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Updated: Jul 20, 2025

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Effectiveness of a Novel Tablet Application in Reducing Guideline Deviations During Pediatric Cardiac Arrest: A

Francesco Corazza1, Marta Arpone2, Giacomo Tardini2

  • 1Pediatric Emergency Division, Department of Women's and Children's Health, University Hospital of Padova, Padova, Italy.

JAMA Network Open
|August 3, 2023
PubMed

Insights

The PediAppRREST app significantly reduced guideline deviations during simulated pediatric cardiac arrest, improving team performance. This tool enhances resuscitation efforts for critically ill children.

Area of Science:

  • Pediatric Emergency Medicine
  • Clinical Resuscitation Science
  • Health Informatics

Background:

  • Deviations from international resuscitation guidelines are common in pediatric cardiac arrest management.
  • These deviations negatively impact clinical outcomes for critically ill children.
  • A novel interactive tablet application, PediAppRREST, was developed to address this issue.

Purpose of the Study:

  • To evaluate the effectiveness of the PediAppRREST application in improving pediatric cardiac arrest management.
  • To assess the app's impact on adherence to resuscitation guidelines in simulated in-hospital settings.

Main Methods:

  • A multicenter, 3-group, simulation-based randomized clinical trial involving 100 teams.
  • Participants included residents in pediatrics, emergency medicine, and anesthesiology.
  • Interventions: PediAppRREST app, paper-based Pediatric Advanced Life Support (PALS) card, or no cognitive aid.

Main Results:

  • The PediAppRREST group showed significantly fewer deviations from resuscitation guidelines compared to both control groups (P < .001).
  • Clinical Performance Tool scores were significantly higher in the PediAppRREST group versus controls (P = .002 vs. PALS; P = .01 vs. no aid).
  • No significant differences were observed in chest compression quality or perceived workload.

Conclusions:

  • The PediAppRREST application effectively reduces guideline deviations during simulated pediatric cardiac arrest.
  • Utilizing PediAppRREST leads to improved overall team clinical performance in resuscitation scenarios.
  • This technology holds promise for enhancing the quality of care during pediatric emergencies.
Abstract

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