The contribution of labelling to safe medication administration in anaesthetic practice.

Alan Merry; Diana H Shipp; Jocelyn S Lowinger

Commentary

The contribution of labelling to safe medication administration in anaesthetic practice.

June 15, 2011

Merry A, Shipp DH, Lowinger JS. Best Pract Res Clin Anaesthesiol. 2011;25(2):145-159.

View more articles from the same authors.

Discussing the importance of labeling in anesthesia, this commentary makes recommendations to reduce medication errors.

PubMed citation

Available at

Related Resources From the Same Author(s)

How does the law recognize and deal with medical errors?

September 2, 2009

Medication errors—new approaches to prevention.

May 25, 2011

Patient safety in an interprofessional learning environment.

May 4, 2005

Error, blame, and the law in health care—an antipodean perspective.

March 6, 2005

Improving the quality and safety of patient care in cardiac anesthesia.

December 10, 2014

Fake and expired medications in simulation-based education: an underappreciated risk to patient safety.

March 23, 2016

A 'paperless' wall-mounted surgical safety checklist with migrated leadership can improve compliance and team engagement.

January 27, 2016

Anaesthetic drug administration as a potential contributor to healthcare-associated infections: a prospective simulation-based evaluation of aseptic techniques in the administration of anaesthetic drugs.

August 15, 2012

Quality improvement in healthcare in New Zealand. Part 2: are our patients safe--and what are we doing about it?

August 16, 2006

A new infusion syringe label system designed to reduce task complexity during drug preparation.

June 27, 2007

Towards safer, better healthcare: harnessing the natural properties of complex sociotechnical systems.

March 4, 2009

Criminalisation of unintentional error in healthcare in the UK: a perspective from New Zealand.

April 24, 2019

Sustainability and long-term effectiveness of the WHO surgical safety checklist combined with pulse oximetry in a resource-limited setting: two-year update from Moldova.

April 8, 2015

Safety in Anaesthesia.

June 15, 2011

The impact of trained assistance on error rates in anaesthesia: a simulation-based randomised controlled trial.

February 25, 2009

Multimodal system designed to reduce errors in recording and administration of drugs in anaesthesia: prospective randomised clinical evaluation.

October 5, 2011

A prospective, observational study of the effects of implementation strategy on compliance with a surgical safety checklist.

October 30, 2013

A simulation design for research evaluating safety innovations in anaesthesia.

January 28, 2009

A surgical safety checklist to reduce morbidity and mortality in a global population.

January 21, 2009

Global oximetry: an international anaesthesia quality improvement project.

October 21, 2009

World Health Organization-World Federation of Societies of Anaesthesiologists (WHO-WFSA) International Standards for a Safe Practice of Anesthesia.

May 23, 2018

Crises in clinical care: an approach to management.

June 22, 2005

A tragic death: a time to blame or a time to learn?

March 6, 2005

Facilitated self-reported anaesthetic medication errors before and after implementation of a safety bundle and barcode-based safety system.

February 13, 2019

The safe day call: reducing silos in health care through frontline risk assessment.

September 24, 2014

Medication administration in anesthesia: time for a paradigm shift.

October 31, 2007

Anaesthetists' management of oxygen pipeline failure: room for improvement.

January 31, 2007

Patient–doctor continuity and diagnosis of cancer: electronic medical records study in general practice.

May 13, 2015

Patient complaints about hospital services: applying a complaint taxonomy to analyse and respond to complaints.

June 8, 2016

Changes in safety attitude and relationship to decreased postoperative morbidity and mortality following implementation of a checklist-based surgical safety intervention.

February 9, 2011

Validation of new ICD-10-based patient safety indicators for identification of in-hospital complications in surgical patients: a study of diagnostic accuracy.

September 11, 2019

Paramedic self-reported medication errors.

October 18, 2006

Paramedic self-reported medication errors.

January 17, 2007

Impact of multidisciplinary chart reviews on opioid dose reduction and monitoring practices.

July 25, 2018

The introduction of computerized physician order entry and change management in a tertiary pediatric hospital.

November 16, 2005

The missing evidence: a systematic review of patients' experiences of adverse events in health care.

October 28, 2015

Patients' reports of adverse events: a data linkage study of Australian adults aged 45 years and over.

September 6, 2017

Iatrogenic disease management: moderating medication errors and risks in a pharmacy benefit management environment.

January 16, 2008

Defining, estimating, and communicating overdiagnosis in cancer screening.

June 27, 2018

Quantification of the Hawthorne effect in hand hygiene compliance monitoring using an electronic monitoring system: a retrospective cohort study.

