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Adapter-based Safety Injection System for Prevention of Wrong Route and Wrong Patient Medication Errors

Wrong-route or -patient medication errors due to human mistakes have been considered difficult to resolve in clinical settings. In this study, we suggest a safety injection system that can help to prevent an injection when a mismatch exists between the drug and route or patient. For this, we prepare...

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Autores principales: Cho, Yong Chan, Lee, Seung Ho, Cho, Yang Hyun, Choy, Young Bin
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Korean Academy of Medical Sciences 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5680491/
https://www.ncbi.nlm.nih.gov/pubmed/29115074
http://dx.doi.org/10.3346/jkms.2017.32.12.1938
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author Cho, Yong Chan
Lee, Seung Ho
Cho, Yang Hyun
Choy, Young Bin
author_facet Cho, Yong Chan
Lee, Seung Ho
Cho, Yang Hyun
Choy, Young Bin
author_sort Cho, Yong Chan
collection PubMed
description Wrong-route or -patient medication errors due to human mistakes have been considered difficult to resolve in clinical settings. In this study, we suggest a safety injection system that can help to prevent an injection when a mismatch exists between the drug and route or patient. For this, we prepared two distinct adapters with key and keyhole patterns specifically assigned to a pair of drug and route or patient. When connected to a syringe tip and its counterpart, a catheter injection-port, respectively, the adapters allowed for a seamless connection only with their matching patterns. In this study, each of the adapters possessed a specific key and keyhole pattern at one end and the other end was shaped to be a universal fit for syringe tips or catheter injection-ports in clinical use. With the scheme proposed herein, we could generate 27,000 patterns, depending on the location and shape of the key tooth in the adapters. With a rapid prototyping technique, multiple distinct pairs of adapters could be prepared in a relatively short period of time and thus, we envision that a specific adapter pair can be produced on-site after patient hospitalization, much like patient identification barcodes.
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spelling pubmed-56804912017-12-01 Adapter-based Safety Injection System for Prevention of Wrong Route and Wrong Patient Medication Errors Cho, Yong Chan Lee, Seung Ho Cho, Yang Hyun Choy, Young Bin J Korean Med Sci Original Article Wrong-route or -patient medication errors due to human mistakes have been considered difficult to resolve in clinical settings. In this study, we suggest a safety injection system that can help to prevent an injection when a mismatch exists between the drug and route or patient. For this, we prepared two distinct adapters with key and keyhole patterns specifically assigned to a pair of drug and route or patient. When connected to a syringe tip and its counterpart, a catheter injection-port, respectively, the adapters allowed for a seamless connection only with their matching patterns. In this study, each of the adapters possessed a specific key and keyhole pattern at one end and the other end was shaped to be a universal fit for syringe tips or catheter injection-ports in clinical use. With the scheme proposed herein, we could generate 27,000 patterns, depending on the location and shape of the key tooth in the adapters. With a rapid prototyping technique, multiple distinct pairs of adapters could be prepared in a relatively short period of time and thus, we envision that a specific adapter pair can be produced on-site after patient hospitalization, much like patient identification barcodes. The Korean Academy of Medical Sciences 2017-12 2017-10-18 /pmc/articles/PMC5680491/ /pubmed/29115074 http://dx.doi.org/10.3346/jkms.2017.32.12.1938 Text en © 2017 The Korean Academy of Medical Sciences. https://creativecommons.org/licenses/by-nc/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (https://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Article
Cho, Yong Chan
Lee, Seung Ho
Cho, Yang Hyun
Choy, Young Bin
Adapter-based Safety Injection System for Prevention of Wrong Route and Wrong Patient Medication Errors
title Adapter-based Safety Injection System for Prevention of Wrong Route and Wrong Patient Medication Errors
title_full Adapter-based Safety Injection System for Prevention of Wrong Route and Wrong Patient Medication Errors
title_fullStr Adapter-based Safety Injection System for Prevention of Wrong Route and Wrong Patient Medication Errors
title_full_unstemmed Adapter-based Safety Injection System for Prevention of Wrong Route and Wrong Patient Medication Errors
title_short Adapter-based Safety Injection System for Prevention of Wrong Route and Wrong Patient Medication Errors
title_sort adapter-based safety injection system for prevention of wrong route and wrong patient medication errors
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5680491/
https://www.ncbi.nlm.nih.gov/pubmed/29115074
http://dx.doi.org/10.3346/jkms.2017.32.12.1938
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