Patient Safety In Emergency Situations: A Web-Based Pediatric Arrest Medication Calculator

Blackledge, Charles G.; Veltri, Michael A.; Matlin, Carol; Sparkes, Wayne; Lehmann, Christoph U.

doi:10.1111/j.1945-1474.2006.tb00599.x

Cited by 3 publications

(3 citation statements)

References 5 publications

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“…While portable, electronic, formula-based calculators have been used in medicine for over 15 years, there have been few studies evaluating the time savings associated with their use [1,2,6]. Several studies have shown that calculators are more accurate than traditional calculations.…”

Section: Discussionmentioning

confidence: 99%

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Use of a Web-Based Calculator and a Structured Report Generator to Improve Efficiency, Accuracy, and Consistency of Radiology Reporting

Towbin

Hawkins

2017

J Digit Imaging

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While medical calculators are common, they are infrequently used in the day-to-day radiology practice. We hypothesized that a calculator coupled with a structured report generator would decrease the time required to interpret and dictate a study in addition to decreasing the number of errors in interpretation. A web-based application was created to help radiologists calculate leg-length discrepancies. A time motion study was performed to evaluate if the calculator helped to decrease the time for interpretation and dictation of leg-length radiographs. Two radiologists each evaluated two sets of ten radiographs, one set using the traditional pen and paper method and the other set using the calculator. The time to interpret each study and the time to dictate each study were recorded. In addition, each calculation was checked for errors. When comparing the two methods of calculating the leg lengths, the manual method was significantly slower than the calculator for all time points measured: the mean time to calculate the leg-length discrepancy (131.8 vs. 59.7 s; p < 0.001), the mean time to dictate the report (31.8 vs. 11 s; p < 0.001), and the mean total time (163.7 vs. 70.7 s; p < 0.001). Reports created by the calculator were more accurate than reports created via the manual method (100 vs. 90%), although this result was not significant (p = 0.16). A calculator with a structured report generator significantly improved the time required to calculate and dictate leg-length discrepancy studies.

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Section: Discussionmentioning

confidence: 99%

“…Medical calculators are common and are used to perform complex equations more efficiently and accurately [1][2][3][4]. These calculators are typically used by health care providers to determine values for specific formulas and require the user to input laboratory and/or demographic-based variables.…”

Section: Introductionmentioning

confidence: 99%

Use of a Web-Based Calculator and a Structured Report Generator to Improve Efficiency, Accuracy, and Consistency of Radiology Reporting

Towbin

Hawkins

2017

J Digit Imaging

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“…Context, Purpose, and Functions Automated calculation (of drug doses, dates, etc) eliminates manual computation errors, especially in high-stress situations 40 such as cardiopulmonary resuscitation of a child. For cases in which parameters (such as weight and height) are known, precalculated charts may provide an alternative.…”

Section: Cds: Clinical Calculatorsmentioning

confidence: 99%

Pediatric Aspects of Inpatient Health Information Technology Systems

Lehmann¹

2008

Pediatrics

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US adoption of health information technology as a path to improved quality of patient care (effectiveness, safety, timeliness, patient-centeredness, efficiency, and equity) has been promoted by the medical community. Children and infants (especially those with special health care needs) are at higher risk than are adults for medical errors and their consequences (particularly in environments in which children are not the primary patient population). However, development and adoption of health information technology tools and practices that promote pediatric quality and patient safety are lagging. Two inpatient clinical processesmedication delivery and patient care transitions-are discussed in terms of health information technology applications that support them and functions that are important to pediatric quality and safety. Pediatricians and their partners (pediatric nurses, pharmacists, etc) must develop awareness of technical and adaptive issues in adopting these tools and collaborate with organizational leaders and developers as advocates for the best interests and safety of pediatric patients. Pediatric health information technology adoption cannot be considered in terms of applications (such as electronic health records or computerized physician order entry) alone but must be considered globally in terms of technical (health information technology applications), organizational (structures and workflows of care), and cultural (stakeholders) aspects of what is best. Pediatrics 2008;122:e1287-e1296 INTRODUCTION US adoption of health information technology (HIT) has been advocated by federal agencies, health care industry groups, and patient-advocacy organizations as a major approach to improve patient safety through reduction and prevention of medical errors. 1-5 Adoption of HIT tools such as electronic health records (EHRs), computerized provider order entry (CPOE), and clinical decision support (CDS) is increasing, and although current implementation of all these HIT tools is not yet widespread in US hospitals, 6,7 most hospitals that provide care for children and infants use some form of an electronic information system to manage personal health information and other data that affect children's health. 8 Children and infants have vulnerabilities and needs that are distinct from adults with regard to the management of their clinical care and its associated information. The extended normal ranges of body weights, sizes, and physiologic responses require modifications of clinical, technical, and information workflows to provide pediatricspecific care that is safe. A systematic evidence base for design and implementation of effective HIT that improves care quality and safety is needed but lacking, 9 and recent observations and experience indicate that changes (such as the adoption of information technology) can introduce new and unanticipated errors. [10][11][12]

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