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A Mobile Application to Reduce Time to Calculate Medication Dosage and Medication Administration Errors in Simulated
Somaye Norouzi1,2, Zahra Sarkohi3, Leila Alizadeh4
1Non-Communicable Diseases Research Center Sabzevar University of Medical Sciences Sabzevar Iran.
Insights
This study evaluates a mobile Medication Administration Clinical Decision Support System (MACDSS) to reduce medication errors and calculation time in pediatric and neonatal care. The MACDSS shows promise for improving patient safety and efficiency.
Area of Science:
- Pediatric Pharmacology
- Clinical Informatics
- Patient Safety
Background:
- Pediatric and neonatal patients face higher risks of adverse drug events and medication errors.
- Medication administration is a critical final step in preventing patient harm.
- There is a significant need for innovative solutions to reduce medication errors and dosage calculation times in pediatric care.
Purpose of the Study:
- To assess the effectiveness of a Medication Administration Clinical Decision Support System (MACDSS) compared to traditional methods.
- To evaluate the impact of MACDSS on medication administration errors and dosage calculation time in simulated pediatric and neonatal settings.
Main Methods:
- An open-label, randomized controlled trial using a cross-over design.
- 16 participants will engage in nine realistic simulated scenarios of varying complexity.
- Data collection focuses on time to calculate medication dosage and medication administration errors.
Main Results:
- The study aims to determine if MACDSS reduces the time nurses spend calculating medication dosages.
- The research will quantify the impact of MACDSS on the rate of medication administration errors.
Conclusions:
- A mobile MACDSS application has the potential to significantly decrease dosage calculation time and medication errors.
- If proven effective, MACDSS could be a cost-effective tool for improving pediatric and neonatal patient outcomes.
Background:
Pediatric and neonate medication safety is a major issue. Children are at a higher risk of adverse drug events and medication errors than adults. As the mediation administration is the final stage of protection to impede potential unintentional adverse effects on patients. Thus, there is a strong need for research to explore new ways of reducing medication administration errors and time to calculate medication dosage in the pediatric and neonatal context. The objective is to assess the effectiveness of the Medication Administration Clinical Decision Support Systems (MACDSS) compared to the traditional method in a simulated environment for pediatric and neonatal care.
Methods:
An open-label (unmasked), two-treatment, two-period, cross-over randomized controlled trial will be conducted in pediatric and neonatal settings with simulated scenarios to assess time to calculate medication dosage and medication administration errors with the MACDSS application compared to the traditional method. This study will recruit 16 participants randomly (1:1) from the Afzali-poor hospital in Kerman. The participants are supposed to perform nine highly realistic scenarios, three at a high level of complexity, three at a medium level, and three simple scenarios. For the cross-over stage, different scenarios at the same level of complexity will be presented. The main outcome will be the time spent to calculate the drug dosage by the nurse.
Conclusion:
Developing a MACDSS as a mobile application may significantly improve the time needed to calculate dosage or amount and lower medication administration errors. If this application proves to be effective, it can be a very cost-effective means of improving outcomes in the medication administration process, positively affecting many pediatrics and neonates' patients.
Trial Registration:
Irct.behdasht.gov.ir, ID: IRCT20240409061457N1 registered on June 22, 2024.
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