Department of Clinical Pharmacy, Isala Hospital, Dokter van Heesweg 2, 8025, AB, Zwolle, The Netherlands.
Unit of Pharmacotherapy, Epidemiology & Pharmacoeconomics (PTE2), Groningen Research Institute of Pharmacy, University of Groningen, Groningen, The Netherlands.
Eur J Clin Pharmacol. 2020 Nov;76(11):1567-1571. doi: 10.1007/s00228-020-02916-x. Epub 2020 Jun 20.
Unclear labeling has been recognized as an important cause of look-alike medication errors. Little is known about which labeling practices are currently used in European hospitals. The aim of this article is to obtain an overview of the labeling practices for parenteral medications, in relation to national guidelines, in the Netherlands, Germany, and the UK.
An online survey was conducted using the Qualtrics® software. The survey was distributed to hospital pharmacists in the Netherlands, Germany, and the UK. The results were downloaded from Qualtrics and exported to Microsoft Excel. Data were categorized into groups and analyzed descriptively.
In total, 104 responses were received. The response rate was 63% (n = 48) in the Netherlands and 11% (n = 41) for Germany; for the UK, 15 responses were received. In general almost 90% of the respondents followed the National guidelines concerning labeling of pharmacy-prepared parenteral products. The use of label enhancement techniques was relatively low in all countries. On average, the use of "Tall Man" lettering was 19%, the use of color coding was 29%, and the use of a barcode on the label was 27%.
Label-enhancement methods for parenteral medication in hospital pharmacies do not seem to be widely implemented and acknowledged in European hospitals, but response rates were limited for two countries. Greater standardization in conjunction with research for evidence-based enhancement techniques is needed to guide improvement in labeling practices across Europe.
标签不清晰已被认为是造成类似药物错误的一个重要原因。目前，人们对欧洲医院使用的哪些标签标注做法知之甚少。本文旨在概述荷兰、德国和英国的医院在标签标注方面的实践，涉及国家指南。
使用 Qualtrics®软件进行在线调查。该调查分发给荷兰、德国和英国的医院药剂师。从 Qualtrics 下载结果并导出到 Microsoft Excel。将数据分类并进行描述性分析。
共收到 104 份回复。荷兰的回复率为 63%（n=48），德国为 11%（n=41）；英国收到了 15 份回复。总体而言，近 90%的受访者遵循了国家关于药剂科制备的肠外产品标签的指南。在所有国家，标签增强技术的使用都相对较低。平均而言，“Tall Man”字体的使用比例为 19%，颜色编码的使用比例为 29%，标签上条形码的使用比例为 27%。
医院药剂科的肠外药物标签增强方法似乎在欧洲医院并未得到广泛实施和认可，但有两个国家的回复率有限。需要更大程度的标准化，并结合基于证据的增强技术研究，以指导欧洲各地的标签标注实践的改进。
