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Time trend of injection drug errors before and after implementation of bar-code verification system
| 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)
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Submitter: 南須原 康行
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