Automated anesthesia carts reduce drug recording errors in medication administrations — A single center study in the largest tertiary referral hospital in China

Wang, Ying; Du, Yingying; Zhao, Yingying; Ren, Yang; Zhang, Wei

doi:10.1016/j.jclinane.2017.03.051

Cited by 14 publications

(29 citation statements)

References 8 publications

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“…25,26 All eight studies focused on surgical settings. Six studies did not define exclusion criteria for adult and pediatric populations, 4,16,[26][27][28] while two studies focused solely on pediatric populations. 10,29 Three studies were conducted in New Zealand, two in the United States, one in China, one in Egypt, and one in Norway.…”

Section: Clinical Settingsmentioning

confidence: 99%

“…All studies were conducted in a hospital setting, either in a university medical centre or in a primary/secondary/tertiary hospital. In seven studies (n = 7), anesthesiologists had the sole responsibility for drug administration, 10,16,[25][26][27][28][29] whereas one study investigated outcomes including the actions of nurse anesthetists working under anesthesiologists' supervision. 4 Study design Six studies were cohort studies and two were prospective, randomized, open label clinical trials.…”

Section: Clinical Settingsmentioning

confidence: 99%

“…The two studies with randomization both used a computer-generated random sequence to assign patients to either the intervention or conventional system. 16,28 The remaining studies either did not randomize and/or studied outcomes pre-and postintervention (n = 6). Outcome data collection was variable, with most studies using a combination of self-reporting with either chart review and/or direct observation 4,10,[25][26][27]29 Definitions The definition of medication error varied among studies.…”

Section: Clinical Settingsmentioning

confidence: 99%

“…Outcome data collection was variable, with most studies using a combination of self-reporting with either chart review and/or direct observation 4,10,[25][26][27]29 Definitions The definition of medication error varied among studies. Two studies referred to the National Coordinating Council for Medication Error Reporting (NCC MERP), 10,29 16,[25][26][27][28] and one study used a department-established checklist. 4 Outcome measures…”

Section: Clinical Settingsmentioning

confidence: 99%

See 3 more Smart Citations

Interventions to reduce medication errors in anesthesia: a systematic review

Maximous

Wong

Chung

et al. 2021

Can J Anesth/J Can Anesth

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Background The objective of this study was to provide a synthesis of the interventions designed to reduce medication errors in anesthetized patients. Methods We electronically searched major databases using index and free-text keywords related to anesthesia and medication errors. We included cohort studies exploring interventions to reduce anesthetic medication errors in both adult and pediatric patients. The risk of bias for each study was assessed using the Newcastle-Ottawa Scale.Results One thousand five-hundred and fifty-eight titles or abstracts were screened, and 56 full-text studies were assessed for eligibility; eight studies were included in the final analysis. Case reports and retrospective studies were excluded. The quality of most studies (n = 6) was graded as ''low''. There were three categories of interventions: I) multimodal interventions (6 studies, n = 900,170

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Section: Clinical Settingsmentioning

confidence: 99%

Section: Clinical Settingsmentioning

confidence: 99%

Section: Clinical Settingsmentioning

confidence: 99%

Section: Clinical Settingsmentioning

confidence: 99%

See 2 more Smart Citations

Interventions to reduce medication errors in anesthesia: a systematic review

Maximous

Wong

Chung

et al. 2021

Can J Anesth/J Can Anesth

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“…In anesthesia practice inattentional blindness deserves particular attention because it could have important safety implications, as an example, it has been reported that during anesthesia administration drug recording error is as high as one every eight administration [ 21 ], with error frequency increasing with a higher cognitive load [ 22 ]. Therefore, awareness of this phenomenon is of paramount importance to limit its dangerous consequences and guarantee patient safety.…”

Section: Discussionmentioning

confidence: 99%

Inattentional blindness in anesthesiology: A gorilla is worth one thousand words

et al. 2021

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Introduction People are not able to anticipate unexpected events. Inattentional blindness is demonstrated to happen not only in naïve observers engaged in an unfamiliar task but also in field experts with years of training. Anaesthesia is the perfect example of a discipline which requires a high level of attention and our aim was to evaluate if inattentional blindness can affect anesthesiologists during their daily activities. Materials and methods An online survey was distributed on Facebook between May 1, 2021 and May 31, 2021. The survey consisted of five simulated cases with questions investigating the anesthetic management of day-case surgeries. Each case had an introduction, a chest radiography, an electrocardiogram, preoperative blood testing and the last case had a gorilla embedded in the chest radiography. Results In total 699 respondents from 17 different countries were finally included in the analysis. The main outcome was to assess the incidence of inattentional blindness. Only 34 (4.9%) respondents were able to spot the gorilla. No differences were found between anesthesiologists or residents, private or public hospitals, or between medical doctors with different experience. Discussion Our findings assess that inattentional blindness is common in anesthesia, and ever-growing attention is deemed necessary to improve patient safety; to achieve this objective several strategies should be adopted such as an increased use of standardized protocols, promoting automation based strategies to reduce human error when performing repetitive tasks and discouraging evaluation of multiple consecutive patients in the same work shifts independently of the associated complexity.

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Reducing medication errors for adults in hospital settings

Ciapponi

Nievas

Seijo

et al. 2021

Cochrane Database of Systematic Reviews

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BackgroundMedication errors are preventable events that may cause or lead to inappropriate medication use or patient harm while the medication is in the control of the healthcare professional or patient. Medication errors in hospitalised adults may cause harm, additional costs, and even death. ObjectivesTo determine the e ectiveness of interventions to reduce medication errors in adults in hospital settings. Search methodsWe searched CENTRAL, MEDLINE, Embase, five other databases and two trials registers on 16 January 2020. Selection criteriaWe included randomised controlled trials (RCTs) and interrupted time series (ITS) studies investigating interventions aimed at reducing medication errors in hospitalised adults, compared with usual care or other interventions. Outcome measures included adverse drug events (ADEs), potential ADEs, preventable ADEs, medication errors, mortality, morbidity, length of stay, quality of life and identified/ solved discrepancies. We included any hospital setting, such as inpatient care units, outpatient care settings, and accident and emergency departments. Data collection and analysisWe followed the standard methodological procedures expected by Cochrane and the E ective Practice and Organisation of Care (EPOC) Group. Where necessary, we extracted and reanalysed ITS study data using piecewise linear regression, corrected for autocorrelation and seasonality, where possible.

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Automated anesthesia carts reduce drug recording errors in medication administrations — A single center study in the largest tertiary referral hospital in China

Cited by 14 publications

References 8 publications

Interventions to reduce medication errors in anesthesia: a systematic review

Interventions to reduce medication errors in anesthesia: a systematic review

Inattentional blindness in anesthesiology: A gorilla is worth one thousand words

Reducing medication errors for adults in hospital settings

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