Staying Connected: How to Prevent Wrong Route Medication Errors in the Operating Room

Smith, Victoria I.; Litman, Ronald S.

doi:10.1007/s40140-017-0205-x

Cited by 1 publication

(2 citation statements)

References 9 publications

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“…The identification of IV lines of drugs administered in critically ill patients is especially important in view of the visual disorganization resulting from many IV lines close to each other, mainly above and below the infuser pumps. 17,45 The interweaving of IV lines that exists when multiple infusions are administered to a single patient makes it difficult to discern one line from the other, in addition to screening to identify quickly and correctly what is being infused and its components. This increases the likelihood of medication administration errors, particularly line connections to incorrect devices, delivering inappropriate fluid to patients, and doses being incorrectly titrated or administered via ineffective routes.…”

Section: Discussionmentioning

confidence: 99%

“…With regard to IV line labels, the name of the drug, the use of colour, and the differentiation of the letter size used to write the drug name was considered relevant characteristics in the results of the review. The identification of IV lines of drugs administered in critically ill patients is especially important in view of the visual disorganization resulting from many IV lines close to each other, mainly above and below the infuser pumps 17,45 …”

Section: Discussionmentioning

confidence: 99%

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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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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%