Labeling of medications in anesthesia: colors and letters that save lives

  • Alex Castro-Gómez a. Department of Anesthesiology, Universidad del Valle. Cali, Colombia. b. Hospital Universitario del Valle. Cali, Colombia. c. Clínica Christus Sinergia Palma Real. Cali, Colombia. d. Clínica Interplástica. Cali, Colombia. e. Clínica de Otorrinolaringología y Cirugía Plástica. Cali, Colombia. https://orcid.org/0000-0003-2166-0182
Keywords: Labeling, Anesthesia, Patient safety, LASA, Medical error, Syringe labeling, Error, Anesthesiology

Abstract

Medication errors are the cause of severe lesions and complications, particularly with regards to injectable medications.

During anesthesia, several drugs are administered simultaneously and quite easily the wrong medication may be administered, leading to morbidity and mortality. Different strategies have been devised to reduce error, including the use of color and letters to facilitate the identification of the various medications and improving safety in anesthesia.

References

Webster CS, Merry AF, Larsson L, McGrath KA, Weller J. The frequency and nature of drug administration error during anaesthesia. Anaesth Intensive Care. 2001;29(5):494-500. doi: https://doi.org/10.1177/0310057X0102900508.

Abeysekera A, Bergman IJ, Kluger MT, Short TG. Drug error in anaesthetic practice: a review of 896 reports from the Australian Incident Monitoring Study database. Anaesthesia. 2005;60(3):220-7. doi: https://doi.org/10.1111/j.1365-2044.2005.04123.x.

Gómez-Arnau J, Bartolomé A, García S, Puebla G, Santa-Úrsula J, Marzal J, et al. Medication errors and syringe labeling. Rev Esp Anestesiol Reanim. 2013;60(1):27-33. doi: https://doi.org/10.1016/S0034-9356(13)70007-0

Gordon PC. Wrong drug administration errors amongst anesthetists in a South African teaching hospital. South Afr J Anaesth Analg. 2004;5:7-8. doi: https://doi.org/10.1080/22201173.2004.10872353

Bartolomé A, Gómez-Arnau J, Santa-Úrsula J, Marzal J, González A, García S, et al. Utilización de un sistema de comunicación y análisis de incidentes críticos en un servicio de anestesia. Rev Esp Anestesiol Reanim. 2006;53:471-8.

Jensen LS, Merry AF, Webster CS, Weller J, Larsson L. Evidence-based strategies for preventing drug administration errors during anaesthesia. Anaesthesia. 2004;(5):493-504. doi: https://doi.org/10.1111/j.1365-2044.2004.03670.x.

Gómez-Arnau J, Otero M, Bartolomé A, Errando C, Arnal D, Moreno A, et al. Etiquetado de los medicamentos inyectables que se administran en anestesia. Rev Esp Anestesiol Reanim. 2011;58:375-83. doi: https://doi.org/10.1016/S0034-9356(11)70087-1

Mellin-Olsen J, O'Sullivan E, Balogh D, Drobnik L, Knape JT, Petrini F, Vimlati L; Section and Board of Anaesthesiology, European Union of Medical Specialists. Guidelines for safety and quality in anaesthesia practice in the European Union. Eur J Anaesthesiol. 2007;24(6):479-82. doi: https://doi.org/10.1017/S0265021507000324.

Mellin-Olsen J, Staender S, Whitaker DK, Smith AF. The Helsinki Declaration on Patient Safety in Anaesthesiology. Eur J Anaesth. 2010;27(7):592-7. doi: https://doi.org/10.1097/EJA.0b013e32833b1adf

American Society of Anesthesiologist. Statement on labeling of pharmaceuticals used in the practice of Anesthesiology [internet]. 2020 [cited: 2022 Nov. 01]. Available at: https//www. https://www.asahq.org/standards-and-guidelines/statement-on-labeling-of-pharmaceuticals-for-use-in-anesthesiology

ASTM Designation: D6398 − 08 (Reapproved 2014), Standard Practice to Enhance Identification of Drug Names on Labels.

