Healthy
Conditions
Keywords
Children, resuscitation, simulation, medication error
Brief summary
Dosage errors are common in the stressful situation of a pediatric resuscitation. In addition to that, studies have reported that delays to provide medication is associated to worst survival rate for very sick children. To minimize delays and error, the investigators recently published a resuscitation handbook who provides drug dosages for each weight for children thus eliminating the need for dosage calculation. Once the weight of the patient is known, the physicians only have to open the book at the page corresponding to the weight and all the medications with their calculated dosage are provided. The primary goal of this study is to evaluate the number of dosage error during simulated pediatric resuscitation comparing residents using the handbook vs. utilisation of a chart providing non-calculated dosage. This will be an experimental crossover trial among 40 residents performing four simulated case-scenarios in a high-fidelity simulation lab.
Interventions
OTHERHandbook
Resuscitation handbook who provides drug dosages for each weight for children. For example, at the page of 15 kg, it is written that the dosage of epinephrin is 1.5 cc of 1: 10 000.
OTHERMedication chart
Medication chart who provides drug dosages for each weight for children. For example,it is written that the dosage of epinephrin is 0.01 mg/kg.
Sponsors
St. Justine's Hospital
Study design
Allocation
RANDOMIZED
Intervention model
CROSSOVER
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Healthy volunteers
No
Inclusion criteria
* Residents doing a rotation in pediatrics emergency medicine
Exclusion criteria
* Resident who participated in a previous month
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Having at least one dosage error in any of the medications during the case for a participant | During the simulation (10 minutes) | Difference of \> 10% of the recommended drug dosage for any of the medication provided during the simulated case scenario. To be perfect, there must be no error among all drugs provided. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Dosage error in any for all individual medications during the case for a participant | During the simulation (10 minutes) | Difference of \> 10% of the recommended drug dosage for any of the medication provided during the simulated case scenario |
| Time for first drug prescription for each case per participant | During the simulation (10 minutes) | Time required for the prescription of the first dose of medication. From beginning of the case until the first dose of epinephrine is completely prescribed (Dosage included) |
Countries
Canada
Outcome results
None listed