Integration of the Codonics Safe Label System ® and the Omnicell XT ® Anesthesia Workstation into Pediatric Anesthesia Practice: Utilizing Technology to Increase Medication Labeling Compliance and Decrease Medication Discrepancies While Maintaining User Acceptability
| Autor: | Thomas, James Joseph, Bashqoy, Ferras, Brinton, John T., Guffey, Patrick, Yaster, Myron |
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| Předmět: |
PERIOPERATIVE care
OPERATING rooms PEDIATRIC anesthesia MATERIALS management ANESTHETICS PEDIATRICS MEDICATION errors COMPARATIVE studies SURVEYS HUMAN services programs DRUG labeling DRUG prescribing AUTOMATION CHI-squared test PHARMACEUTICAL industry TECHNOLOGY PHYSICIAN practice patterns PATIENT compliance STATISTICAL sampling INFORMATION technology PATIENT safety |
| Zdroj: | Hospital Pharmacy; Feb2022, Vol. 57 Issue 1, p11-16, 6p |
| Abstrakt: | Background: Perioperative medication errors are recognized as a source of patient morbidity and mortality. Medication management systems with built-in scanning and label-printing functions that integrate with medication-dispensing cabinets have the potential to decrease medication administration errors by improving compliance with medication labeling. Whether these management systems will also improve periodic automatic replacement (PAR) inventory control and be accepted by users is unknown. We hypothesized that implementation of the Codonics Safe Label System®, an automated labeling system (ALS), would increase compliance with labeling guidelines and improve PAR inventory control by decreasing medication discrepancies while maintaining user acceptability in the OR. Methods: We audited a cohort of anesthesia workstations and electronic anesthesia records for 2 months to compare dispensed and administered medications and establish a discrepancy baseline. We also observed a convenience sample of syringes to evaluate labeling compliance. Post-implementation of the ALS, we repeated the audit. Finally, an anonymous survey was distributed electronically to providers to assess user acceptability. Results: Pre-implementation the average daily medication discrepancy rate was 9.7%, decreasing to 6.1% post-implementation (χ2 |
| Databáze: | Complementary Index |
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