… This could be applied to many practices in anaesthesia, where the number needed to treat
… has reconfirmed that drug error is still an important cause of anaesthetic related morbidity, …

… on anaesthetic drug ampoules. Furthermore, it is recommended that all anaesthetic drug
errors be … agencies responsible for drug packaging in order to identify patterns in anaesthetic …

… error outside of anaesthetic practice. A two-person technique is limited by human resources
and the potential to compromise safety paradoxically because of ‘involuntary automaticity’ in …

… drug administration from look-alike medications. Objective: To highlight the significance of
medication errors in our practice … The proportion of the database composed of drug errors has …

… The practice of clinical anaesthesia involves the intravenous injection of potent drugs, …
I Drug errors occur quite commonly, 2 and do occasionally have serious effects on patients. …

… In addition, we reviewed a substantial number of references related to drug error in anaesthesia
… in relation to this endeavour to distinguish many aspects of safe from unsafe practice. …

… at least one drug error or “near miss”. Although most errors (1,038) were of minor consequence
(98%), four deaths were reported. The commonest error involved the administration of …

… Cooper and colleagues 20 Near miss An error in anaesthetic medication practice, which …
Abeysekera and colleagues 15 Pre-error An incident that may have led to a drug error, but …

… drugs as anaesthetists, whether their practice is based in the operating theatre, critical care
or pain management. Anaesthesia is now safe and routine, yet anaesthetists are … drug errors …

… The main findings of this review are that: drug error is recalled by ~1 in 5 anaesthetists as …
1 in 200 anaesthetics (Table 2); but in directly observed practice, it can be seen in almost every …