Skip to main content
Erschienen in: Canadian Journal of Anesthesia/Journal canadien d'anesthésie 10/2018

04.06.2018 | Reports of Original Investigations

A survey of medication preparation and administration practices among members of the Canadian Anesthesiologists’ Society

verfasst von: Sophie Breton, MD, Janet van Vlymen, MD, FRCPC, Sean Xia, MD candidate, Ronald R. Holden, PhD, Rachel Phelan, MSc, Selena M. Sagan, PhD, Melanie Jaeger, MD, FRCPC

Erschienen in: Canadian Journal of Anesthesia/Journal canadien d'anesthésie | Ausgabe 10/2018

Einloggen, um Zugang zu erhalten

Abstract

Purpose

Recommendations for safe medication injection practices to eliminate the risk of patient-to-patient transmission of blood-borne infections have been in place for many years. The purpose of our study was to evaluate the medication administration practices of Canadian anesthesiologists relative to current safe practice guidelines.

Methods

An anonymous 17-question online survey was sent to all members of the Canadian Anesthesiologists’ Society (CAS) via the membership email list. Data pertaining to respondent demographics, practice characteristics, and medication preparation and administration practices were collected and analyzed descriptively using frequencies and percentages as well as Fisher’s exact tests followed by post hoc multiple comparisons.

Results

Of the 2,656 CAS members, 546 (21%) responded. The practice of reusing needles (2%) and/or syringes (7%) between patients is reported by only a minority of practitioners; however, sharing a medication vial between more than one patient using new needles and syringes is still widely practiced with 83% doing this sometimes or routinely. The main reasons for sharing medications include the desire to reduce medication waste and the associated costs.

