Pia Madeleine Schumacher1, Almuth Kaune2, Andreas Merkenschlager3, Matthias Karl Bernhard4, Wieland Kiess5, Martina Patrizia Neininger6, Astrid Bertsche7, Thilo Bertsche8. 1. Drug Safety Center and Dept. of Clinical Pharmacy, Leipzig University, Brüderstraße 32, 04103 Leipzig, Germany. Electronic address: pia.schumacher@uni-leipzig.de. 2. Drug Safety Center and Dept. of Clinical Pharmacy, Leipzig University, Brüderstraße 32, 04103 Leipzig, Germany. Electronic address: almuth.kaune@uni-leipzig.de. 3. University Hospital for Children and Adolescents, Centre of Pediatric Research, Liebigstraße 20a, 04103 Leipzig, Germany. Electronic address: andreas.merkenschlager@medizin.uni-leipzig.de. 4. University Hospital for Children and Adolescents, Centre of Pediatric Research, Liebigstraße 20a, 04103 Leipzig, Germany. Electronic address: matthias.bernhard@medizin.uni-leipzig.de. 5. University Hospital for Children and Adolescents, Centre of Pediatric Research, Liebigstraße 20a, 04103 Leipzig, Germany. Electronic address: wieland.kiess@medizin.uni-leipig.de. 6. Drug Safety Center and Dept. of Clinical Pharmacy, Leipzig University, Brüderstraße 32, 04103 Leipzig, Germany. Electronic address: martina.neininger@uni-leipzig.de. 7. University Hospital for Children and Adolescents, Centre of Pediatric Research, Liebigstraße 20a, 04103 Leipzig, Germany. Electronic address: astrid.bertsche@medizin.uni-leipzig.de. 8. Drug Safety Center and Dept. of Clinical Pharmacy, Leipzig University, Brüderstraße 32, 04103 Leipzig, Germany. Electronic address: thilo.bertsche@uni-leipzig.de.
Abstract
OBJECTIVE:Parents of children with epilepsy are at risk of committing high-risk handling errors with a high potential to harm the patient when administering anticonvulsant rescue medication. We developed a training concept addressing identified high-risk handling errors and investigated its effects on parents' skills. STUDY DESIGN: In a controlled prospective intervention study, parents of children with epilepsy were asked to demonstrate their administration of rescue medication by using dummy dolls. A clinical pharmacist monitored rectal or buccal administration and addressed errors in the intervention group with training and information sheets. Three to 6weeks later, intervention's sustainability was assessed at a home visit. RESULTS:One hundred sixty-one parents completed full study assessment: 92 in the intervention group and 69 in the control group. The number of processes with at least one handling error was reduced from 96.4% to 56.7% in rectal tube administration and from 66.7% to 13.5% in buccal administration (both p<0.001). CONCLUSION: A one-time intervention for parents significantly and sustainably reduced high-risk handling errors. Dummy dolls and information sheet were adequate for an effective and feasible training to support the correct administration of anticonvulsant rescue medication.
RCT Entities:
OBJECTIVE: Parents of children with epilepsy are at risk of committing high-risk handling errors with a high potential to harm the patient when administering anticonvulsant rescue medication. We developed a training concept addressing identified high-risk handling errors and investigated its effects on parents' skills. STUDY DESIGN: In a controlled prospective intervention study, parents of children with epilepsy were asked to demonstrate their administration of rescue medication by using dummy dolls. A clinical pharmacist monitored rectal or buccal administration and addressed errors in the intervention group with training and information sheets. Three to 6weeks later, intervention's sustainability was assessed at a home visit. RESULTS: One hundred sixty-one parents completed full study assessment: 92 in the intervention group and 69 in the control group. The number of processes with at least one handling error was reduced from 96.4% to 56.7% in rectal tube administration and from 66.7% to 13.5% in buccal administration (both p<0.001). CONCLUSION: A one-time intervention for parents significantly and sustainably reduced high-risk handling errors. Dummy dolls and information sheet were adequate for an effective and feasible training to support the correct administration of anticonvulsant rescue medication.
Authors: Martina P Neininger; Sarah Jeschke; Lisa M Kiesel; Thilo Bertsche; Astrid Bertsche Journal: World J Pediatr Date: 2021-11-13 Impact factor: 2.764