Labelling of intravenous drug delivery devices in critically ill patients: A scoping review

Author:

Nunes Geovane de Kassio1ORCID,Antunes Lucas Malta Souza1ORCID,da Silva Rodrigo Nogueira1ORCID,da Silva Rafael Celestino1ORCID

Affiliation:

1. Federal University of Rio de Janeiro, Anna Nery School of Nursing Rio de Janeiro Rio de Janeiro Brazil

Abstract

AbstractBackgroundLabelling is a strategy that contributes to the correct and faster identification of drugs, minimizing misidentification. There is a gap in knowledge on optimal labelling standards for intravenous (IV) devices applied to the care of critically ill patients.AimThe goal of this article was to map existing knowledge on the labelling of IV drug delivery devices in critically ill patients for the prevention of medication errors.Study DesignThis was a scoping review conducted according to the JBI methodology in the LILACS, MEDLINE, CINAHL, IBECS, Scopus, Embase and Web of Science databases, and on the websites of specialized institutions. Searches were conducted up to December 2022 for scientific articles and grey literature that addressed the labelling of IV devices in intensive care units, emergency departments, and anaesthesia units. The data were collected using a structured form and were later classified, summarized, and aggregated to map the knowledge related to the review question.ResultsTwenty‐one documents were included, which demonstrated variability in label use with IV drug delivery devices. The following features of structure and design stood out: printed format, colour coding, letter size differentiation, and the use of sturdy material. In terms of information, the name of the drug, dose, date and time of preparation, identification of the patient, and who prepared it were found.ConclusionsThe identified patterns contributed to the reduction of drug misidentification and the development of timelier drug labelling and administration.Relevance to Clinical PracticeThe evidence supports the development of standardized labels for the prevention of medication errors.

Funder

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior

Publisher

Wiley

Subject

Critical Care Nursing

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