The frequency and nature of drug administration error during anaesthesia in a Chinese hospital

Acta Anaesthesiologica Scandinavica

Volumn 57, Issue 2, 2013, Pages 158-164

  Zhang, Y ^a   Dong, Y J ^a   Webster, C S ^b   Ding, X D ^a   Liu, X Y ^a   Chen, W M ^a   Meng, L X ^a   Wu, X Y ^a   Wang, D N ^a  

^a CHINA MEDICAL UNIVERSITY   (China)

^b UNIVERSITY OF AUCKLAND   (New Zealand)

Author keywords

[No Author keywords available]

Indexed keywords

ADRENERGIC RECEPTOR BLOCKING AGENT; ALPHA ADRENERGIC RECEPTOR; ALPHA ADRENERGIC RECEPTOR STIMULATING AGENT; ANALGESIC AGENT; ANESTHETIC AGENT; ANTICOAGULANT AGENT; ANTIEMETIC AGENT; CHOLINERGIC RECEPTOR BLOCKING AGENT; MUSCLE RELAXANT AGENT; VASOACTIVE AGENT;

ANESTHESIA; ANESTHESIA INDUCTION; ANESTHESIST; ANESTHETIC RECOVERY; ASTHMA; CHINA; CHINESE; DRUG INTOXICATION; DRUG LABELING; EPIDURAL ANESTHESIA; EQUIPMENT FAILURE; EXTUBATION; FATIGUE; GENERAL ANESTHESIA; HEMORRHAGIC SHOCK; HUMAN; INCIDENT REPORT; INTENSIVE CARE UNIT; LENGTH OF STAY; MEDICAL STUDENT; MEDICATION ERROR; MORBIDITY; MUSCLE RELAXATION; OPERATING ROOM; PRIORITY JOURNAL; PROFESSIONAL KNOWLEDGE; PROSPECTIVE STUDY; RESPIRATION DEPRESSION; REVIEW; SLEEP TIME; SPINAL ANESTHESIA; TERTIARY HEALTH CARE;

ANESTHESIA; ANESTHETICS; CHINA; CONFIDENCE INTERVALS; HUMANS; MEDICAL ERRORS; SLEEP; WORK SCHEDULE TOLERANCE;

EID: 84872112582     PISSN: 00015172     EISSN: 13996576     Source Type: Journal    
DOI: 10.1111/j.1399-6576.2012.02762.x     Document Type: Review

References (24)

1. Institute of Medicine. To err is human-building a safer health system. Washington DC: National Academy Press, 2000.
2. Department of Health. An organisation with a memory-report of an expert group on learning from adverse events in the NHS. London: Stationery Office, 2000.
3. Meyer R, Orser BA, Byrick R,. Medication error: a leading cause of anesthesia-related morbidity and mortality. Anesthesiology 2007; 107: 1033.
4. Cranshaw J, Gupta KJ, Cook TM,. Litigation related to drug errors in anaesthesia: an analysis of claims against the NHS in England 1995-2007. Anaesthesia 2009; 64: 1317-1323.
5. Cooper JB, Newbower RS, Long CD, McPeek B,. Preventable anesthesia mishaps-a study of human factors. Anesthesiology 1978; 49: 399-406.
6. Utting JE, Gray TC, Shelley FC,. Human misadventure in anaesthesia. Can Anaesth Soc J 1979; 26: 472-478.
7. Craig J, Wilson ME,. A survey of anaesthetic misadventures. Anaesthesia 1981; 36: 933-936.
8. Kumar V, Barcellos WA, Mehta MP, Carter JG,. An analysis of critical incidents in a teaching department for quality assurance-a survey of mishaps during anaesthesia. Anaesthesia 1988; 43: 879-883.
9. Chopra V, Bovill JG, Spierdijk J,. Accidents, near accidents and complications during anaesthesia. Anaesthesia 1990; 45: 3-6.
10. Short TG, O'Regan A, Lew J, Oh TE,. Critical incident reporting in an anaesthetic department quality assurance programme. Anaesthesia 1993; 48: 3-7.
11. Fasting S, Gisvold SE,. Adverse drug errors in anesthesia, and the impact of coloured syringe labels. Can J Anaesth 2000; 47: 1060-1067.
12. Webster CS, Merry AF, Larsson L, McGrath KA, Weller J,. The frequency and nature of drug administration error during anaesthesia. Anaesth Intensive Care 2001; 29: 494-500.
13. Bowdle A, Kruger C, Grieve R, Emmens D, Merry A,. Anesthesia drug administration error in a university hospital. Anesthesiology 2003; 99: A1358.
14. Llewellyn RL, Gordon PC, Wheatcroft D, Lines D, Reed A, Butt AD, Lundgren AC, James MF,. Drug administration error-a prospective survey from three South African teaching hospitals. Anaesth Intensive Care 2009; 37: 93-98.
15. Yamamoto M, Ishikawa S, Makita K,. Medication errors in anesthesia: an 8-years retrospective analysis at an urban university hospital. J Anesth 2008; 22: 248-252.
16. Webster CS, Larsson L, Frampton CM, Weller J, McKenzie A, Cumin D, Merry AF,. Clinical assessment of a new anaesthetic drug administration system-a prospective, controlled, longitudinal incident monitoring study. Anaesthesia 2010; 65: 490-499.
17. Chua SS, Tea MH, Rahman MHA,. An observational study of drug administration errors in a Malaysian hospital (study of drug administration errors). J Clin Pharm Ther 2009; 34: 215-223.
18. Rivière A, Piriou V, Durand D, Arnoux A, Castot-Villepelet A,. Medication errors in anaesthesia: a review of reports from the French Health Products Agency. Ann Fr Anesth Réanim 2012; 31: 6-14.
19. Abeysekera A, Bergman IJ, Kluger MT, Short TG,. Drug error in anaesthetic practice: a review of 896 reports from the Australian Incident Monitoring Study database. Anaesthesia 2005; 60: 220-227.
20. Merry AF, Webster CS, Hannam J, Mitchell SJ, Henderson R, Reid P, Edwards KE, Jardim A, Pak N, Cooper J, Hopley L, Frampton C, Short TG,. Multimodal system designed to reduce errors in recording and administration of drugs in anaesthesia: prospective randomised clinical evaluation. BMJ 2011; 343: d5543. doi: 10.1136/bmj.d5543.
21. Merry AF, Webster CS,. Has anesthesia care become safer and is anesthesia-related mortality decreasing? F1000 Med Rep 2009; 1: 69. doi: 10.3410/M1-69.
22. Garnerin P, Huchet-Belouard A, Diby M, Clergue F,. Using system analysis to build a safety culture: improving the reliability of epidural analgesia. Acta Anaesthesiol Scand 2006; 50: 1114-1119.
23. Flaatten H, Hevroy O,. Errors in the intensive care unit. Acta Anaesthesiol Scand 1999; 43: 614-617.
24. Benoit E, Eckert P, Theytaz C, Joris-Frasseren M, Faouzi M, Beney J,. Streamlining the medication process improves safety in the intensive care unit. Acta Anaesthesiol Scand 2012; 56: 966-975.