Internacional Organization for Standarization. User-applied labels for syringes containing drugs used during anesthesia. Colours, design and performance. ISO26825:2020 [internet]. 2020 [cited: 2022 Jul. 1] Available at https://www.iso.org/standard/76678.html

Canadian Standards Association. Standard for use-applied drug labels in anesthesia and critical care [internet]. [cited: 2022 Jul. 1]. Available at https://www.csagroup.org/store/product/CAN %25100CSA-ISO %2026825-10/

Royal College of Anaesthetists, Association of Anaesthetists of Great Britain and Ireland, Faculty of Accident and Emergency Medicine, Intensive Care Society. Syringe labelling in critical care areas review 2014 (updated 2016). [cited: 2022 Jul. 1]. Available at: https://static1.squarespace.com/static/6062ddc760f4185a4ff502be/t/6079512e924f315b045687fb/1618563375854/Guideline_syringe_labelling_critical_care_review_2014_updated_2016_final.pdf.

Société Française d´Anesthésie et de Réanimation. Prévention des erreurs médicamenteuses en anesthésie et en réanimation (texte court). Synthèse des préconisations de la SFAR en partenariat avec la SFPC Actualisation 2016. [cited: 2022 Jul. 1]. Available at: https://sofia.medicalistes.fr/spip/IMG/pdf/preconisations-2016-_prevention_des_erreurs_medicamenteuses_en_anesthesie_reanimation_sfar-sfpc-texte-court-preco-erreurs-med-2016.pdf.

Gruppo di studio SIAARTI sulla sicurezza in anestesia e terapia intensiva

etichettatura delle siringhe in anestesia e terapia intensiva [internet]. [cited: 2022 Jul. 1]. Available at: https://docplayer.it/19414798-Etichettatura-delle-siringhe-in-anestesia-e-terapia-intensiva.html.

Bastini R, Ciardi L, Firenze C. Sicurezza in anestesia e area critica per la somministrazione dei farmaci [internet]. [cited: 2022 Jul. 1]. Available at: https://www.nurse24.it/images/allegati/Sicurezza-somministrazione-farmaci.pdf

Recomendaciones para el etiquetado de los medicamentos inyectables que se administran en anestesia. Sistema Español de Notificación en Seguridad en Anestesia y Reanimación SENSAR [internet]. 2011. [cited: 2022 Jul. 1]. Available at: http://www.ismp-espana.org/ficheros/Recomendaciones %20ETIQUETADO %20Enero %202011.pdf

Institute for Safe Medication Practices (ISMP). Look-Alike Drug Names with Recommended Tall Man Letters [internet]. 2016 [cited: 2022 Jul. 13]. https://www.ismp.org/tools/tallmanletters.pdf.

FDA Name Differentiation Project. FDA List of established drug names recommended to use tall man lettering (TML) [internet]. [cited: 2022 Jul. 13]. Available at: http://www.fda.gov/Drugs/DrugSafety/MedicationErrors/ucm164587.htm.

The Joint Commission. National Patient Safety Goals® Effective January 2022 for the Hospital Program [internet]. 2022 [cited: 2022 Aug. 1]. Available at: https://www.jointcommission.org/standards/national-patient-safety-goals/hospital-national-patient-safety-goals/

How to Cite
1.
Castro-Gómez A. Labeling of medications in anesthesia: colors and letters that save lives . Colomb. J. Anesthesiol. [Internet]. 2023 Mar. 23 [cited 2024 Feb. 28];51(2). Available from: https://www.revcolanest.com.co/index.php/rca/article/view/1065

Downloads

Download data is not yet available.
Published
2023-03-23
How to Cite
1.
Castro-Gómez A. Labeling of medications in anesthesia: colors and letters that save lives . Colomb. J. Anesthesiol. [Internet]. 2023 Mar. 23 [cited 2024 Feb. 28];51(2). Available from: https://www.revcolanest.com.co/index.php/rca/article/view/1065
Section
Essay

Altmetric

Article metrics
Abstract views
Galley vies
PDF Views
HTML views
Other views
QR Code

Some similar items: