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

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

December 10, 2014

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

March 6, 2005

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

March 23, 2016

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

August 16, 2006

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

April 24, 2019

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

June 27, 2007

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

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

Adverse events after screening and follow-up colonoscopy.

February 15, 2012

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

May 13, 2015

Maintaining safety in the dialysis facility.

May 27, 2015

Patient safety in the dialysis facility.

January 11, 2006

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

November 16, 2005

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

January 27, 2016

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

May 4, 2011

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

July 25, 2018

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

August 13, 2008

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

May 7, 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

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

Impact of a restraint management bundle on restraint use in an intensive care unit.

August 16, 2017

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

March 1, 2006

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

October 5, 2011

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

February 17, 2010

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

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

March 6, 2005

Assessing the relationship between patient safety culture and EHR strategy.

July 20, 2016

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

November 17, 2021

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

September 24, 2014

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

June 13, 2012

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

March 6, 2019

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

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

Measuring psychological safety and local learning to enable high reliability organisational change.

November 9, 2022

The impact of anti-infective drug shortages on hospitals in the United States: trends and causes.

February 8, 2012

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

February 28, 2018

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

May 26, 2010

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

June 3, 2009

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

January 29, 2014

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

March 4, 2009

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

August 2, 2017

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

Hospital computerized provider order entry adoption and quality: an examination of the United States.

January 5, 2011

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

January 30, 2005

Understanding safety culture in long-term care: a case study.

March 26, 2014

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

October 30, 2013

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

February 13, 2019

Utilization of the Seniors Falls Investigation Methodology to identify system-wide causes of falls in community-dwelling seniors.

July 1, 2009

Using Medical Emergency Teams to detect preventable adverse events.

September 9, 2009

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

Effectiveness of a course designed to teach handoffs to medical students.

September 8, 2010

Using the medication error prioritization system to improve patient safety.

March 2, 2016

Patient safety 2.0: slaying dragons, not just investigating them.

July 19, 2023

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

Full disclosure of adverse events to patients and families in the ICU: wouldn't you want to know?

October 6, 2010

Health information exchange in emergency medicine.

August 19, 2015

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

March 4, 2020

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

May 1, 2020

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

June 8, 2016

Interventional procedures outside of the operating room: results from the National Anesthesia Clinical Outcomes Registry.

March 7, 2018

Medical errors education: a prospective study of a new educational tool.

April 7, 2010

Saying "I'm sorry": error disclosure for ophthalmologists.

October 22, 2014

Point-of-care testing, medical error, and patient safety: a 2007 assessment.

August 1, 2007

Recalls and safety alerts affecting automated external defibrillators.

August 23, 2006

Avoiding the unintended consequences of growth in medical care: how might more be worse?

March 6, 2005

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

January 21, 2009

Negative behaviours in health care: prevalence and strategies.

February 20, 2019

Measuring and managing quality of surgery. Statistical vs incidental approaches.

March 6, 2005

The problem with the '5 whys.'

September 14, 2016

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

Can you prevent adverse drug events after hospital discharge?

April 12, 2006

Teaching quality improvement.

September 22, 2010

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

January 31, 2007

Managing the prevention of retained surgical instruments: what is the value of counting?

January 9, 2008

Multidisciplinary medication review in nursing home residents: what are the most significant drug-related problems? The Bergen District Nursing Home (BEDNURS) study.

March 6, 2005

Global oximetry: an international anaesthesia quality improvement project.

October 21, 2009

Implementation of a mock root cause analysis to provide simulated patient safety training.

December 20, 2017

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

The safety journal: lessons learned with an error reporting tool to stimulate systems thinking.

September 12, 2007

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

October 12, 2005

Contributing factors identified by hospital incident report narratives.

October 22, 2008

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

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

March 11, 2015

Philosophy of science and the diagnostic process.

July 17, 2013

Surgical safety checklists: do they improve outcomes?

June 20, 2012

Medication-prescribing errors in a teaching hospital: a 9-year experience.

March 6, 2005

A patient feedback reporting tool for OpenNotes: implications for patient–clinician safety and quality partnerships.

January 11, 2017

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

December 14, 2005

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

February 25, 2009

Related Resources

Safety and Human Performance in the Operating Room and Other Extreme Environments.

March 27, 2024

Time for prefilled syringes - everywhere.

March 13, 2024

Guidelines in practice: medication safety.

February 14, 2024

Handbook of Perioperative and Procedural Patient Safety.

February 7, 2024

WebM&M Cases

Syringe Swap During Regional Block: A Case of Medication Error and Recovery.

January 31, 2024

WebM&M Cases

Always Check the Muscle Twitch: Residual Neuromuscular Block After Removal of a Gastric Balloon

November 30, 2023

Anesthesia workspaces for safe medication practices: design guidelines.

November 15, 2023

WebM&M Cases

Sleep Deprivation Leads to Medication Error During Spinal Epidural Anesthesia.

August 30, 2023

Handling injectable medications in anaesthesia: Guidelines from the Association of Anaesthetists.

August 23, 2023

Implementation of barcode medication administration (BMCA) technology on infusion pumps in the operating rooms.

August 9, 2023

Guidelines on Human Factors in Critical Situations 2023.

August 9, 2023

Anesthesia Patient Safety Podcast.

July 12, 2023

WebM&M Cases

Misconnection Leading to Arterial Thrombosis

June 28, 2023

WebM&M Cases

Hurried Team Huddle and Poor Communication: Unsafe Practice During Anesthesia for Emergency Cesarean Delivery.

June 28, 2023

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

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 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

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

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

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