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Time trend of injection drug errors before and after implementation of bar-code verification system

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Please use this identifier to cite or link to this item:http://hdl.handle.net/2115/62127

Title: Time trend of injection drug errors before and after implementation of bar-code verification system
Authors: Sakushima, Ken Browse this author
Umeki, Reona Browse this author
Endoh, Akira Browse this author
Ito, Yoichi M. Browse this author →KAKEN DB
Nasuhara, Yasuyuki Browse this author →KAKEN DB
Keywords: Bar-code technology
error report
injection drug
medical safety
wrong patient
Issue Date: 10-Jun-2015
Publisher: IOS Press
Journal Title: Technology and health care
Volume: 23
Issue: 3
Start Page: 267
End Page: 274
Publisher DOI: 10.3233/THC-150897
PMID: 25669212
Abstract: BACKGROUND: Bar-code technology, used for verification of patients and their medication, could prevent medication errors in clinical practice. OBJECTIVE: Retrospective analysis of electronically stored medical error reports was conducted in a university hospital. METHODS: The number of reported medication errors of injected drugs, including wrong drug administration and administration to the wrong patient, was compared before and after implementation of the bar-code verification system for inpatient care. RESULTS: A total of 2867 error reports associated with injection drugs were extracted. Wrong patient errors decreased significantly after implementation of the bar-code verification system (17.4/year vs. 4.5/year, p < 0.05), although wrong drug errors did not decrease sufficiently (24.2/year vs. 20.3/year). The source of medication errors due to wrong drugs was drug preparation in hospital wards. CONCLUSION: Bar-code medication administration is effective for prevention of wrong patient errors. However, ordinary bar-code verification systems are limited in their ability to prevent incorrect drug preparation in hospital wards.
Rights: The final publication is available at IOS Press through http://dx.doi.org/10.3233/THC-150897
Type: article (author version)
URI: http://hdl.handle.net/2115/62127
Appears in Collections:北海道大学病院 (Hokkaido University Hospital) > 雑誌発表論文等 (Peer-reviewed Journal Articles, etc)

Submitter: 南須原 康行

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