Pre-calculated Doses of Medication for Pediatric Resuscitation, a Simulation Experimental Trial

Study Overview
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Brief Summary
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Dosage errors are common in the stressful situation of a pediatric resuscitation. In addition to that, studies have reported that delays to provide medication is associated to worst survival rate for very sick children. To minimize delays and error, the investigators recently published a resuscitation handbook who provides drug dosages for each weight for children thus eliminating the need for dosage calculation. Once the weight of the patient is known, the physicians only have to open the book at the page corresponding to the weight and all the medications with their calculated dosage are provided. The primary goal of this study is to evaluate the number of dosage error during simulated pediatric resuscitation comparing residents using the handbook vs. utilisation of a chart providing non-calculated dosage. This will be an experimental crossover trial among 40 residents performing four simulated case-scenarios in a high-fidelity simulation lab.

Official Title
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Pre-calculated Doses of Medication for Pediatric Resuscitation, a Simulation Cross-over Randomized Experimental Trial

Conditions
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Healthy

Intervention / Treatment
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* Other: Handbook
* Other: Medication chart


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Residents doing a rotation in pediatrics emergency medicine Exclusion Criteria: Resident who participated in a previous month
Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Crossover Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Handbook<br>Resuscitation handbook who provides drug dosages for each weight for children. For example, at the page of 15 kg, it is written that the dosage of epinephrin is 1.5 cc of 1: 10 000. | Other: Handbook<br>* Resuscitation handbook who provides drug dosages for each weight for children. For example, at the page of 15 kg, it is written that the dosage of epinephrin is 1.5 cc of 1: 10 000.<br>|
| Active Comparator: Medication chart<br>Medication chart who provides drug dosages for each weight for children. For example,it is written that the dosage of epinephrin is 0.01 mg/kg. | Other: Medication chart<br>* Medication chart who provides drug dosages for each weight for children. For example,it is written that the dosage of epinephrin is 0.01 mg/kg.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Having at least one dosage error in any of the medications during the case for a participant | Difference of > 10% of the recommended drug dosage for any of the medication provided during the simulated case scenario. To be perfect, there must be no error among all drugs provided. | During the simulation (10 minutes) | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Dosage error in any for all individual medications during the case for a participant | Difference of > 10% of the recommended drug dosage for any of the medication provided during the simulated case scenario | During the simulation (10 minutes) | 
| Time for first drug prescription for each case per participant | Time required for the prescription of the first dose of medication. From beginning of the case until the first dose of epinephrine is completely prescribed (Dosage included) | During the simulation (10 minutes) | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Children, resuscitation, simulation, medication error