Prescribing in a paediatric emergency: A PERUKI survey of prescribing and resuscitation aids

Jahn, Haiko Kurt; Jahn, Ingo; Roland, Damian; Behringer, Wilhelm; Lyttle, Mark D

doi:10.1111/apa.15551

Cited by 10 publications

(6 citation statements)

References 17 publications

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“…The app was used from January 2016 to December 2019 for 59,375 children whose median age was 1 year (IQR 0-3 years). The app was used for 33,874 (57.05%) infants, 16 Table 2 shows the clinical characteristics of the patients for whom the app was used. Among the 62,542 chief complaints selected, 49,101 (78.51%) were "sickness" and 13,441 (21.49%) were "injury, poisoning, foreign substances and others."…”

Section: Resultsmentioning

confidence: 99%

“…Many mobile apps for medical personnel have been developed in the field of pediatric emergency medicine. For instance, another study on medical app use in Irish pediatric emergency departments reported that one-third of medical facilities and about half of the medical personnel had medical apps installed on their personal mobile devices, with the most adopted app being the British National Formulary app developed by the NHS [ 16 ]. However, the effectiveness of medical apps used by the general public has not been well evaluated.…”

Section: Discussionmentioning

confidence: 99%

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A Mobile App for Self-Triage for Pediatric Emergency Patients in Japan: 4 Year Descriptive Epidemiological Study

Katayama¹,

Kiyohara²,

Hirose³

et al. 2021

JMIR Pediatr Parent

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Background When children suffer sudden illness or injury, many parents wonder whether they should go to the hospital immediately or call an ambulance. In 2015, we developed a mobile app that allows parents or guardians to determine the urgency of their child’s condition or call an ambulance and that indicates available hospitals and clinics when their child is suddenly sick or injured by simple selection of the child’s chief complaints and symptoms. However, the effectiveness of medical apps used by the general public has not been well evaluated. Objective The purpose of this study was to clarify the use profile of this mobile app based on data usage in the app. Methods This study was a descriptive epidemiological study with a 4-year study period running from January 2016 to December 2019. We included cases in which the app was used either by the children themselves or by their parents and other guardians. Cases in which the app was downloaded but never actually used were excluded from this study. Continuous variables are presented as median and IQR, and categorical variables are presented as actual number and percentages. Results The app was used during the study period for 59,375 children whose median age was 1 year (IQR 0-3 years). The app was used for 33,874 (57.05%) infants, 16,228 (27.33%) toddlers, 8102 (13.65%) elementary school students, and 1117 (1.88%) junior high school students, with 54 (0.09%) having an unknown status. Furthermore, 31,519 (53.08%) were male and 27,329 (46.03%) were female, with sex being unknown for 527 (0.89%) children. “Sickness” was chosen for 49,101 (78.51%) patients, and “injury, poisoning, foreign, substances and others” was chosen for 13,441 (21.49%). For “sickness,” “fever” was the most commonly selected option (22,773, 36.41%), followed by “cough” (4054, 6.48%), and “nausea/vomiting” (3528, 5.64%), whereas for “injury, poisoning, foreign substances and others,” “head and neck injury” was the most commonly selected option (3887, 6.22%), followed by “face and extremities injury” (1493, 2.39%) and “injury and foreign substances in eyes” (1255, 2.01%). Conclusions This study clarified the profile of use of a self-triage app for pediatric emergency patients in Japan.

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Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

A Mobile App for Self-Triage for Pediatric Emergency Patients in Japan: 4 Year Descriptive Epidemiological Study

Katayama¹,

Kiyohara²,

Hirose³

et al. 2021

JMIR Pediatr Parent

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“…Peer‐reviewed articles have documented the use of apps in veterinary medicine in small animals, 18 horses, 19 food animals, 20 and exotic animals 21 . Furthermore, smart phone apps are ubiquitous in human medical disciplines, such as burn management, 22 dermatology, 23 pediatrics, 24 emergency medicine, 25 and surgery 26 …”

Section: Discussionmentioning

confidence: 99%

Can apps be used to formulate fluid therapy plans in veterinary medicine?

