Smartphone Apps for Pediatric Resuscitation

Not Applicable

Completed

• Conditions: Anaphylaxis; Status Epilepticus
• Interventions: Device: Smartphone apps; Device: Handbook

• Registration Number: NCT02958605
• Lead Sponsor: St. Justine's Hospital

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.

Detailed Description

Not available

Study Timeline

• Study Start: 2016-11
• Study First Submitted: 2016-11-04
• Study First Submitted QC: 2016-11-05
• Study First Posted: 2016-11-08
• Primary Completion: 2017-08
• Study Completion: 2017-09
• Status Verified: 2017-10
• Last Update Submitted: 2017-10-04
• Last Update Posted: 2017-10-06

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 40

Inclusion Criteria

• Residents (PGY1 to PGY4)
• Completing a rotation in pediatric emergency

Exclusion Criteria

• Residents who previously participated in this study

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: CROSSOVER

Arm && Interventions

Group	Intervention	Description
Smartphone	Smartphone apps	Smartphone application
Handbook	Handbook	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.

Primary Outcome Measures

Name	Time	Method
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 Outcome Measures

Name	Time	Method
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.
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.
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.
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

Trial Locations

Locations (1)

CHU Sainte-Justine; 🇨🇦 Montreal, Quebec, Canada