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在减少小儿阿片类药物剂量计算错误方面比较临床决策支持工具的有效性:PediPain App与PediPain App. 传统计算器 - - 一个基于模拟的随机受控研究
Clyde T Matava1,2, Martina Bordini3,4,5, Amanda Jasudavisius3,6
1Department of Anesthesia and Pain Medicine, The Hospital for Sick Children, 555 University Avenue, Toronto, ON, M5G 1X8, Canada. clyde.matava@sickkids.ca.
Journal of medical systems
|April 17, 2024
概括
与传统计算器相比,PediPain应用程序在儿科疼痛管理中显著减少了药物错误. 这种临床决策支持工具提高了儿童药物剂量计算的准确性和效率.
科学领域:
- 儿科药理学和药物安全
- 临床决策支持系统临床决策支持系统
- 医疗信息学 医疗信息学
背景情况:
- 药物错误,特别是错误的剂量计算,是儿科护理中的一个重大问题,通常源于基于体重的剂量复杂性.
- 准确和及时的药物剂量计算对于有效的儿童疼痛管理至关重要.
研究的目的:
- 评估PediPain应用程序的有效性,这是一个临床决策支持工具,用于减少儿科止痛药的药物计算错误.
- 为了比较错误剂量计算的发生率和使用PediPain应用程序与口袋计算器所需的时间.
主要方法:
- 一个随机对照试验,涉及140名医疗保健提供者 (住院医生,研究员,护士) 进行八种基于体重的止痛剂量计算.
- 参与者被分配到PediPain应用程序 (干预组) 或口袋计算器 (对照组).
- 主要结果:错误剂量计算的发生率. 二次结果包括计算时间和错误类型.
主要成果:
- 与对照组 (30.9%) 相比,PediPain应用程序组显示错误剂量计算的发生率明显较低 (4.23%),P < 0.001.
- 使用PediPain应用程序 (中位数48秒) 的剂量计算比使用口袋计算器 (中位数69秒) 更快,P<0.001.
- 该应用程序在复杂的 (-32.8%) 和简单的 (-20.5%) 计算中显示出显著的风险降低.
结论:
- 基于体重的临床决策支持工具PediPain应用程序有效地减少了儿科疼痛管理中的药物计算错误.
- 用于药物计算的临床决策支持工具对于尽量减少儿科患者药物错误非常有价值.
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