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Abstract

The goal of the study is to A Prospective Observational Study on Evaluation of Medication Safety on Anesthesia in Ordibehesht Hospital, Shiraz, Iran. Study was conducted for a period of 6 months from October 2020_march 2021. The results of this study showed male patients were listed more (n= 60(60%)) than the female patient (n=40(40%)), majority number of patients were in 19-55 years age group, general surgical was the common procedure (n=34, (34%)), The majority of reported incidents occurred among (ASA II risk, n=57(57%)) patients. general anesthesia was the major rout administered for most of the patient. In this study we found that, neuromuscular blocker (13.36%) and analgesics (12.9%) drugs were mostly used with anesthesia agents during surgery. Morphine (44.5%) was the major analgesics used in most of the surgery. we also founded that there is some drug-drug interaction between anesthetic drugs with each other and with other drugs used during of surgery. we founded that in 100 patients, interaction between isoflurane and fentanyl was the mostly drug-drug interaction(n=65(65%)). We also founded that there were many factors which contributing in medication error of anesthesia; most anesthesiologists experienced at least one drug error. The commonest error was the misidentification of ampoule/vial, (55%, n = 22) Most errors were of minor consequence, however, serious morbidity and mortality resulted from clearly preventable events. These results support the development of improved standards for drug labels‎.

Keywords: Anesthesia, Medication safety, ASA risk, Drug interactions.