High latent drug administration error rates associated with the introduction of the international colour coding syringe labelling system

European Journal of Anaesthesiology

Volumn 23, Issue 2, 2006, Pages 165-168

  Haslam, G M ^a   Sims, C ^a   McIndoe, A K ^b   Saunders, J ^a   Lovell, A T ^c  

^a BRISTOL ROYAL INFIRMARY   (United Kingdom)

^b Bristol Medical Simulation Centre   (United Kingdom)

^c UNIVERSITY OF BRISTOL   (United Kingdom)

Author keywords

Anaesthesia general; Drug labelling; Medication errors

Indexed keywords

ANESTHETIC AGENT; ATROPINE; CEFUROXIME; EPHEDRINE; FENTANYL; LIDOCAINE; MORPHINE; SUXAMETHONIUM; THIOPENTAL; VECURONIUM;

ANESTHESIST; CONFERENCE PAPER; DRUG LABELING; ERROR; GENERAL ANESTHESIA; HUMAN; MEDICAL RECORD; STANDARDIZATION; SYRINGE;

ADULT; ANESTHESIA, GENERAL; ANESTHESIOLOGY; COLOR; EMERGENCIES; HUMANS; MALE; MEDICATION ERRORS; PRODUCT LABELING; SYRINGES;

EID: 31344464422     PISSN: 02650215     EISSN: 02650215     Source Type: Journal    
DOI: 10.1017/S0265021505002097     Document Type: Conference Paper

References (8)

1. Fasting S, Gisvold SE. Adverse drug errors in anaesthesia, and the impact of coloured syringe labels. Can J Anaesth 2000; 47: 1060-1067.
2. Jensen LS, Merry AF, Webster CS, Weller J, Larsson L. Evidence-based strategies for preventing drug administration errors during anaesthesia. Anaesthesia 2004; 59: 493-504.
3. Radhakrishna S. Syringe labels in anaesthetic induction rooms. Anaesthesia 1999; 54: 963-968.
4. Christie IW, Hill MR. Standardized colour coding for syringe drug labels: a national survey. Anaesthesia 2002; 57: 778-817.
5. Currie M, Mackay P, Morgan C et al. The 'wrong drug' problem in anaesthesia: an analysis of 2000 incident reports. Anaesth Intens Care 1993; 21: 596-601.
6. Webster CS, Merry AF, Larsson L, McGrath KA, Weller J. The frequency and nature of drug administration error during anaesthesia. Anaesth Intens Care 2001; 29: 494-500.
7. Irita K, Tsuzaki K, Sawa T et al. Critical incidents due to drug administration error in the operating room: an analysis of 4 291 925 anaesthetics over a 4 year period. Masui 2004; 53: 577-584.
8. RCoA/AAGBI syringe labelling in critical care update 2004: www.rcoa.ac.uk/docs/syringelabels(june).pdf