Jensen L S, Merry A F, Webster C S, Weller J, Larsson L
Aarhus University, Aarhus, Denmark.
Anaesthesia. 2004 May;59(5):493-504. doi: 10.1111/j.1365-2044.2004.03670.x.
We developed evidence-based recommendations for the minimisation of errors in intravenous drug administration in anaesthesia from a systematic review of the literature that identified 98 relevant references (14 with experimental designs or incident reports and 19 with reports of cases or case series). We validated the recommendations using reports of drug errors collected in a previous study. One general and five specific strong recommendations were generated: systematic countermeasures should be used to decrease the number of drug administration errors in anaesthesia; the label on any drug ampoule or syringe should be read carefully before a drug is drawn up or injected; the legibility and contents of labels on ampoules and syringes should be optimised according to agreed standards; syringes should (almost) always be labelled; formal organisation of drug drawers and workspaces should be used; labels should be checked with a second person or a device before a drug is drawn up or administered.
我们通过对文献的系统回顾制定了基于证据的建议，以尽量减少麻醉中静脉给药的错误。该回顾确定了98篇相关参考文献（14篇有实验设计或事件报告，19篇有病例或病例系列报告）。我们使用先前研究中收集的用药错误报告对这些建议进行了验证。得出了一项一般性和五项具体的强烈建议：应采用系统对策减少麻醉中给药错误的数量；在抽取或注射药物前，应仔细阅读任何药瓶或注射器上的标签；药瓶和注射器上标签的易读性和内容应根据商定标准进行优化；注射器应（几乎）始终贴上标签；应正式整理药柜和工作空间；在抽取或给药前，应与第二人或设备核对标签。
