学術雑誌論文 Time trend of injection drug errors before and after implementation of bar-code verification system

Sakushima, Ken  ,  Umeki, Reona  ,  Endoh, Akira  ,  Ito, Yoichi M.  ,  Nasuhara, Yasuyuki

23 ( 3 )  , pp.267 - 274 , 2015-06-10 , IOS Press
ISSN:0928-7329
内容記述
BACKGROUND: Bar-code technology, used for verification of patients and their medication, could prevent medication errors in clinical practice. OBJECTIVE: Retrospective analysis of electronically stored medical error reports was conducted in a university hospital. METHODS: The number of reported medication errors of injected drugs, including wrong drug administration and administration to the wrong patient, was compared before and after implementation of the bar-code verification system for inpatient care. RESULTS: A total of 2867 error reports associated with injection drugs were extracted. Wrong patient errors decreased significantly after implementation of the bar-code verification system (17.4/year vs. 4.5/year, p < 0.05), although wrong drug errors did not decrease sufficiently (24.2/year vs. 20.3/year). The source of medication errors due to wrong drugs was drug preparation in hospital wards. CONCLUSION: Bar-code medication administration is effective for prevention of wrong patient errors. However, ordinary bar-code verification systems are limited in their ability to prevent incorrect drug preparation in hospital wards.
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http://eprints.lib.hokudai.ac.jp/dspace/bitstream/2115/62127/1/wristband-barcode.20141229.pdf

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