Syringe labelling in critical care areas

Souter, Andrew J.

doi:10.1046/j.1365-2044.2003.32672.x

Cited by 8 publications

(5 citation statements)

References 1 publication

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“…Whether this view was justified remains to be seen. Current incident reporting systems probably lack the sensitivity to detect any effects, but reports of problems have appeared in the literature [22][23][24]. Clearly it would be sensible to have an international standard for ampoule labelling, especially now that increasing numbers of doctors and nurses are moving between countries to pursue their practice.…”

mentioning

confidence: 99%

Dose calculation and medication error – why are we still weakened by strengths?

Wheeler

2004

Eur J Anaesthesiol

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mentioning

confidence: 99%

Dose calculation and medication error – why are we still weakened by strengths?

Wheeler

2004

Eur J Anaesthesiol

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“…Further research is now needed to determine both the best strategies for ensuring continued use of the Rainbow trays, and their effect on the prevalence of drug error. Ultimately, introduction to other hospitals will inevitably depend on drivers such as national recommendations , institutional policies, education and cost, and we intend to report on how these challenges can be overcome in future papers.…”

Section: Discussionmentioning

confidence: 99%

An observational feasibility study of a new anaesthesia drug storage tray

et al. 2018

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Drug errors in the anaesthetic domain remain a serious cause of iatrogenic harm. To help reduce this issue, we explored the potential safety impact of using a simple colour-coded tray for anaesthetic drug preparation and storage. Over a six-month period, three different trained researchers observed 30 cases at three NHS Trusts. Ten observations involved standard drug trays in 'normal' practice, and 20 observations, involved 'Rainbow trays' before and after their introduction. We conducted 20 semi-structured interviews immediately after completing the Rainbow tray observation with the anaesthetists involved. All discussions and detailed notes taken were transcribed, qualitatively analysed using line-by-line coding and then synthesised into narrative themes. We found that using standard, single compartment trays enabled quick, cheap, and portable drug preparation and storage, but was linked to potential or actual harmful errors, such as syringe swaps. Rainbow trays were perceived to be easy to use and effective at all three sites, aiding drug identification and separation, and hence likely to reduce drug error and increase patient safety. We have demonstrated that it is feasible to introduce a new colour-coded compartmentalised Rainbow drugs tray into clinical practice at three NHS hospitals in England. Further research is needed into their effect on the prevalence of drug error.

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“…Similarly, atropine is given a mauve label, which may lead to misidentification with the colour for vasoconstrictors. The dangers of different coloured labels in simultaneous use have previously been documented [2]. Whilst we acknowledge that there is no substitute for reading the drug label, it would nevertheless be helpful if manufacturers of prefilled syringes adhered to the recommended standard.…”

Section: Labelling Of Prefilled Syringes Of Emergency Drugsmentioning

confidence: 99%

“…It is conceivable that quoted incidences of postdural puncture headache after either spinal anaesthesia [1] or epidural analgesia [2,3] …”

mentioning

confidence: 99%