naa a22 4500 510744591 CHVBK 20180411083041.0 cr unu---uuuuu 180411e20130201xx s 000 0 eng 10.1007/s12630-012-9853-y doi (NATIONALLICENCE)springer-10.1007/s12630-012-9853-y Review article: Improving drug safety for patients undergoing anesthesia and surgery [Elektronische Daten] [Beverley Orser, Sylvia Hyland, David U, Ian Sheppard, C. Wilson] Article de synthèse: L'amélioration de la sécurité des médicaments pour les patients subissant une anesthésie et une chirurgie Purpose: This article presents a summary of recent advances, including tools and interventions, that are designed to improve drug safety for patients in critical care settings, particularly those undergoing anesthesia and surgery. Principal findings: Medication error remains a leading cause of adverse events among patients undergoing anesthesia. Misidentification of ampoules, vials, and syringes is a common source of error. Systems are now being engineered to reduce the likelihood of medication misidentification through approaches such as revision of standards for labelling of drug ampoules and vials and the development of bar code systems that allow "double checking” or drug verification in the operating room. Also, efforts are being made to improve medication reconciliation, a process for accurately communicating a patient's medication information during transitions from one healthcare setting to another. Finally, the opportunity exists for anesthesiologists to increase awareness about the rising problem of opioid addiction in patients for whom typical doses are initially prescribed for appropriate indications such as postoperative pain. Conclusions: There is a need to improve drug delivery systems in complex critical care environments, particularly the operating room. Anesthesiologists must continue to play a leading role in promoting drug safety in these environments. Canadian Anesthesiologists' Society, 2012 Orser Beverley Department of Anesthesia, Sunnybrook Health Science Centre, University of Toronto, Toronto, ON, Canada aut Hyland Sylvia Institute for Safe Medication Practices Canada, Toronto, ON, Canada aut U David Institute for Safe Medication Practices Canada, Toronto, ON, Canada aut Sheppard Ian Institute for Safe Medication Practices Canada, Toronto, ON, Canada aut Wilson C. Department of Family Medicine, Queen's University, Kingston, ON, Canada aut Canadian Journal of Anesthesia/Journal canadien d'anesthésie Springer-Verlag 60/2(2013-02-01), 127-135 0832-610X 60:2<127 2013 60 12630 https://doi.org/10.1007/s12630-012-9853-y text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s12630-012-9853-y text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Orser Beverley Department of Anesthesia, Sunnybrook Health Science Centre, University of Toronto, Toronto, ON, Canada aut NATIONALLICENCE 700 1- Hyland Sylvia Institute for Safe Medication Practices Canada, Toronto, ON, Canada aut NATIONALLICENCE 700 1- U David Institute for Safe Medication Practices Canada, Toronto, ON, Canada aut NATIONALLICENCE 700 1- Sheppard Ian Institute for Safe Medication Practices Canada, Toronto, ON, Canada aut NATIONALLICENCE 700 1- Wilson C. Department of Family Medicine, Queen's University, Kingston, ON, Canada aut NATIONALLICENCE 773 0- Canadian Journal of Anesthesia/Journal canadien d'anesthésie Springer-Verlag 60/2(2013-02-01), 127-135 0832-610X 60:2<127 2013 60 12630 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer