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Review
. 2019 May;19(5):151-157.
doi: 10.1016/j.bjae.2019.01.001. Epub 2019 Feb 15.

Medicines safety in anaesthetic practice

E Mackay  1 , J Jennings  1 , S Webber  1
Affiliations
Review

Medicines safety in anaesthetic practice

E Mackay et al. BJA Educ. 2019 May.
No abstract available

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Conflict of interest statement

The authors declare that they have no conflicts of interest.

Figures

Fig 1
Fig 1
Classification of medication errors based on a psychological approach. Reproduced, with permission from Jeffrey Aronson.
Fig 2
Fig 2
Accidental awareness during general anaesthesia has been caused by a syringe swap of 2 ml (e.g. succinylcholine rather than fentanyl), 5 ml (e.g. midazolam rather than non-depolarising drugs), or 20 ml (e.g. antibiotics rather than thiopental).
Fig 3
Fig 3
From left to right: Luer-lock syringe for intravenous use, ENFit standard syringe for enteral use, and NRFit standard syringe for central neuraxial and regional anaesthesia.
See this image and copyright information in PMC

References

    1. Australian and New Zealand College of Anesthetists PS51 Guidelines for the safe management and use of medications in anaesthesia. 2018. http://www.anzca.edu.au/documents/ps51-2009-guidelines-for-the-safe-admi... Available from.
    1. Aronson J.K. Medication errors: definitions and classification. Br J Clin Pharmacol. 2009;67:599–604. - PMC - PubMed
    1. Webster C.S., Merry A.F., Larsson L., McGrath K.A., Weller J. The frequency and nature of drug administration error during anaesthesia. Anaesth Intensive Care. 2001;29:494–500. - PubMed
    1. Gariel C., Cogniat B., Desgranges F.P., Chassard D., Bouvet L. Incidence, characteristics, and predictive factors for medication errors in paediatric anaesthesia: a prospective incident monitoring study. Br J Anaesth. 2018;120:563–570. - PubMed
    1. Merry A.F., Webster C.S., Hannam J. Multimodal system designed to reduce errors in recording and administration of drugs in anaesthesia: prospective randomised clinical evaluation. BMJ. 2011;343:d5543. - PMC - PubMed