Anaphylaxis, Status Epilepticus
Conditions
Keywords
Children, resuscitation, smartphone
Brief summary
Medication errors are common in children. Characteristics of errors during critical situations in the Emergency Department are ill-defined and might be more frequent than previously thought. However, optimal strategies to eliminate the risk of prescribing errors remain unknown. Many smartphone apps have been suggested over the last years with some of them designed to calculate medication dosage for children. The impact of these apps to decrease dosage error has never been evaluated in resuscitation setting. The aim of the study is to evaluate whether the use of a smartphone application designed to calculate medication doses decreases prescribing errors among residents during pediatric simulated resuscitations. This will be a crossover-randomized trial using high fidelity simulation among 40 residents rotating in the pediatric emergency department.
Interventions
DEVICESmartphone apps
If already own a smartphone application dedicated to calculate medication dosage for children, the participant will be allowed to use his/her own application. Otherwise, the resident will be offered to chose among a list of applications paid by the research team (PediSafe, PediStat, Palm Pedi, Safedose, EZdrip peds). He/she will be instructed to practice with a few time at home before doing the simulations.
DEVICEHandbook
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.
Sponsors
Canadian Medical Protective Association
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 (PGY1 to PGY4) * Completing a rotation in pediatric emergency
Exclusion criteria
* Residents who previously participated in this study
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Medication error | During resuscitation | The primary outcome is the presence of a medication error. An error will be defined as a drug dose varying by more than 20% from the recommended dose or by incorrect route. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Time for prescribing the first medication | During the simulation (10 minutes) | Time from the beginning of the simulation and complete prescription (oral or written) of the first medication. |
| Error in bolus medication | during simulation | An error in bolus medication will be defined as a drug dose varying by more than 20% from the recommended dose or by incorrect route. |
| Proportion of tenfold error | During resuscitation | A tenfold error will be defined as a drug dose varying by a factor of 10 compared to the recommended dose. |
| User satisfaction | 2 weeks | Satisfaction of the resident with both tools using a Visual analog scale |
| User confidence | 2 weeks | Confidence of the resident while using both tools using a Visual analog scale |
| Error in perfusion medication | during simulation | An error in perfusion medication will be defined as a drug dose varying by more than 20% from the recommended dose. This can be related to a preparation error or a flow error. |
Countries
Canada
Outcome results
None listed