Smartphone Medical Applications to Reduce Treatment Dosage Errors in Pediatric Resuscitation; a Randomized Simulation Trial
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 40
- 试验地点
- 2
- 主要终点
- Medication error
研究概览
简要总结
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.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Crossover
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Residents (PGY1 to PGY4)
- •Completing a rotation in pediatric emergency
排除标准
- •Residents who previously participated in this study
研究组 & 干预措施
Smartphone
Smartphone application
干预措施: Smartphone apps (Device)
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.
干预措施: Handbook (Device)
结局指标
主要结局
Medication error
时间窗: 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.
次要结局
- Proportion of tenfold error(During resuscitation)
- Time for prescribing the first medication(During the simulation (10 minutes))
- Error in bolus medication(during simulation)
- Error in perfusion medication(during simulation)
- User satisfaction(2 weeks)
- User confidence(2 weeks)
研究者
Jocelyn Gravel
Principal investigator
St. Justine's Hospital