دورية أكاديمية
Effects of colour-coded compartmentalised syringe trays on anaesthetic drug error detection under cognitive load.
| العنوان: | Effects of colour-coded compartmentalised syringe trays on anaesthetic drug error detection under cognitive load. |
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| المؤلفون: | Laxton V; Automation, TRL, Crowthorne, UK., Maratos FA; School of Psychology, College of Health, Psychology and Social Care, University of Derby, Derby, UK., Hewson DW; Department of Anaesthesia, Academic Unit of Injury, Recovery and Inflammation Science, School of Medicine, University of Nottingham, Nottingham, UK; Nottingham University Hospitals NHS Trust, Nottingham, UK., Baird A; School of Psychology, College of Health, Psychology and Social Care, University of Derby, Derby, UK., Archer S; Department of Psychology, University of Cambridge, Cambridge, UK; Department of Public Health and Primary Care, University of Cambridge, Cambridge, UK; Faculty of Medicine, Department of Surgery and Cancer, Imperial College London, London, UK., Stupple EJN; School of Psychology, College of Health, Psychology and Social Care, University of Derby, Derby, UK. Electronic address: e.j.n.stupple@derby.ac.uk. |
| المصدر: | British journal of anaesthesia [Br J Anaesth] 2024 May; Vol. 132 (5), pp. 911-917. Date of Electronic Publication: 2024 Feb 09. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Elsevier Country of Publication: England NLM ID: 0372541 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1471-6771 (Electronic) Linking ISSN: 00070912 NLM ISO Abbreviation: Br J Anaesth Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: 2018- : [London] : Elsevier Original Publication: London, Eng. [etc.] |
| مواضيع طبية MeSH: | Syringes* , Anesthetics*/pharmacology, Humans ; Color ; Medication Errors/prevention & control ; Cognition |
| مستخلص: | Background: Anaesthetic drug administration is complex, and typical clinical environments can entail significant cognitive load. Colour-coded anaesthetic drug trays have shown promising results for error identification and reducing cognitive load. Methods: We used experimental psychology methods to test the potential benefits of colour-coded compartmentalised trays compared with conventional trays in a simulated visual search task. Effects of cognitive load were also explored through an accompanying working memory-based task. We hypothesised that colour-coded compartmentalised trays would improve drug-detection error, reduce search time, and reduce cognitive load. This comprised a cognitive load memory task presented alongside a visual search task to detect drug errors. Results: All 53 participants completed 36 trials, which were counterbalanced across the two tray types and 18 different vignettes. There were 16 error-present and 20 error-absent trials, with 18 trials presented for each preloaded tray type. Syringe errors were detected more often in the colour-coded trays than in the conventional trays (91% vs 83%, respectively; P=0.006). In signal detection analysis, colour-coded trays resulted in more sensitivity to the error signal (2.28 vs 1.50, respectively; P<0.001). Confidence in response accuracy correlated more strongly with task performance for the colour-coded tray condition, indicating improved metacognitive sensitivity to task performance (r=0.696 vs r=0.447). Conclusions: Colour coding and compartmentalisation enhanced visual search efficacy of drug trays. This is further evidence that introducing standardised colour-coded trays into operating theatres and procedural suites would add an additional layer of safety for anaesthetic procedures. (Copyright © 2024 The Author(s). Published by Elsevier Ltd.. All rights reserved.) |
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| فهرسة مساهمة: | Keywords: cognitive load; colour coding; injectable; medication error; syringe trays; visual search |
| المشرفين على المادة: | 0 (Anesthetics) |
| تواريخ الأحداث: | Date Created: 20240209 Date Completed: 20240422 Latest Revision: 20240522 |
| رمز التحديث: | 20240522 |
| مُعرف محوري في PubMed: | PMC11103169 |
| DOI: | 10.1016/j.bja.2023.12.033 |
| PMID: | 38336517 |
| قاعدة البيانات: | MEDLINE |
| تدمد: | 1471-6771 |
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| DOI: | 10.1016/j.bja.2023.12.033 |