November 26, 2014

Changes in prescription and over-the-counter medication and dietary supplement use among older adults in the United States, 2005 vs 2011.

May 4, 2016

Surgical teams' attitudes about surgical safety and the surgical safety checklist at 10 years: a multinational survey.

November 17, 2021

Structural iatrogenesis—a 43-year-old man with "opioid misuse."

March 6, 2019

Which clinical errors lead to the referral of UK paediatricians to the National Clinical Assessment Service?

June 13, 2012

HomeNet: ensuring patient safety with medical device use in the home.

June 3, 2009

Adherence to a medication safety protocol: current practice for labeling medications and solutions on the sterile field.

May 26, 2010

Safe care for pediatric patients: a scoping review across multiple health care settings.

February 28, 2018

Decreasing prescribing errors during pediatric emergencies: a randomized simulation trial.

August 2, 2017

Adverse events after screening and follow-up colonoscopy.

February 15, 2012

Do older patients' perceptions of safety highlight barriers that could make their care safer during organisational care transfers?

January 30, 2005

Health information exchange in emergency medicine.

August 19, 2015

Hospital at night: an organizational design that provides safer care at night.

August 10, 2016

A demonstration project on the impact of safety culture on infection control practices in hemodialysis

October 9, 2019

Using Medical Emergency Teams to detect preventable adverse events.

September 9, 2009

A comprehensive collaborative patient safety residency curriculum to address the ACGME core competencies.

December 14, 2005

What if?: Transforming Diagnostic Research by Leveraging a Diagnostic Process Map to Engage Patients in Learning from Errors.

March 4, 2020

Report on the Medical Insurance Feasibility Study.

March 27, 2005

Teaching quality improvement.

September 22, 2010

Direct observation of depression screening: identifying diagnostic error and improving accuracy through unannounced standardized patients.

May 1, 2020

Using the medication error prioritization system to improve patient safety.

March 2, 2016

The impact of team processes on psychiatric case management.

October 24, 2007

A common body of care: the ethics and politics of teamwork in the operating theater are inseparable.

July 19, 2006

We asked the experts: the WHO Surgical Safety Checklist and the COVID-19 pandemic: recommendations for content and implementation adaptations.

March 17, 2021

Identification of poor performance in a national medical workforce over 11 years: an observational study.

January 22, 2014

CT for suspected appendicitis in children: an analysis of diagnostic errors.

March 1, 2006

The problem with the '5 whys.'

September 14, 2016

Maintaining safety in the dialysis facility.

May 27, 2015

Patient safety: this is public health.

August 20, 2014

Burnout and sources of stress among health care risk managers and patient safety personnel during the COVID-19 pandemic: a pilot study.

July 7, 2021

Disruptive behavior affects hospital financial health.

December 22, 2010

Managing disruptive behaviors in the health care setting: focus on obstetrics services.

May 18, 2011

The quality and economic impact of disruptive behaviors on clinical outcomes of patient care.

May 4, 2011

Patient safety in the dialysis facility.

January 11, 2006

Can you prevent adverse drug events after hospital discharge?

April 12, 2006

Patient safety: where is nursing education?

March 14, 2007

Primary medication non-adherence: analysis of 195,930 electronic prescriptions.

February 17, 2010

Healthcare professional and patient codesign and validation of a mechanism for service users to feedback patient safety experiences following a care transfer: a qualitative study.

October 5, 2016

A reduced duty hours model for senior internal medicine residents: a qualitative analysis of residents' experiences and perceptions.

August 24, 2016

El Camino Hospital: using health information technology to promote patient safety.

October 12, 2005

Actions and implementation strategies to reduce suicidal events in the Veterans Health Administration.

March 15, 2006

Medication-administration errors in an urban mental health hospital: a direct observation study.

March 11, 2015

What would you ideally do if there were no targets? An ethnographic study of the unintended consequences of top-down governance in two clinical settings.

March 23, 2016

Patient safety professionals as the third victims of adverse events.

June 26, 2019

Contextual errors in medical decision making: overlooked and understudied.

December 16, 2015

Invited article: Managing disruptive physician behavior: impact on staff relationships and patient care.

May 7, 2008

Incidence and impact of physician and nurse disruptive behaviors in the emergency department.

May 4, 2011

A survey of the impact of disruptive behaviors and communication defects on patient safety.

August 13, 2008

Impact and implications of disruptive behavior in the perioperative arena.

July 12, 2006

Disruptive behavior and clinical outcomes: perceptions of nurses and physicians.

April 21, 2005

How policy makers can smooth the way for communication-and-resolution programs.

