Improving medication safety in the perioperative setting: development of a medication use process
Authors' conclusion
A new process was implemented based on integrated multidisciplinary care and a strong commitment to technology that promotes safe medication use throughout the perioperative setting.
Study context
- Population
- Perioperative medication use in surgical patients, from preadmission to discharge25 failure modes
- Comparison
- Risk priority number before vs after implementation of safety strategies
- Outcome
- Risk priority number for critical failure modes
Methodological detailsfailure mode and effects analysis, multidisciplinary, before-after, Bibliographic review to prioritise safety strategies, Multidisciplinary group (pharmacists, surgeons, anaesthesiologists, nurses, IT) formed in 2020
- Failure mode and effects analysis
- Multidisciplinary
- Before-after
- Bibliographic review to prioritise safety strategies
- Multidisciplinary group (pharmacists, surgeons, anaesthesiologists, nurses, IT) formed in 2020
Main finding
As reported in the abstract
Decrease
72.9%
P = 0.016
By group
Before
229.5
After
62.8
Further findings
- Safety strategies implemented (automated dispensing cabinets, GA trays with ready-to-administer drugs, one-step computerised order entry with barcode in OR, pharmaceutical care with medication reconciliation, new decision-support alerts)
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Original publication
Improving medication safety in the perioperative setting: development of a medication use process. Br J Anaesth. Published 2 June 2025. doi:10.
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