Gupta Babita, Gupta Surender Kumar, Suri Saurabh, Farooque Kamran, Yadav Naveen, Misra Mahesh
Department of Anaesthesia and Critical Care, Jai Prakash Narayan Apex Trauma Center, All India Institute of Medical Sciences, New Delhi, India.
Department of Orthopedics, Jai Prakash Narayan Apex Trauma Center, All India Institute of Medical Sciences, New Delhi, India.
J Anaesthesiol Clin Pharmacol. 2015 Apr-Jun;31(2):230-3. doi: 10.4103/0970-9185.155154.
Medication error can occur due to fault at any level starting from manufacturing until the administration to the patient. It can be difficult to read the drug name and other information from an ampoule, if there is poor contrast between the font color and background of the ampoule. Primary aim of this study was to evaluate the efficacy of the contrast color on the ampoule's label.
The study was conducted in a randomized blinded manner at a tertiary level trauma center. One hundred and eight resident doctors participated in the study. All the participants were divided into two groups after randomization. Group A was given the original drug ampoule while the modified ampoule with contrast was given to Group B. Total time in reading the ampoule and difficulty in reading (DR) scoring were noted for each participant. Another scoring regarding correct reading of ampoule was also noted and compared.
Student's t-test and Mann-Whitney test were used accordingly and P < 0.05 was considered as significant.
It was found that mean time taken in reading the original ampoule was more compared to modified ampoule (11.64 ± 1.48 vs. 9.48 ± 1.62 seconds P < 0.05). DR score was also higher in Group A (P < 0.05) and correct reading score was more in Group B (P < 0.05).
The labels on drug ampoules or vials should always have a contrasting background. This may reduce medication error and improve patient safety.
用药错误可能在从药品生产到给患者用药的任何环节因失误而发生。如果安瓿瓶上字体颜色与背景之间的对比度差,从安瓿瓶上读取药品名称和其他信息可能会很困难。本研究的主要目的是评估安瓿瓶标签上对比色的效果。
该研究在一家三级创伤中心以随机盲法进行。108名住院医生参与了该研究。随机分组后,所有参与者被分为两组。A组使用原始药品安瓿瓶,B组使用带有对比色的改良安瓿瓶。记录每位参与者读取安瓿瓶的总时间和读取难度(DR)评分。还记录并比较了关于正确读取安瓿瓶的另一项评分。
相应地使用了学生t检验和曼-惠特尼检验,P < 0.05被认为具有统计学意义。
发现读取原始安瓿瓶所用的平均时间比改良安瓿瓶更长(11.64 ± 1.48秒对9.48 ± 1.62秒,P < 0.05)。A组的DR评分也更高(P < 0.05),而B组的正确读取评分更高(P < 0.05)。
药品安瓿瓶或小瓶上的标签应始终具有对比鲜明的背景。这可能会减少用药错误并提高患者安全性。