Pre-calculated Doses of Medication for Pediatric Resuscitation, a Simulation Experimental Trial

Not Applicable

Completed

• Conditions: Healthy
• Interventions: Other: Medication chart; Other: Handbook

• Registration Number: NCT02563912
• Lead Sponsor: St. Justine's Hospital

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.

Detailed Description

Not available

Study Timeline

• Study Start: 2015-09
• Study First Submitted: 2015-09-27
• Study First Submitted QC: 2015-09-29
• Study First Posted: 2015-09-30
• Primary Completion: 2016-03
• Study Completion: 2016-03
• Status Verified: 2016-04
• Last Update Submitted: 2016-04-05
• Last Update Posted: 2016-04-06

Recruitment & Eligibility

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

Inclusion Criteria

• Residents doing a rotation in pediatrics emergency medicine

Exclusion Criteria

• Resident who participated in a previous month

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: CROSSOVER

Arm && Interventions

Group	Intervention	Description
Medication chart	Medication 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.
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
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 Outcome Measures

Name	Time	Method
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)
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

Trial Locations

Locations (1)

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