January 29, 2014

Using Kotter's change model for implementing bedside handoff: a quality improvement project.

August 24, 2016

A patient safety objective structured clinical examination.

June 3, 2009

Overuse of medical imaging and its radiation exposure: who’s minding our children?

September 28, 2016

Why it is so hard to talk about overuse in pediatrics and why it matters.

August 30, 2017

The problem with Plan-Do-Study-Act cycles.

February 3, 2016

A new frontier in healthcare risk management: working to reduce avoidable patient suffering.

February 24, 2016

Hospital mortality: when failure is not a good measure of success.

July 30, 2008

Using an interactive voice response system to improve patient safety following hospital discharge.

August 1, 2007

Reported clinical incidents of children with intellectual disability: a qualitative analysis.

June 15, 2022

Identifying patient safety problems associated with information technology in general practice: an analysis of incident reports.

December 16, 2015

Related Resources

WebM&M Cases

Endotracheal Tube Fallout in a Patient with Severe Obesity During Eye Surgery.

March 29, 2023

Human factors in anaesthesia: a narrative review.

February 15, 2023

Technology, Education and Safety.

December 7, 2022

Potentially inappropriate medication administration is associated with adverse postoperative outcomes in older surgical patients: a retrospective cohort study.

September 14, 2022

WebM&M Cases

Saline Flush Leads to Acute Paralysis of an Awake Patient: Risks of Improper Medication Labeling in an Operating Room

April 27, 2022

A widow’s mission to change NC dental sedation rules.

March 23, 2022

A retrospective audit of postoperative days alive and out of hospital, including before and after implementation of the WHO surgical safety checklist.

February 2, 2022

The evolution of the Anesthesia Patient Safety Movement in America: lessons learned and considerations to promote further improvement in patient safety.

January 26, 2022

Technology, Education and Safety.

December 15, 2021

Inattentional blindness in anesthesiology: a gorilla is worth one thousand words.

November 24, 2021

Pediatric medication errors and reduction strategies in the perioperative period.

November 24, 2021

Influence of perioperative handoffs on complications and outcomes.

November 17, 2021

Dual surgeon operating to improve patient safety.

September 29, 2021

Hospira issues a voluntary nationwide recall for one lot of 0.5% Bupivacaine Hydrochloride Injection, USP and one lot of 1% Lidocaine HCl Injection, USP due to mislabeling.

May 19, 2021

Safety investigations from across the pond: deep learning from England’s Healthcare Safety Investigation Branch (HSIB).

October 21, 2020

Dangerous wrong-route errors with tranexamic acid.

September 30, 2020

Nonoperating room anaesthesia: safety, monitoring, cognitive aids and severe acute respiratory syndrome coronavirus 2.

August 12, 2020

Effectiveness of double checking to reduce medication administration errors: a systematic review.

September 18, 2019

Catastrophic drug errors involving tranexamic acid administered during spinal anaesthesia.

June 5, 2019

Medication handling: towards a practical, human-centred approach.

April 3, 2019

Medication safety in emergency medical services: approaching an evidence-based method of verification to reduce errors.

April 3, 2019

Inadvertent Administration of an Oral Liquid Medicine into a Vein.

April 1, 2019

Use of a public health law framework to improve medication safety by anesthesia providers.

March 20, 2019

Pro/con debate: color-coded medication labels.

February 20, 2019

Facilitated self-reported anaesthetic medication errors before and after implementation of a safety bundle and barcode-based safety system.

February 13, 2019

World Health Organization-World Federation of Societies of Anaesthesiologists (WHO-WFSA) International Standards for a Safe Practice of Anesthesia.

May 23, 2018

Strategies for optimizing OR drug safety.

April 4, 2018

Anesthesia medication handling needs a new vision.

February 14, 2018

Safe labeling practices to minimize medication errors in anesthesia: 5 case reports and review of the literature.

January 31, 2018

Quality, safety, and outcomes in anaesthesia: what's to be done? An international perspective.

December 20, 2017

See More About The Topic

Operating Room

Health Care Providers

Quality and Safety Professionals

Anesthesiology

Medication Errors/Preventable Adverse Drug Events

The contribution of labelling to safe medication administration in anaesthetic practice.

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

The contribution of labelling to safe medication administration in anaesthetic practice.

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

PSNet Log in

Submit Your Case

Continue as a Guest

Continue Logged In

Submit Your Case

Continue as a Guest

Already have a PSNet

Account?

New Users

Submit Your Innovations

Continue as a Guest

Continue Logged In

Submit Your Innovations

Continue as a Guest

Continue logged in

New Users to the PSNet site