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Standardised colour-coded compartmentalised syringe trays improve anaesthetic medication visual search and mitigate
Victoria Laxton1, Frances A Maratos2, David W Hewson3
1College of Health, Psychology and Social Care, University of Derby, Derby, UK; TRL, Wokingham, UK.
British Journal of Anaesthesia
|February 21, 2023
Summary
Colour-coded compartmentalised trays significantly improve medication error detection and reduce search times during anaesthetic procedures. These trays enhance visual search efficacy and decrease cognitive load compared to conventional methods.
Area of Science:
- Medical Error Prevention
- Human Factors in Medicine
- Anaesthesiology
Background:
- Anaesthetic procedures are complex and prone to human error.
- Current interventions like organised syringe storage lack standardized implementation.
- Medication errors in anaesthesia pose significant patient safety risks.
Purpose of the Study:
- To investigate the efficacy of colour-coded compartmentalised trays versus conventional trays in a visual search task.
- To determine if colour-coded trays reduce search time and improve error detection.
- To assess the impact on behavioural and eye-movement responses.
Main Methods:
- Experimental psychology methods were employed with 40 volunteers.
- Participants identified syringe errors in pre-loaded trays (colour-coded vs. conventional).
- Both error-present and error-absent trials were conducted, with eye-tracking measures recorded.
Main Results:
- Errors were detected faster with colour-coded trays (11.1s vs. 13.0s, P=0.026).
- Eye-tracking showed more fixations on drug errors with colour-coded trays (5.3 vs. 4.3, P<0.001).
- Colour-coded trays reduced fixation times and cognitive load, indicating enhanced visual search efficacy.
Conclusions:
- Colour-coded compartmentalisation significantly enhances visual search efficacy for pre-loaded trays.
- These trays lead to performance improvements in medication error detection and task efficiency.
- The findings support the implementation of colour-coded compartmentalised trays to improve anaesthesia safety.

