Division of Anaesthesiology, Department Anaesthesiology, Intensive Care and Clinical Pharmacology, University Hospitals of Geneva, Switzerland.
Eur J Anaesthesiol. 2012 Sep;29(9):446-51. doi: 10.1097/EJA.0b013e3283552243.
Standardised drug syringe labelling may reduce drug errors, but data on drug syringe labelling use in European anaesthesiology departments are lacking.
Survey investigating if standardised drug syringe labelling is used, and if there are geographical, demographic and professional differences in hospitals with and without use of drug syringe labelling.
Structured, web-based anonymised questionnaire.
European anaesthesia departments.
Members of the European Society of Anaesthesiology.
Online survey from 2 February to 12 April 2011.
Standardised drug syringe labelling use and, if yes, drug syringe labelling for insulin and norepinephrine.
Descriptive and comparative analyses of users and nonusers of standardised drug syringe labelling.
One thousand and sixty-four of 4163 members (25.6%) from 72 countries participated, among whom 660 (62.0%) used standardised drug syringe labelling; in Northern and Western Europe, there were 428 users of drug syringe labelling and 112 nonusers, and in Southern and Eastern Europe, there were 184 users and 255 nonusers (P < 0.001). Three hundred and ninety-four (37%) respondents used standardised drug syringe labelling hospital-wide; 202 (30.1%) used International Organisation of Standardisation-based standardised drug syringe labelling, 101 (15.1%) used similar systems, 278 (41.5%) used other systems and 89 (13.3%) used labels supplied by drug manufacturers. The label colour for insulin was reported as white or 'none' in 519 (76.7%) answers and another colour in 158 (23.3%). The label colour for norepinephrine was reported as violet in 206 (30.4%) answers, white or 'none' in 226 (33.3%), red in 114 (16.8%) and another colour in 132 (19.5%). A standardised drug syringe labelling system supplied by the pharmaceutical industry was supported by 819 (76.9%) respondents, and not supported by 227 (21.3%).
A majority of European anaesthesiology departments used standardised drug syringe labelling, with regional differences and mostly without following an international standard. Thus, there are options for quality improvement in drug syringe labelling.
标准化药物注射器标签可能会减少药物错误,但欧洲麻醉学部门药物注射器标签使用的数据却很缺乏。
调查是否使用了标准化药物注射器标签,以及在使用和不使用药物注射器标签的医院中,是否存在地理、人口统计学和专业方面的差异。
基于网络的、结构化的、匿名调查问卷。
欧洲麻醉学部门。
欧洲麻醉学会成员。
2011 年 2 月 2 日至 4 月 12 日进行在线调查。
标准化药物注射器标签的使用情况,如果使用,胰岛素和去甲肾上腺素的药物注射器标签。
对使用和不使用标准化药物注射器标签的用户进行描述性和比较性分析。
来自 72 个国家的 4163 名成员中的 1064 名(25.6%)参与了调查,其中 660 名(62.0%)使用了标准化药物注射器标签;在北欧和西欧,有 428 名使用药物注射器标签的用户和 112 名未使用的用户,而在南欧和东欧,有 184 名使用药物注射器标签的用户和 255 名未使用的用户(P<0.001)。394 名(37%)受访者在全院范围内使用标准化药物注射器标签;202 名(30.1%)使用基于国际标准化组织的标准化药物注射器标签,101 名(15.1%)使用类似系统,278 名(41.5%)使用其他系统,89 名(13.3%)使用药物制造商提供的标签。胰岛素标签颜色在 519 份(76.7%)回答中报告为白色或“无”,在 158 份(23.3%)回答中报告为其他颜色。去甲肾上腺素的标签颜色在 206 份(30.4%)回答中报告为紫色,在 226 份(33.3%)回答中报告为白色或“无”,在 114 份(16.8%)回答中报告为红色,在 132 份(19.5%)回答中报告为其他颜色。819 名(76.9%)受访者支持由制药行业提供的标准化药物注射器标签系统,而 227 名(21.3%)受访者不支持。
大多数欧洲麻醉学部门使用了标准化药物注射器标签,但存在地区差异,且大多数部门没有遵循国际标准。因此,在药物注射器标签方面有改进质量的空间。