Enríquez D, Di-Martino F, Salgado P, Rolandi F, Szyld E

Language: Spanish
References: 25
Page: 94-99
PDF size: 176.56 Kb.

ABSTRACT

Introduction: Multiple methods are available to reduce dosage miscalculations in the prescription of drugs during pediatric emergencies. Objective: To compare the frequency of dosage miscalculations incurred during pediatric emergency simulations by a group of physicians using a smartphone application with a group of professionals using conventional methods. Material and methods: Ambispective, observational, analytical study with historical controls, including paediatricians and pediatric residents from a workshop on pediatric emergency simulation cases. Participants were provided with a dose-calculation app. Prescriptions were evaluated and considered accurate if they ranged ± 10% of the appropriate dose. Prescriptions errors rates were then compared with those from a similar previous study which used conventional calculation tools (calculator, tape measures, and tables). Proportions and their corresponding 95% CI were calculated. A test of independent binomial proportions was used for comparisons. Results: During the 11 day workshop 42 clinical case simulations were performed by 101 physicians (76 residents and 25 pediatricians). Of these cases 25 used the app for estimating medication dosages, with no miscalculations, compared to a 10% miscalculation rate in the control group (120 cases overall). The experimental group vs control group difference was 10% (95% CI: 4.63-15.4; p-value < 0.001). Conclusion: Using a smartphone application to estimate drug dosing markedly reduces the dose miscalculation rate in pediatric emergency high-fidelity simulation cases.

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