Improving patient safety: medication in the anaesthesia tray.
DOI:
https://doi.org/10.30445/rear.v12i3.792Keywords:
drug preparation, quality improvement, anesthetics, medication error, patient safetyAbstract
Medication errors in anesthesia remain a serious cause of iatrogenic damage. We present a study in which the potential safety impact of the use of a tray with color codes for the preparation and storage of anesthetic drugs is evaluated.
References
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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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Published
2020-08-13
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Power Esteban, M., Lema Tomé, M., & Cabrerizo Torrente, P. (2020). Improving patient safety: medication in the anaesthesia tray. Revista Electrónica AnestesiaR, 12(3), 1. https://doi.org/10.30445/rear.v12i3.792
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