Development & commercialisation of 100% recyclable, compartmented, colour coded anaesthetic syringe trays to reduce medication errors in anaesthesia

麻醉中最常被引用的关键事件是给药错误。与住院病房环境不同，今天的围手术期药物管理通常绕过标准的安全检查，例如具有决策支持的电子医嘱输入，给药前特定药物的药房批准以及给药时的多次护理检查。此外，手术室护理的高压力，时间敏感性可能导致更高的用药错误（ME）率和高严重性错误。目前的做法是在给药前将所有药物与相应的安瓿一起放置在一个由纸浆或聚丙烯制成的单一无隔室托盘中，因此容易发生注射器互换、用药错误以及感染控制有限或没有感染控制。通过与德比大学的合作，通过这个为期18个月的工业研究项目，（UVAMed Ltd）正在开发完全分隔的、IS 26825：2008颜色编码的、抑菌的麻醉注射器托盘（称为Rainbow-Trays），其设计符合人为因素原则，通过协助麻醉师进行药物准备和给药过程来减少用药错误。

The most frequently cited critical incidents in anaesthesia are drug administration errors. Unlike in the inpatient hospital ward setting, perioperative medication administration today often bypasses standard safety checks, such as electronic physician order entry with decision support, pharmacy approval of specific drugs before administration, and multiple nursing checks at the time of medication administration. Furthermore, the high-stress, time-sensitive nature of operating room care may lead to both higher rates of medication errors (MEs) and errors of high severity. Current practice prior to administration usually involves all the drugs being placed together with respective ampoules in a single non-compartmentalised tray made from either paper pulp or polypropylene therefore prone to syringe swaps, medication error and with limited or no infection control.In collaboration with University of Derby, through this 18 months industrial research project, we (UVAMed Ltd) are developing completely compartmented, IS26825:2008 colour-coded, bacteriostatic, anaesthetic syringe trays (called Rainbow-Trays) designed with human factor principles to reduce medication error by assisting anaesthetists in the medication preparation and administration process.