Augmenting the On-Scene Medic (ATOM): A Randomized, Controlled, Multicenter Study to Assess the Effectiveness of Augmented Reality Software on Prehospital Pediatric Medication Administration Accuracy

NCT07504211 | Active Not Recruiting

• 2 other identifiers: Augmenting the On-Scene Medic5R18HS029283-03
• Study Type: interventional
• Target: 312
• Locations: 1 country
• Sites: 1

Brief Summary

The primary objective of this research study is to use simulated pediatric emergencies to test the effectiveness of a drug dosing safety system for EMS providers by comparing usual care to use of an augmented reality device.

Conditions

Medication Errors; Pediatric Medication Error

Keywords

Simulated Pediatric Emergencies; Emergency Medical Services; Medication Errors; Patient Safety; Simulation; pediatrics

Outcome Measures

Primary Outcomes (1)

• Drug dosing accuracy

  Proportion of medication administration tasks performed accurately, with a target difference of \>20% between control and experimental groups, assessed via structured observational methods over a \[2\] hour timeframe.

  2 hours

Secondary Outcomes (1)

• Tenfold dosing errors

  2 hours

Study Arms (2)

Augmented reality

EXPERIMENTAL

EMS crews who will utilize the augmented reality application

Other: Augmented reality software for pediatric drug dosing

Usual care

NO INTERVENTION

EMS crews who will provide usal care using their existing pediatric dosing references

Interventions

Augmented reality software for pediatric drug dosing OTHER

Augmented reality software, developed by the study team, will be utilized by the experimental arm. This software is specifically designed to decrease errors in the prehospital pediatric medication administration process.

Augmented reality

Eligibility Criteria

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

You may qualify if:

• Eligible participants were licensed EMTPs or EMTs authorized to practice within their agency.

You may not qualify if:

• strabismus
• severe astigmatism
• vertigo
• significant visual impairment
• motion sickness
• claustrophobia
• screen-induced nausea/headache

Sponsors & Collaborators

• Western Michigan University School of Medicine: lead
• University of Michigan: collaborator
• Western Michigan University: collaborator

Study Sites (1)

Western Michigan University School of Medicine

Kalamazoo, Michigan, 49008, United States

Location

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Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: OTHER
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: March 16, 2026
• First Posted: March 31, 2026
• Study Start: April 1, 2023
• Primary Completion: March 31, 2026
• Study Completion: March 31, 2026
• Last Updated: March 31, 2026

Record last verified: 2026-03

Data Sharing

• IPD Sharing: Will not share

Locations

US (1)