Safe Labeling Practices to Minimize Medication Errors in Anesthesia: 5 Case Reports and Review of the Literature

A&A Practice
Smita PrakashMridula Pawar

Abstract

Drug error is a significant hazard to patient health. Poor, incorrect, and inconsistent labeling of injectable medicines and fluids, and the devices used to deliver these, has been identified as a patient safety issue. We report 5 cases of medication error as a consequence of incorrect or inappropriate labeling and analyze their cause. Recommendations for safe and practical labeling practices in anesthesia based on a review of the literature are presented. Implementation of the recommended labeling practices can reduce the risk of medication error and contribute to the safe administration of drugs.

References

Oct 24, 2001·Anaesthesia and Intensive Care·C S WebsterJ Weller
Oct 8, 2004·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·Beverley A Orser, Robert Byrick
May 10, 2011·Best Practice & Research. Clinical Anaesthesiology·Alan F MerryJocelyn S Lowinger
Sep 10, 2014·Indian Journal of Anaesthesia·Savitri Velayudhan, Vasudevan Arumugam
Dec 8, 2014·Revista brasileira de anestesiologia·Thomas Rolf ErdmannGuilherme Muriano Brunharo
Oct 27, 2015·Anesthesiology·Karen C NanjiDavid W Bates
Oct 27, 2015·Anesthesiology·Beverley A OrserMichael R Cohen
Oct 18, 2016·European Journal of Anaesthesiology·David WhitakerUNKNOWN European Section and Board of Anaesthesiology of the UEMS
Jan 1, 2017·Revista brasileira de anestesiologia·Ira DhawanAshish Chandra Sinha
Jan 1, 2017·British Journal of Anaesthesia·J A WahrR L Cooper

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