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

Authors
  • Cho, Yong Chan1
  • Lee, Seung Ho2
  • Cho, Yang Hyun3
  • Choy, Young Bin1, 2, 4
  • 1 Interdisciplinary Program in Bioengineering, Seoul National University College of Engineering, Seoul, Korea. , (North Korea)
  • 2 Institute of Medical & Biological Engineering, Medical Research Center, Seoul National University College of Medicine, Seoul, Korea. , (North Korea)
  • 3 Department of Thoracic and Cardiovascular Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea. , (North Korea)
  • 4 Department of Biomedical Engineering, Seoul National University College of Medicine, Seoul, Korea. [email protected] , (North Korea)
Type
Published Article
Journal
Journal of Korean medical science
Publication Date
Dec 01, 2017
Volume
32
Issue
12
Pages
1938–1946
Identifiers
DOI: 10.3346/jkms.2017.32.12.1938
PMID: 29115074
Source
Medline
Keywords
License
Unknown

Abstract

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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