Universität zu Köln

Kaufmann, J., Engelhardt, T., Steinwegs, I, Hinkelbein, J., Piekarski, F., Laschat, M., Boehmer, A., Hellmich, M. and Wappler, F. (2019). The influence of education and experience on paediatric emergency drug dosing errors - an interventional questionnaire study using a tabular aid. Anasthesiol. Intensivmed., 60. S. 164 - 173. EBELSBACH: AKTIV DRUCK & VERLAG GMBH. ISSN 1439-0256

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Abstract

Background: Several interventions including reading drug doses from a table are known to reduce drug dosing errors in paediatric emergencies. The role of education and experience of the operator on the occurrence of these errors with or without supporting aids is unknown. Methods: Within an interventional questionnaire trial, medical professionals were first asked to indicate their training (nurse (N), medical student (MS), trainee (T) or consultant physician (CP)). They were then requested to calculate the dose of four emergency drugs within 2 minutes time for a child weighing 7 kg, first unaided and then with a tabular aid. Deviations from the recommended dose of 120% (DRD120), 300% (DRD300) and 1000% (DRD1000) with or without the tabular aid were measured. Results: A total of 186 questionnaires and 1,326 drug prescriptions were available. CP made less unaided emergency drug dosing errors e.g. with epinephrine when compared to T, N and MS (DRD120: CP 18%, T 23%, N 50% and MS 78%, respectively). With the tabular aid, fewer errors were made (DRD120: CP 7% (p=0.031), T 9% (p=0.375), N 11% (p=0.016), MS 0% (p<0.001)). The tabular aid greatly reduced errors in N and MS, eliminating DRD1000 in N and all DRDs in MS. Despite the tabular aid, CP and T continued to make potentially life-threatening errors when prescribing epinephrine. Conclusions: Although CP and T made fewer unaided emergency drug dosing errors, they failed to gain comparable benefits from a tabular aid. Strict adherence to safety structures and implementation of a safety culture is required to further reduce paediatric emergency drug prescription errors.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Kaufmann, J. UNSPECIFIED UNSPECIFIED UNSPECIFIED Engelhardt, T. UNSPECIFIED UNSPECIFIED UNSPECIFIED Steinwegs, I UNSPECIFIED UNSPECIFIED UNSPECIFIED Hinkelbein, J. UNSPECIFIED UNSPECIFIED UNSPECIFIED Piekarski, F. UNSPECIFIED UNSPECIFIED UNSPECIFIED Laschat, M. UNSPECIFIED UNSPECIFIED UNSPECIFIED Boehmer, A. UNSPECIFIED UNSPECIFIED UNSPECIFIED Hellmich, M. UNSPECIFIED UNSPECIFIED UNSPECIFIED Wappler, F. UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-151593
DOI:	10.19224/ai2019.164
Journal or Publication Title:	Anasthesiol. Intensivmed.
Volume:	60
Page Range:	S. 164 - 173
Date:	2019
Publisher:	AKTIV DRUCK & VERLAG GMBH
Place of Publication:	EBELSBACH
ISSN:	1439-0256
Language:	German
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language RESUSCITATION COUNCIL GUIDELINES; MEDICATION ERRORS; EPINEPHRINE; MEDICINE; EVENTS Multiple languages Anesthesiology; Critical Care Medicine Multiple languages
Refereed:	Yes
URI:	http://kups.ub.uni-koeln.de/id/eprint/15159