Smartphone Apps for Pediatric Resuscitation

NCT02958605 | Completed

• 1 other identifier: SMARTER1
• Study Type: interventional
• Target: 40
• Locations: 1 country
• Sites: 1

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.

Conditions

Status Epilepticus; Anaphylaxis

Keywords

Children; resuscitation; smartphone

Outcome Measures

Primary Outcomes (1)

• Medication error

  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.

  During resuscitation

Secondary Outcomes (6)

• 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

Study Arms (2)

Smartphone

EXPERIMENTAL

Smartphone application

Device: Smartphone apps

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.

Device: Handbook

Interventions

Smartphone apps DEVICE

If already own a smartphone application dedicated to calculate medication dosage for children, the participant will be allowed to use his/her own application. Otherwise, the resident will be offered to chose among a list of applications paid by the research team (PediSafe, PediStat, Palm Pedi, Safedose, EZdrip peds). He/she will be instructed to practice with a few time at home before doing the simulations.

Smartphone

Handbook DEVICE

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

Eligibility Criteria

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

You may qualify if:

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

You may not qualify if:

• Residents who previously participated in this study

Sponsors & Collaborators

• St. Justine's Hospital: lead
• Canadian Medical Protective Association: collaborator

Study Sites (1)

CHU Sainte-Justine

Montreal, Quebec, H3T1C5, Canada

Location

MeSH Terms

Conditions

Status Epilepticus; Anaphylaxis

Condition Hierarchy (Ancestors)

Seizures; Neurologic Manifestations; Nervous System Diseases; Signs and Symptoms; Pathological Conditions, Signs and Symptoms; Hypersensitivity, Immediate; Hypersensitivity; Immune System Diseases

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: Principal investigator

Study Record Dates

• First Submitted: November 4, 2016
• First Posted: November 8, 2016
• Study Start: November 1, 2016
• Primary Completion: August 1, 2017
• Study Completion: September 1, 2017
• Last Updated: October 6, 2017

Record last verified: 2017-10

Data Sharing

• IPD Sharing: Will not share

Locations

CA (1)