Standardised colour-coded compartmentalised syringe trays improve anaesthetic medication visual search and mitigate cognitive load

Laxton, Victoria; Maratos, Frances A.; Hewson, David W.; Baird, Andrew J.; Stupple, Edward J. N.

doi:10.1016/j.bja.2022.11.012

Cited by 8 publications

(5 citation statements)

References 32 publications

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“…It should be noted that this was a screen-based task rather than a clinical task. The findings compliment those of an eye-tracking experiment testing colour-coded trays, 19 and corroborate subjective reports from anaesthetists about the same tray design. 30 Future research should test a more realistic layout of syringes in conventional trays compared with colour-coded trays to gain an understanding of the effect of tray organisation.…”

Section: Discussionsupporting

confidence: 86%

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Effects of colour-coded compartmentalised syringe trays on anaesthetic drug error detection under cognitive load

Laxton,

Maratos,

Hewson

et al. 2024

British Journal of Anaesthesia

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Section: Discussionsupporting

confidence: 86%

“… 18 An eye-tracking study showed the benefits of a colour-coded tray with standardised drug locations, improving visual search efficacy and enabling rapid error identification compared with conventional trays. 19 …”

mentioning

confidence: 99%

Effects of colour-coded compartmentalised syringe trays on anaesthetic drug error detection under cognitive load

Laxton,

Maratos,

Hewson

et al. 2024

British Journal of Anaesthesia

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“…Rainbow Tray TM (Uvamed, Loughborough, UK; Fig. 1) [28,29] or Anesthesia Medication Template (Fig. 2) [30].…”

Section: Technological Solutionsmentioning

confidence: 99%

Handling injectable medications in anaesthesia

Kinsella,

Boaden,

El‐Ghazali

et al. 2023

Anaesthesia

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SummaryPeri‐operative medication safety is complex. Avoidance of medication errors is both system‐ and practitioner‐based, and many departments within the hospital contribute to safe and effective systems. For the individual anaesthetist, drawing up, labelling and then the correct administration of medications are key components in a patient's peri‐operative journey. These guidelines aim to provide pragmatic safety steps for the practitioner and other individuals within the operative environment, as well as short‐ to long‐term goals for development of a collaborative approach to reducing errors. The aim is that they will be used as a basis for instilling good practice.

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“…17 Another study that tested an intervention for anaesthesia safety affirmed that syringe changes and incorrect identification of anaesthetic drugs were common causes of errors, present in 40%-70% of incident reports. 18 Labelling standards for syringes, bags, and IV lines are strategies that strengthen the safety of institutional medication systems, that is, technologies that prevent the misidentification of IV drugs administered to critically ill patients. However, a previous study conducted by the authors showed that there are currently gaps in the recommendations for labelling standards of devices used in care scenarios that assist critically ill patients.…”

Section: Introductionmentioning

confidence: 99%

“…Specifically regarding the step of identifying IV drugs, one study analysed the risks associated with the use of multiple medications in continuous infusion in a critical care setting, and found that 7.7% of nurses' errors consisted of the incorrect handling of IV lines during the infusion identification phase 17 . Another study that tested an intervention for anaesthesia safety affirmed that syringe changes and incorrect identification of anaesthetic drugs were common causes of errors, present in 40%–70% of incident reports 18 …”

Section: Introductionmentioning

confidence: 99%

Labelling of intravenous drug delivery devices in critically ill patients: A scoping review

Nunes,

Antunes,

da Silva

et al. 2023

Nursing in Critical Care

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BackgroundLabelling is a strategy that contributes to the correct and faster identification of drugs, minimizing misidentification. There is a gap in knowledge on optimal labelling standards for intravenous (IV) devices applied to the care of critically ill patients.AimThe goal of this article was to map existing knowledge on the labelling of IV drug delivery devices in critically ill patients for the prevention of medication errors.Study DesignThis was a scoping review conducted according to the JBI methodology in the LILACS, MEDLINE, CINAHL, IBECS, Scopus, Embase and Web of Science databases, and on the websites of specialized institutions. Searches were conducted up to December 2022 for scientific articles and grey literature that addressed the labelling of IV devices in intensive care units, emergency departments, and anaesthesia units. The data were collected using a structured form and were later classified, summarized, and aggregated to map the knowledge related to the review question.ResultsTwenty‐one documents were included, which demonstrated variability in label use with IV drug delivery devices. The following features of structure and design stood out: printed format, colour coding, letter size differentiation, and the use of sturdy material. In terms of information, the name of the drug, dose, date and time of preparation, identification of the patient, and who prepared it were found.ConclusionsThe identified patterns contributed to the reduction of drug misidentification and the development of timelier drug labelling and administration.Relevance to Clinical PracticeThe evidence supports the development of standardized labels for the prevention of medication errors.

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Standardised colour-coded compartmentalised syringe trays improve anaesthetic medication visual search and mitigate cognitive load

Cited by 8 publications

References 32 publications

Effects of colour-coded compartmentalised syringe trays on anaesthetic drug error detection under cognitive load

Effects of colour-coded compartmentalised syringe trays on anaesthetic drug error detection under cognitive load

Handling injectable medications in anaesthesia

Labelling of intravenous drug delivery devices in critically ill patients: A scoping review

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