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作者 Bernius, Morgen J
書名 Prevention of pediatric drug calculation errors by pre-hospital providers
國際標準書號 9780549379065
book jacket
說明 73 p
附註 Source: Masters Abstracts International, Volume: 46-04, page: 2097
Adviser: Richard Bissell
Thesis (M.S.)--University of Maryland, Baltimore County, 2007
Context. Calculation of weight-based drug dosages for pediatric patients is a difficult process with significant potential for human error, and in the pre-hospital setting, few safeguards currently avert these inevitable pediatric drug administration errors. The objective of this study was to determine whether use of a protocol-specific pediatric code card can enable pre-hospital providers to calculate more consistently accurate weight-based drug dosages, volumes of administration, and age-appropriate endotracheal tube sizes
Methods. Questionnaires containing sample calculations of medication dosages, volumes, and endotracheal tube sizes were administered to pre-hospital providers from June to November of 2006. Half of the participants performed the calculations with the pediatric code card as an aid, and half without. Calculations of the aided and non-aided participants were compared for rate and extent of calculation errors
Results. The mean individual percentage of correct responses for the group unaided by the pediatric code card was 65%; for the group aided by the pediatric code card, it was 94% (percentage difference 29%, 95% CI 25-31%, p < 0.0001). Of the respondents in the unaided group, 23 % gave the correct endotracheal tube size, while 98% of those in the aided group calculated the correct size (percentage difference 75%, 95% CI 70-81%, p < 0.0001)
Conclusions. With the use of the pediatric code card, pre-hospital providers are better able consistently to determine accurate weight-based drug dosages, volumes of administration, and endotracheal tube sizes, although errors are not completely eliminated
School code: 0434
Host Item Masters Abstracts International 46-04
主題 Health Sciences, Public Health
Alt Author University of Maryland, Baltimore County. Emergency Health Services
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