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

NCT02563912 | Completed

• 1 other identifier: Resuscitaion book
• Study Type: interventional
• Target: 40
• Locations: 1 country
• Sites: 1

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.

Conditions

Healthy

Keywords

Children; resuscitation; simulation; medication error

Outcome Measures

Primary Outcomes (1)

• Having at least one dosage error in any of the medications during the case for a participant

  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.

  During the simulation (10 minutes)

Secondary Outcomes (2)

• Dosage error in any for all individual medications during the case for a participant

  During the simulation (10 minutes)

• Time for first drug prescription for each case per participant

  During the simulation (10 minutes)

Study Arms (2)

Handbook

EXPERIMENTAL

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.

Other: Handbook

Medication chart

ACTIVE COMPARATOR

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.

Other: Medication chart

Interventions

Handbook OTHER

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.

Handbook

Medication chart OTHER

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.

Medication chart

Eligibility Criteria

• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17), Adult (18-64), Older Adult (65+)

You may qualify if:

• Residents doing a rotation in pediatrics emergency medicine

You may not qualify if:

• Resident who participated in a previous month

Sponsors & Collaborators

• St. Justine's Hospital: lead

Study Sites (1)

CHU Sainte-Justine

Montreal, Quebec, H3T1C5, Canada

Location

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: CROSSOVER
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: MD, MSc, FRCPC

Study Record Dates

• First Submitted: September 27, 2015
• First Posted: September 30, 2015
• Study Start: September 1, 2015
• Primary Completion: March 1, 2016
• Study Completion: March 1, 2016
• Last Updated: April 6, 2016

Record last verified: 2016-04

Locations

CA (1)