Facilitated self-reported anaesthetic medication errors before and after implementation of a safety bundle and barcode-based safety system

摘要: Abstract Background Anaesthetic medication administration errors are a significant threat to patient safety. In 2002, we began collecting data about the rate and nature of anaesthetic implemented variety measures reduce errors. Methods Facilitated self-reporting was carried out in 2002–2003. Subsequently, safety bundle including ‘smart' infusion pumps were implemented. During 2014 facilitated commenced again. A barcode-based system then continued through 2015. Results 2002–2003, total 11 709 paper forms returned. There 73 reports (0.62% anaesthetics) 27 intercepted (0.23%). 2014, 14 572 computerised completed. 57 (0.39%) (0.075%). Errors associated with infusions reduced comparison those recorded 2002–2003 (P Conclusions Reforms intended substantial improvement.