Erori de medicatie.pdf - ati | anestezie terapie intensiva

concentraţia conţinutului seringii, iar codarea colorată şi indicativele marginalesă indice clasa de medicament.O altă abordare sistemică este implementarea unor sisteme de verificare,care sunt împrumutate din industria aviatică, care are proceduri standardpentru dubla-verificare. Similar, pentru reducerea “încrederii“ în memoriade scurtă durată şi a vigilenţei se recomandă utitlizarea “Checklist-urilor”bine întocmite. Verificarea dublă a fiolelor cu medicament înainte de aspirareîn seringă trebuie strict recomandată.Alte consideraţii în reducerea erorilor de medicaţie ar fi guvernanţa, promovareacuturii de siguranţă şi raportarea incidentelor [16].14Bibliografie:1. Wheeler SJ, Wheeler DW, Medication errors in anaesthesia and critical care. Anaesthesia. 2005Mar;60(3):257-273.2. T Morimoto, T K Gandhi, A C Seger, T C Hsieh, D W Bates, Adverse drug events and medicationerrors: detection and classification methods. Qual Saf Health Care 2004;13:306–314. doi: 10.1136/qshc.2004.0106113. Runciman WB, Merry A, Tito F. Error, blame, and the law in health care - an antipodean perspective.Ann Intern Med 2003; 138: 974-9794. Webb RK, Russell WJ, Klepper I, Runciman WB. The Australian Incident Monitoring Study. Equipmentfailure. An analysis of 2000 incident reports. Anaesth Intensive Care 1993; 21: 673–677.5. Webster CS, Merry AF, Larsson L, McGrath KA, Weller J. The frequency and nature of drug administrationerror during anaesthesia. Anaesth Intensive Care 2001; 29: 494–500.6. ASHP guidelines on preventing medication errors in hospitals. Am J Hosp Pharm 1993; 50: 305–3147. Bordun LA, Butt W. Drug errors in intensive-care. J Paediatr Child Health 1992; 28: 309–3118. Dean B, Schachter M, Vincent C, Barber N. Prescribing errors in hospital inpatients: their incidence andclinical significance. Qual Saf Health Care 2002; 11: 340–3449. Webster CS, Merry AF, Gander PH, Mann NK. A prospective, randomised clinical evaluation of a newsafety-orientated injectable drug administration system in comparison with conventional methods. Anaesthesia2004; 59: 80–710. Donchin Y, Gopher D, Olin M et al. A look into the nature and causes of human errors in the intensivecare unit. Crit Care Med 1995;11. Taxis K, Barber N. Causes of intravenous medication errors: an ethnographic study. Qual Saf HealthCare 2003; 12: 343–347.12. Bates DW, Cullen DJ, Laird N, et al. Incidence of adverse drug events and potential drug events. JAMA1995; 274: 29–3413. Leape LL. Error in medicine. JAMA 1994; 272:1851–1857.14. Reason JT. Human error: models and management. BMJ 2000; 320: 768–77015. International Organization for Standardization. Anaesthetic and respiratory equipment - User appliedlabels for syringes containing drugs used during anaesthesia - colours, design and performance. 1st ed.Geneva: ISO, 2008.ISO 26825:2008(E)16. Merry A, Shipp D, Lowinger J. The contribution of labeling to safe medication administration in anaestheticpractice. Best Pract Res Clin Anaesthesiol 2011; 25: 145-159.Recomandări în Anestezie, Terapie Intensivă şi Medicină de Urgenţă