Improving safety in the operating room: Medication icon labels increase visibility and discrimination. (October 2022)

• Record Type: Journal Article
• Authors: Lusk, Connor; Catchpole, Ken; Neyens, David M.; Goel, Swati; Graham, Riley; Elrod, Nicolas; Paintlia, Amanjot; Alfred, Myrtede; Joseph, Anjali; Jaruzel, Candace; Tobin, Catherine; Heinke, Timothy; Abernathy, James H.
• Is Part Of: Applied ergonomics. Volume 104(2022)
• Publication Date: 2022-10
• Subjects: Human factors -- Icons -- Medication errors -- Medication labeling; Human engineering -- Periodicals; 620.82
• DOI: 10.1016/j.apergo.2022.103831
• Languages: English
• ISSNs: 0003-6870

Abstract

Abstract: Misreading labels, syringes, and ampoules is reported to make up a 54.4% of medication administration errors. The addition of icons to medication labels in an operating room setting could add additional visual cues to the label, allowing for improved discrimination, visibility, and easily processed information that might reduce medication administration errors. A multi-disciplinary team proposed a method of enhancing visual cues and visibility of medication labels applied to vasoactive medication infusions by adding icons to the labels. Participants were 1.12 times more likely to correctly identify medications from farther away (p < 0.001, AOR = 1.12, 95% CI: 1.02, 1.22) with icons. When icons were present, participants were 2.16 times more likely to be more confident in their identifications (p < 0.001, AOR = 2.16, 95%CI: 1.80, 2.57). Carefully designed icons may offer an additional method for identifying medications, and thus reducing medication administration errors. Highlights: Misreading labels make up over half of medication administration errors. Icons provide instant recognition and emphasize information. Adding icons to medication labels improved discrimination and confidence. Icons provide additional cues at-a-glance to enhance readability, legibility, and visual search performance. Icon labels enhance the opportunity to detect medication failures at any point.