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Erschienen in: Canadian Journal of Anesthesia/Journal canadien d'anesthésie 2/2013

01.02.2013 | Review Article/Brief Review

Review article: Improving drug safety for patients undergoing anesthesia and surgery

verfasst von: Beverley A. Orser, MD, PhD, Sylvia Hyland, MHSc, David U, MSc, Ian Sheppard, BScPhm, C. Ruth Wilson, MD

Erschienen in: Canadian Journal of Anesthesia/Journal canadien d'anesthésie | Ausgabe 2/2013

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Abstract

Purpose

This article presents a summary of recent advances, including tools and interventions, that are designed to improve drug safety for patients in critical care settings, particularly those undergoing anesthesia and surgery.

Principal findings

Medication error remains a leading cause of adverse events among patients undergoing anesthesia. Misidentification of ampoules, vials, and syringes is a common source of error. Systems are now being engineered to reduce the likelihood of medication misidentification through approaches such as revision of standards for labelling of drug ampoules and vials and the development of bar code systems that allow “double checking” or drug verification in the operating room. Also, efforts are being made to improve medication reconciliation, a process for accurately communicating a patient’s medication information during transitions from one healthcare setting to another. Finally, the opportunity exists for anesthesiologists to increase awareness about the rising problem of opioid addiction in patients for whom typical doses are initially prescribed for appropriate indications such as postoperative pain.

Conclusions

There is a need to improve drug delivery systems in complex critical care environments, particularly the operating room. Anesthesiologists must continue to play a leading role in promoting drug safety in these environments.
Fußnoten
1
National Health Service (U.K.): Institute for innovation and improvement. Reducing avoidable deaths: chief executives. June 2007.
 
2
CAN/CSA-Z264.2-99 (R2009) Labelling of drug ampoules, vials, and prefilled syringes. Mississauga, (ON): CSA Group; 1999 [reaffirmed 2009].
 
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Drug packaging and labelling guidelines for manufacturers. (ON) Canadian Society for Hospital Pharmacists: 2001.
 
4
“International Medication Safety Network [homepage]; Horsham (PA)” Available from http://​www.​intmedsafe.​net/​Contents/​Home.​aspx.
 
5
ISO 26825:2008, Anaesthetic and respiratory equipment – user-applied labels for syringes containing drugs used during anesthesia – colours, design and performance. Geneva (Switzerland): International Organization for Standardization; 2008.
 
6
CAN/CSA-ISO 26825-10, Anaesthetic and respiratory equipment – user-applied labels for syringes containing drugs used during anesthesia – colours, design and performance. Mississauga (ON): CSA Group; 2010.
 
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Juurlink DN, Dhalla I. Dependence and addiction during chronic opioid therapy. J Med Toxicol. E-pub ahead of Print. October 2012.
 
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Metadaten
Titel
Review article: Improving drug safety for patients undergoing anesthesia and surgery
verfasst von
Beverley A. Orser, MD, PhD
Sylvia Hyland, MHSc
David U, MSc
Ian Sheppard, BScPhm
C. Ruth Wilson, MD
Publikationsdatum
01.02.2013
Verlag
Springer-Verlag
Erschienen in
Canadian Journal of Anesthesia/Journal canadien d'anesthésie / Ausgabe 2/2013
Print ISSN: 0832-610X
Elektronische ISSN: 1496-8975
DOI
https://doi.org/10.1007/s12630-012-9853-y

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