Porat N, Bitan Y, Shefi D, Donchin Y, Rozenbaum H
Hadassah University Medical Center, Ein Kerem, PO Box 12000, Jerusalem 91120, Israel.
Qual Saf Health Care. 2009 Dec;18(6):505-9. doi: 10.1136/qshc.2007.025726.
Labelling of high-risk drug infusions and lines is a well-recognised safety strategy to prevent medication errors. Although hospital wards characterised by multiple high-risk drug infusions use different types of labelling, little is known about the contribution of a colour-coded label (CCL) to patient safety.
A quality improvement programme audit at a tertiary care facility, the Hadassah University Medical Center Ein Kerem, Jerusalem, Israel.
A CCL for intravenous (IV) high-risk medications and lines was designed to promote safer medication administration at the intensive care unit bedside and in other acute wards.
The purpose of the study was to compare a new CCL method (intervention) with the current labelling method (control). Laboratory simulation, imitating an intensive care unit, was designed. Safety of the medication treatment and overall duration of nurses' orientation with drugs and lines at the patient's bedside were measured.
The use of the new CCL improved proper identification of IV bags (p<0.0001), reduced the time required for description of overall drugs and lines (p = 0.04), improved identification of errors at the treatment setting-drugs and lines (p = 0.03) and reduced the average performance time for overall tasks (p<0.0001).
The use of CCLs for IV high-risk medications and lines can improve patient safety and improve medical staff efficiency.
对高风险药物输注和输液管进行标识是一种公认的预防用药错误的安全策略。尽管以多种高风险药物输注为特征的医院病房使用不同类型的标识，但关于颜色编码标签（CCL）对患者安全的贡献却知之甚少。
在以色列耶路撒冷的哈达萨大学医疗中心艾因凯雷姆进行的一项三级护理机构质量改进计划审计。
设计了一种用于静脉注射（IV）高风险药物和输液管的CCL，以促进在重症监护病房床边和其他急性病房更安全地给药。
本研究的目的是将一种新的CCL方法（干预）与当前的标识方法（对照）进行比较。设计了模拟重症监护病房的实验室模拟。测量了药物治疗的安全性以及护士在患者床边对药物和输液管的总体指导时间。
使用新的CCL改善了对静脉输液袋的正确识别（p<0.0001），减少了描述总体药物和输液管所需的时间（p = 0.04），改善了在治疗环境中对药物和输液管错误的识别（p = 0.03），并减少了总体任务的平均执行时间（p<0.0001）。
对静脉注射高风险药物和输液管使用CCL可以提高患者安全并提高医务人员效率。