Zduoba

House

Rowe

2022

Veterinary Internal Medicne

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Background Formulating sophisticated fluid therapy plans can be complicated and time consuming. Consequently, veterinarians in the field who lack experience, time, or confidence may formulate suboptimal fluid therapy plans. Objectives Compare conventional and app‐guided fluid therapy plans for simulated cases of neonatal calf diarrhea. Participants Third and fourth year veterinary students (n = 55) from The University of Sydney. Methods We developed a web app to assist fluid therapy formulation (http://calfaid.com) that was evaluated in a randomized case simulation trial. Participants were instructed to perform fluid therapy calculations and formulate an integrated fluid therapy plan for case scenarios using conventional methods and using the fluid therapy app. Responses were scored by a blinded study investigator using an a priori scoring guide and groups (conventional vs. app‐guided) were compared using linear mixed models. Results On average, total scores for app‐guided fluid therapy calculations were 20.6% points higher (95% confidence interval [CI], 14.1‐27.1) than calculations completed using the conventional method (88.2% vs. 67.5%, respectively). On average, total scores for app‐guided integrated fluid therapy plans were 14.2% points higher (95% CI, 6.3‐22.2; 65.8% vs. 51.2%). Eighty percent of respondents indicated they would prefer to use the app‐guided method over the conventional method. Conclusion and Clinical Importance Our findings suggest that fluid therapy plans can be improved using apps.

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“…In the United Kingdom, where this study was conducted, the National Institute for Health Research (NIHR) deem health care professional research of this kind as not requiring formal ethical review (hra-decisiontools.org.uk). evaluative questionnaires run for Pediatric Acute Care topics of investigation (12,13).…”

Section: Methodsmentioning

confidence: 99%

Impact of Diversity in Training Resources on Self-Confidence in Diagnosing Skin Conditions Across a Range of Skin Tones: An International Survey

et al. 2022

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BackgroundMedical images are invaluable in facilitating recognition of clinical signs. Recent studies highlight a lack of diversity of skin tone images used within medical education. However, there is a paucity of data on the impact of this on patient care.AimsTo investigate diversity in training resources used by users of an International online teaching platform and self-confidence in diagnosing skin conditions in all skin tones.MethodsUsers of an online teaching platform (www.dftbskindeep.com) were invited to participate in a survey evaluating key points including geographical location, ethnicity, profession, specialty, years of experience, training resources and confidence in diagnosing skin conditions. Data analyses were performed using SPSS. Categorical variables were presented as proportions. Chi-squared or Fisher's exact tests were used to compare the distribution between groups as appropriate.ResultsOf 600 participants, 74% reported training resources featuring predominantly white skin. Participants were “generally uncertain” in 43% cases, “sometimes uncertain but clinically safe” (52%), and “confident across a range of skin tones” in a minority (5%). Self-confidence was associated with location [higher in Africa (29%) and Latin America (11%), (p < 0.001)]; diversity of training resources [higher with a mix (10%) or darker tones (20%) (p < 0.001)]; clinical experience [6–10 (5%) or >10 years of practice (11%) (p < 0.001)] and specialty [highest in dermatologists (53%, p < 0.001)]. Self-confidence was lowest among pediatricians, emergency medicine and pediatric emergency medicine specialists (<5%).ConclusionsThese data provide preliminary evidence that training resources used by healthcare professionals on a global scale may lack enough diversity on representation of skin images, and a lack of self-confidence in diagnosing pediatric skin conditions. Further work is needed to understand the impact on knowledge and patient care to ensure equitable healthcare for all.

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Prescribing in a paediatric emergency: A PERUKI survey of prescribing and resuscitation aids

Cited by 10 publications

References 17 publications

A Mobile App for Self-Triage for Pediatric Emergency Patients in Japan: 4 Year Descriptive Epidemiological Study

A Mobile App for Self-Triage for Pediatric Emergency Patients in Japan: 4 Year Descriptive Epidemiological Study

Can apps be used to formulate fluid therapy plans in veterinary medicine?

Impact of Diversity in Training Resources on Self-Confidence in Diagnosing Skin Conditions Across a Range of Skin Tones: An International Survey

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