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Development of a haptic feedback device to reduce syringe substitution and drug overdosage error

D. Williams, B. Eagle, J. Dingley, John Dingley

Anaesthesia

Swansea University Author: John Dingley

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DOI (Published version): 10.1111/anae.14736

Abstract

Despite colour coded label use, syringe swap errors during administration of anaesthetic drugs remains a frequent and potentially serious cause of harm. We developed and explored the concept of a straightforward device which can be fitted to existing syringes, that employs colour and raised elements...

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Published in: Anaesthesia
ISSN: 0003-2409 1365-2044
Published: New Jersey, United States Wiley 2019
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URI: https://cronfa.swan.ac.uk/Record/cronfa50470
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first_indexed 2019-05-22T15:49:08Z
last_indexed 2019-09-26T14:17:11Z
id cronfa50470
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spelling 2019-09-26T10:28:25.6893013 v2 50470 2019-05-21 Development of a haptic feedback device to reduce syringe substitution and drug overdosage error 1283ffdd09b091ec57ec3e235a48cfcc John Dingley John Dingley true false 2019-05-21 PMSC Despite colour coded label use, syringe swap errors during administration of anaesthetic drugs remains a frequent and potentially serious cause of harm. We developed and explored the concept of a straightforward device which can be fitted to existing syringes, that employs colour and raised elements (or detents) to provide visual, haptic and auditory cues to supplement the visual cues provided by standard drug labelling. This might help to differentiate for example syringes containing vasoactive drugs from other syringes. We created six embodiments of the device, and performed a randomised unblinded study with 14 volunteers to identify those functional characteristics which met with the approval of the majority of participants. We evaluated which mechanical characteristics produced adequate haptic feedback without excessive resistance to injection. The best of the six designs was identified, which required the user to exert a mean (SD) force of ~20 (7) N to overcome the resistance of the syringe detents. The majority of volunteers were of the opinion that a device of this type would be helpful in reducing the incidence of syringe substitution error. Further research is needed to assess the efficacy of a device of this type in the clinical environment. Journal Article Anaesthesia Wiley New Jersey, United States 0003-2409 1365-2044 Anaesthetic, Anesthetic, Drugs, substitution error, haptic feedback, 31 12 2019 2019-12-31 10.1111/anae.14736 Anaesthesia impact factor 2018: 5.431 COLLEGE NANME Medicine COLLEGE CODE PMSC Swansea University 2019-09-26T10:28:25.6893013 2019-05-21T15:40:48.1086069 Faculty of Medicine, Health and Life Sciences Swansea University Medical School - Medicine D. Williams 1 B. Eagle 2 J. Dingley 3 John Dingley 4
title Development of a haptic feedback device to reduce syringe substitution and drug overdosage error
spellingShingle Development of a haptic feedback device to reduce syringe substitution and drug overdosage error
John Dingley
title_short Development of a haptic feedback device to reduce syringe substitution and drug overdosage error
title_full Development of a haptic feedback device to reduce syringe substitution and drug overdosage error
title_fullStr Development of a haptic feedback device to reduce syringe substitution and drug overdosage error
title_full_unstemmed Development of a haptic feedback device to reduce syringe substitution and drug overdosage error
title_sort Development of a haptic feedback device to reduce syringe substitution and drug overdosage error
author_id_str_mv 1283ffdd09b091ec57ec3e235a48cfcc
author_id_fullname_str_mv 1283ffdd09b091ec57ec3e235a48cfcc_***_John Dingley
author John Dingley
author2 D. Williams
B. Eagle
J. Dingley
John Dingley
format Journal article
container_title Anaesthesia
publishDate 2019
institution Swansea University
issn 0003-2409
1365-2044
doi_str_mv 10.1111/anae.14736
publisher Wiley
college_str Faculty of Medicine, Health and Life Sciences
hierarchytype
hierarchy_top_id facultyofmedicinehealthandlifesciences
hierarchy_top_title Faculty of Medicine, Health and Life Sciences
hierarchy_parent_id facultyofmedicinehealthandlifesciences
hierarchy_parent_title Faculty of Medicine, Health and Life Sciences
department_str Swansea University Medical School - Medicine{{{_:::_}}}Faculty of Medicine, Health and Life Sciences{{{_:::_}}}Swansea University Medical School - Medicine
document_store_str 0
active_str 0
description Despite colour coded label use, syringe swap errors during administration of anaesthetic drugs remains a frequent and potentially serious cause of harm. We developed and explored the concept of a straightforward device which can be fitted to existing syringes, that employs colour and raised elements (or detents) to provide visual, haptic and auditory cues to supplement the visual cues provided by standard drug labelling. This might help to differentiate for example syringes containing vasoactive drugs from other syringes. We created six embodiments of the device, and performed a randomised unblinded study with 14 volunteers to identify those functional characteristics which met with the approval of the majority of participants. We evaluated which mechanical characteristics produced adequate haptic feedback without excessive resistance to injection. The best of the six designs was identified, which required the user to exert a mean (SD) force of ~20 (7) N to overcome the resistance of the syringe detents. The majority of volunteers were of the opinion that a device of this type would be helpful in reducing the incidence of syringe substitution error. Further research is needed to assess the efficacy of a device of this type in the clinical environment.
published_date 2019-12-31T04:01:56Z
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score 11.037581

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