Establishment of an Electronic Medication Management Application in a Pediatric Surgery Department
试验速览
- 阶段
- 不适用
- 状态
- 招募中
- 入组人数
- 276
- 试验地点
- 1
- 主要终点
- Appropriateness of medications (anesthetics, antimicrobials, and analgesics) used in different types of surgeries
研究概览
简要总结
An interventional study that aims to design, establish and implement an electronic application for management of the usage of anesthetics, antimicrobials, and analgesics in a pediatric surgery department, and assess the impact of the implementation of an electronic medication management application on the appropriateness of medication use in a pediatric surgery department
详细描述
Mobile health (mHealth) refers to digital health technologies via mobile phones, tablets, and other electronic devices to enhance health outcomes. mHealth has started to have an impact on many health care and medical education aspects. With the increased number of smartphones and increasing interest in using mobile applications (apps), healthcare related mobile apps offer opportunities for advanced patient care allowing for better patient-provider communication. Within anesthesia, mobile apps were developed to play an important role; pre, intra- and postoperatively through providing patient-physician communication, reducing patient anxiety, and offering on-the-go education.
The development of medical mobile app is challenging. It incorporates producing an easy-to-use display with appropriate clinical information. Although many medication errors lead to little or no harm, some have overwhelming consequences for patients and, sometimes, for practitioners.
In pediatric patients, doses of anesthetics and other medications are calculated based on age and/or weight. Also, preparations often require further dilutions, specifically for younger patients like neonates and infants. These steps might increase risk for medication errors in pediatric anesthesia. For pediatric patients, it is important to use appropriate weight-based medication doses.
Anesthetics, Antimicrobials and Analgesics are the three drug classes that have shown the highest number of medication errors in the operating rooms of a pediatric surgery department. To provide an appropriate age and/or weight-based drug information, we will develop an electronic application to recommend the most appropriate drugs based on international guidelines and calculate doses for Anesthetics, Antimicrobials and Analgesics for pediatric patients in the operating rooms of a pediatric surgery department.
Aim of the study:
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Other
- 盲法
- Double (Participant, Care Provider)
入排标准
- 年龄范围
- 1 Year 至 12 Years(Child)
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Pediatric patients undergoing any of the following surgeries: Circumcision, Inguinal Hernia, Hypospadias, Esophageal dilatation, uncomplicated Appendectomy, and complicated Appendectomy
排除标准
- •Cardiac patients
- •Diabetic patients
- •Hypertensive patients
- •Immunocompromised patients
- •Patients with renal and/or liver failure
研究组 & 干预措施
Control
Routine department therapy
Interventional
Anesthetics, antimicrobials and analgesics are selected and age/weight doses are calculated using the medication management mobile application
干预措施: A medication management mobile application (Other)
结局指标
主要结局
Appropriateness of medications (anesthetics, antimicrobials, and analgesics) used in different types of surgeries
时间窗: One year
Determined through measuring incidence of medication errors and drug related problems
次要结局
- Time saving(one year)
- Cost saving(One year)
- Cost avoidance(one year)
研究者
Mai Fawaz
Principal investigator
Ain Shams University
