. Can J Anaesth 2000; 47: 1060e7
- Webster CS, Merry AF, Larsson L, McGrath KA, Weller J. The frequency and nature of drug administration error during anaesthesia. Anaesth Intensive Care 2001; 29:494e500
- Llewellyn RL, Gordon PC, Wheatcroft D, et al. Drug administration errors: a prospective survey from three South African teaching hospitals. Anaesth Intensive Care 2009; 37: 93e8
- Nanji KC, Patel A, Shaikh S, Seger DL, Bates DW. Evaluation of perioperative medication errors and adverse drug events. Anesthesiology 2016; 124: 25–34.
- McClelland L, Holland J, Lomas J, Redfern N, Plunkett E. A national survey of the effects of fatigue on trainees in anaesthesia in the UK. Anaesthesia 2017; 72: 1069–77.
- Murianni L, Marano C. Building a safer NHS for patient. Improving medication safety. Italian Journal of Public Health
2012; 2: 3–4.
- Almghairbi DS, Sharp L, Griffiths R, Evley R, Gupta S, Moppett IK. An observational feasibility study of a new anaesthesia drug storage tray. Anaesthesia. 2018 Mar;73(3):356-364. doi: 10.1111/anae.14187. Epub 2018 Jan 3.
- Cooper L, DiGiovanni N, Schultz L, Taylor AM, Nossaman B. Influences observed on incidence and reporting of medication errors in anesthesia. Canadian Journal of Anesthesia 2012; 59: 562–70.
- Chopra V, Bovill J, Spierdijk J. Accidents, near accidents and complications during anaesthesia A retrospective analysis of a 10-year period in a teaching hospital. Anaesthesia 1990; 45: 3–6.
- Merry AF, Webster CS, Hannam J, Mitchell SJ, Henderson R, Reid P, Edwards KE, Jardim A, Pak N, Cooper J, Hopley L, Frampton C, Short TG: Multimodal system designed to reduce errors in recording and administration of drugs in anaesthesia: Prospective randomised clinical evaluation. BMJ 2011; 343:d5543
- Bowdle T. A.et al. Facilitated self-reported anaesthetic medication errors before and after implementation of a safety bundle and barcode-based safety system. British Journal of Anaesthesia, 121 (6): 1338e1345 (2018)
- Fasting S, Gisvold SE. Adverse drug errors in anesthesia, and the impact of coloured syringe labels. Can J Anaesth 2000; 47: 1060e7
- Webster CS, Merry AF, Larsson L, McGrath KA, Weller J. The frequency and nature of drug administration error during anaesthesia. Anaesth Intensive Care 2001; 29:494e500
- Llewellyn RL, Gordon PC, Wheatcroft D, et al. Drug administration errors: a prospective survey from three South African teaching hospitals. Anaesth Intensive Care 2009; 37: 93e8
- Nanji KC, Patel A, Shaikh S, Seger DL, Bates DW. Evaluation of perioperative medication errors and adverse drug events. Anesthesiology 2016; 124: 25–34.
- McClelland L, Holland J, Lomas J, Redfern N, Plunkett E. A national survey of the effects of fatigue on trainees in anaesthesia in the UK. Anaesthesia 2017; 72: 1069–77.
- Murianni L, Marano C. Building a safer NHS for patient. Improving medication safety. Italian Journal of Public Health
2012; 2: 3–4.
- Almghairbi DS, Sharp L, Griffiths R, Evley R, Gupta S, Moppett IK. An observational feasibility study of a new anaesthesia drug storage tray. Anaesthesia. 2018 Mar;73(3):356-364. doi: 10.1111/anae.14187. Epub 2018 Jan 3.
- Cooper L, DiGiovanni N, Schultz L, Taylor AM, Nossaman B. Influences observed on incidence and reporting of medication errors in anesthesia. Canadian Journal of Anesthesia 2012; 59: 562–70.
- Chopra V, Bovill J, Spierdijk J. Accidents, near accidents and complications during anaesthesia A retrospective analysis of a 10-year period in a teaching hospital. Anaesthesia 1990; 45: 3–6.
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Publicado
2020-08-13
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Power Esteban, M., Lema Tomé, M., & Cabrerizo Torrente, P. (2020). Mejorando la seguridad del paciente: los medicamentos en la bandeja de anestesia. Revista Electrónica AnestesiaR, 12(3), 1. https://doi.org/10.30445/rear.v12i3.792
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