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Effect of a Mobile App on Medication Errors During Simulated Pediatric Cardiopulmonary Resuscitation: PEDIDOSIS App

Ana Martínez-Serrano1, Héctor Ruiz-Rojo2, Margarita Ruano Encinar1

  • 1Pediatric Emergency Department, La Paz University Hospital, Madrid, 28029, Spain.

Journal of Medical Systems
|June 19, 2026
PubMed

Insights

The PEDIDOSIS smartphone app significantly reduced medication errors in simulated pediatric emergencies compared to conventional methods. This mHealth tool improved drug administration accuracy and nurse satisfaction during critical care scenarios.

Area of Science:

  • Pediatric Emergency Medicine
  • Health Informatics
  • Nursing Practice

Background:

  • Pediatric cardiopulmonary arrest has high mortality and morbidity.
  • Accurate drug administration is crucial for resuscitation outcomes.
  • Current cognitive aids for nurses may lead to medication errors.

Purpose of the Study:

  • To evaluate the efficacy and usefulness of the PEDIDOSIS smartphone application (app) for nursing staff in a simulated pediatric emergency setting.
  • To compare medication error rates and administration times between the PEDIDOSIS app and conventional methods.
  • To assess nurse satisfaction, stress levels, and usability of the PEDIDOSIS app.

Main Methods:

  • A multicentre, high-fidelity simulation-based randomized controlled trial was conducted with 105 nurses in Spain.
  • Participants were randomized to use the PEDIDOSIS app or conventional methods (e.g., paper tables, calculators).
  • Medication errors, administration times, stress, satisfaction, and usability were evaluated using video recording and standardized surveys.

Main Results:

  • The incidence of wrong dose administration was significantly lower with the PEDIDOSIS app (26.4%) compared to conventional methods (51.5%) (p < 0.001).
  • The proportion of participants committing multiple medication errors was substantially lower with the app (15.1%) versus conventional methods (57.7%).
  • Nurses using the app reported higher satisfaction and lower stress levels, with a System Usability Scale score of 78.9.

Conclusions:

  • The PEDIDOSIS smartphone app is an effective tool for reducing medication errors in pediatric resuscitation.
  • mHealth applications like PEDIDOSIS can improve the accuracy and safety of drug administration by nursing staff.
  • The app demonstrates high usability and contributes to a better user experience for nurses in emergency settings.

Keywords:
Administration, IntravenousEmergenciesMedication ErrorsNursingPediatricsmHealth

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