Literature DB >> 11971830

The development of a computerised equipment and drug calculator for use in resuscitation.

T Shannon1, A Ratchford, D Southward, A Hildreth.   

Abstract

OBJECTIVES: To design a computerised system of calculating resuscitation requirements and to test this system to ensure that it gives accurate and fast results, so that it could potentially be used in the resuscitation of patients in a accident and emergency (A&E) department.
METHODS: Using internet based technology we have developed a program that runs inside most web browsers and can be used to calculate several parameters (including endotracheal tube dimensions and drug doses). The only value that is required is the age of the patient. The weight is calculated and can be adjusted if known. The resuscitation requirement calculations are made from the weight. The program was then tested on staff members in the department to calculate theoretical resuscitation requirements for paediatric and adult patients. Accuracy and speed of the computerised calculator was compared with the conventional paper based calculation methods.
RESULTS: Subjects performed better using the computerised calculator. On average they made significantly fewer errors (21.4% more accurate than using conventional methods) and were three times faster.
CONCLUSION: The computerised calculator has proved, in a controlled setting, to be a more accurate and faster way of calculating resuscitation requirements than conventional methods.

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Year:  2002        PMID: 11971830      PMCID: PMC1725866          DOI: 10.1136/emj.19.3.215

Source DB:  PubMed          Journal:  Emerg Med J        ISSN: 1472-0205            Impact factor:   2.740


  14 in total

1.  Using information technology to reduce rates of medication errors in hospitals.

Authors:  D W Bates
Journal:  BMJ       Date:  2000-03-18

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Authors:  J H Proost; D K Meijer
Journal:  Comput Biol Med       Date:  1992-05       Impact factor: 4.589

3.  The nature of adverse events in hospitalized patients. Results of the Harvard Medical Practice Study II.

Authors:  L L Leape; T A Brennan; N Laird; A G Lawthers; A R Localio; B A Barnes; L Hebert; J P Newhouse; P C Weiler; H Hiatt
Journal:  N Engl J Med       Date:  1991-02-07       Impact factor: 91.245

4.  Medication prescribing errors in a teaching hospital.

Authors:  T S Lesar; L L Briceland; K Delcoure; J C Parmalee; V Masta-Gornic; H Pohl
Journal:  JAMA       Date:  1990-05-02       Impact factor: 56.272

5.  Incidence of adverse drug events and potential adverse drug events. Implications for prevention. ADE Prevention Study Group.

Authors:  D W Bates; D J Cullen; N Laird; L A Petersen; S D Small; D Servi; G Laffel; B J Sweitzer; B F Shea; R Hallisey
Journal:  JAMA       Date:  1995-07-05       Impact factor: 56.272

6.  Calculator assisted determination of dilutions for continuous infusion ICU medications.

Authors:  J Neu; C Mahoney; A D Wilson; T B Rice
Journal:  Crit Care Med       Date:  1982-09       Impact factor: 7.598

7.  The impact of computerized physician order entry on medication error prevention.

Authors:  D W Bates; J M Teich; J Lee; D Seger; G J Kuperman; N Ma'Luf; D Boyle; L Leape
Journal:  J Am Med Inform Assoc       Date:  1999 Jul-Aug       Impact factor: 4.497

8.  Implementation of rules based computerised bedside prescribing and administration: intervention study.

Authors:  P G Nightingale; D Adu; N T Richards; M Peters
Journal:  BMJ       Date:  2000-03-18

9.  Incidence and preventability of adverse drug events in hospitalized adults.

Authors:  D W Bates; L L Leape; S Petrycki
Journal:  J Gen Intern Med       Date:  1993-06       Impact factor: 5.128

Review 10.  Computer assisted prescribing of drugs.

Authors:  G E Mawer
Journal:  Clin Pharmacokinet       Date:  1976       Impact factor: 6.447

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  3 in total

1.  Computerized pharmaceutical algorithm reduces medication administration errors during simulated resuscitations.

Authors:  Girish G Deshpande; Adalberto Torres; David L Buchanan; Susan C Shane Gray; Suzanne C Brown; Theresa Hoadley; Patricia L Ruppel; Joseph D Tobias
Journal:  J Pediatr Pharmacol Ther       Date:  2010-10

2.  The Livingston Paediatric Dose Calculator.

Authors:  Matthew J Reed; Jane Fothergill
Journal:  Emerg Med J       Date:  2007-08       Impact factor: 2.740

3.  Medication preparation in pediatric emergencies: comparison of a web-based, standard-dose, bar code-enabled system and a traditional approach.

Authors:  Heather N Damhoff; Robert J Kuhn; Stephanie N Baker-Justice
Journal:  J Pediatr Pharmacol Ther       Date:  2014-07
  3 in total

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