Conclusion

Sharing medication vials between multiple patients is common practice in Canada, with new needles and syringes used for each patient. Unfortunately, a small minority of anesthesiologists continue to reuse needles and/or syringes between patients, and this may pose a significant risk of patient-to-patient infection transmission.
Anhänge
Nur mit Berechtigung zugänglich
Literatur
1.
Zurück zum Zitat DeMaria S Jr, Neustein SM. Production pressure, medical errors, and the pre-anesthesia checkout. Middle East J Anaesthesiol 2010; 20: 631-8.PubMed DeMaria S Jr, Neustein SM. Production pressure, medical errors, and the pre-anesthesia checkout. Middle East J Anaesthesiol 2010; 20: 631-8.PubMed
3.
Zurück zum Zitat Gounder P, Beers R, Bornschlegel K, Hinterland K, Balter S. Medication injection safety knowledge and practices among anesthesiologists: New York State, 2011. J Clin Anesth 2013; 25: 521-8.CrossRefPubMed Gounder P, Beers R, Bornschlegel K, Hinterland K, Balter S. Medication injection safety knowledge and practices among anesthesiologists: New York State, 2011. J Clin Anesth 2013; 25: 521-8.CrossRefPubMed
4.
Zurück zum Zitat Kossover-Smith RA, Coutts K, Hatfield KM, et al. One needle, one syringe, only one time? A survey of physician and nurse knowledge, attitudes, and practices around injection safety. Am J Infect Control 2017; 45: 1018-23.CrossRefPubMed Kossover-Smith RA, Coutts K, Hatfield KM, et al. One needle, one syringe, only one time? A survey of physician and nurse knowledge, attitudes, and practices around injection safety. Am J Infect Control 2017; 45: 1018-23.CrossRefPubMed
5.
Zurück zum Zitat Wilson WO. Infection control issue: understanding and addressing the prevalence of unsafe injection practices in healthcare. AANA J 2008; 76: 251-3.PubMed Wilson WO. Infection control issue: understanding and addressing the prevalence of unsafe injection practices in healthcare. AANA J 2008; 76: 251-3.PubMed
7.
Zurück zum Zitat Dolan SA, Arias KM, Felizardo G, et al. APIC position paper: safe injection, infusion, and medication vial practices in health care. Am J Infect Control 2016; 44: 750-7.CrossRefPubMed Dolan SA, Arias KM, Felizardo G, et al. APIC position paper: safe injection, infusion, and medication vial practices in health care. Am J Infect Control 2016; 44: 750-7.CrossRefPubMed
11.
Zurück zum Zitat Pugliese G, Gosnell C, Bartley JM, Robinson S. Injection practices among clinicians in United States health care settings. Am J Infect Control 2010; 38: 789-98.CrossRefPubMed Pugliese G, Gosnell C, Bartley JM, Robinson S. Injection practices among clinicians in United States health care settings. Am J Infect Control 2010; 38: 789-98.CrossRefPubMed
13.
14.
Zurück zum Zitat Cordovani L, Chung F, Germain G, et al. Perioperative management of patients with obstructive sleep apnea: a survey of Canadian anesthesiologists. Can J Anesth 2016; 63: 16-23.CrossRefPubMed Cordovani L, Chung F, Germain G, et al. Perioperative management of patients with obstructive sleep apnea: a survey of Canadian anesthesiologists. Can J Anesth 2016; 63: 16-23.CrossRefPubMed
15.
Zurück zum Zitat Wong DT, Mehta A, Tam AD, Yau B, Wong J. A survey of Canadian anesthesiologists’ preferences in difficult intubation and “cannot intubate, cannot ventilate” situations. Can J Anesth 2014; 61: 717-26.CrossRefPubMed Wong DT, Mehta A, Tam AD, Yau B, Wong J. A survey of Canadian anesthesiologists’ preferences in difficult intubation and “cannot intubate, cannot ventilate” situations. Can J Anesth 2014; 61: 717-26.CrossRefPubMed
16.
Zurück zum Zitat Birnbach DJ, Rosen LF, Fitzpatrick M, Carling P, Munoz-Price LS. The use of a novel technology to study dynamics of pathogen transmission in the operating room. Anesth Analg 2015; 120: 844-7.CrossRefPubMed Birnbach DJ, Rosen LF, Fitzpatrick M, Carling P, Munoz-Price LS. The use of a novel technology to study dynamics of pathogen transmission in the operating room. Anesth Analg 2015; 120: 844-7.CrossRefPubMed
17.
Zurück zum Zitat Kuehn BM. Unsafe injection practices plague US outpatient facilities, harm patients. JAMA 2012; 308: 2551-2.CrossRefPubMed Kuehn BM. Unsafe injection practices plague US outpatient facilities, harm patients. JAMA 2012; 308: 2551-2.CrossRefPubMed
18.
Zurück zum Zitat Branch-Elliman W, Weiss D, Balter S, Bornschlegel K, Phillips M. Hepatitis C transmission due to contamination of multidose medication vials: summary of an outbreak and a call to action. Am J Infect Control 2013; 41: 92-4.CrossRefPubMed Branch-Elliman W, Weiss D, Balter S, Bornschlegel K, Phillips M. Hepatitis C transmission due to contamination of multidose medication vials: summary of an outbreak and a call to action. Am J Infect Control 2013; 41: 92-4.CrossRefPubMed
23.
Zurück zum Zitat Stepanova M, Younossi ZM. Economic burden of hepatitis C infection. Clin Liver Dis 2017; 21: 579-94.CrossRefPubMed Stepanova M, Younossi ZM. Economic burden of hepatitis C infection. Clin Liver Dis 2017; 21: 579-94.CrossRefPubMed
24.
Zurück zum Zitat Myers RP, Krajden M, Bilodeau M, et al. Burden of disease and cost of chronic hepatitis C infection in Canada. Can J Gastroenterol Hepatol 2014; 28: 243-50.CrossRefPubMedPubMedCentral Myers RP, Krajden M, Bilodeau M, et al. Burden of disease and cost of chronic hepatitis C infection in Canada. Can J Gastroenterol Hepatol 2014; 28: 243-50.CrossRefPubMedPubMedCentral
26.
Zurück zum Zitat Feinmann J. Doctors call for ban on multidose vials after hepatitis C outbreak in US. BMJ 2010; 341: c4057.CrossRefPubMed Feinmann J. Doctors call for ban on multidose vials after hepatitis C outbreak in US. BMJ 2010; 341: c4057.CrossRefPubMed
28.
Zurück zum Zitat Tait AR, Tuttle DB. Preventing perioperative transmission of infection: a survey of anesthesiology practice. Anesth Analg 1995; 80: 764-9.PubMed Tait AR, Tuttle DB. Preventing perioperative transmission of infection: a survey of anesthesiology practice. Anesth Analg 1995; 80: 764-9.PubMed
Metadaten
Titel
A survey of medication preparation and administration practices among members of the Canadian Anesthesiologists’ Society
verfasst von
Sophie Breton, MD
Janet van Vlymen, MD, FRCPC
Sean Xia, MD candidate
Ronald R. Holden, PhD
Rachel Phelan, MSc
Selena M. Sagan, PhD
Melanie Jaeger, MD, FRCPC
Publikationsdatum
04.06.2018
Verlag
Springer US
Erschienen in
Canadian Journal of Anesthesia/Journal canadien d'anesthésie / Ausgabe 10/2018
Print ISSN: 0832-610X
Elektronische ISSN: 1496-8975
DOI
https://doi.org/10.1007/s12630-018-1164-5

Weitere Artikel der Ausgabe 10/2018

Canadian Journal of Anesthesia/Journal canadien d'anesthésie 10/2018 Zur Ausgabe

Update AINS

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.