Effect of an Intervention Standardization System on Pediatric Dosing and Equipment Size Determination

Shah, Amit; Frush, Karen; Luo, Xuemei; Wears, Robert L.

doi:10.1001/archpedi.157.3.229

Cited by 96 publications

(71 citation statements)

References 31 publications

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“…For children, using a standardized dosing system based on weight, such as the Broselow tape, during simulations has been associated with significant reductions in deviations from recommended doses. 21 Use of these standardized dosing systems After intubation, a patient in septic shock was started on norepinephrine and vasopressin 0.4 units/min, as opposed to the intended 0.04 units/min. This 10-fold overdose that continued infusing in the patient was attributed as a likely cause of the patient subsequently having a myocardial infarction.…”

Section: Dosingmentioning

confidence: 99%

Medication Errors in Cardiopulmonary Arrest and Code-Related Situations

Flannery

Parli

2016

American Journal of Critical Care

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) was searched to identify relevant published studies on the overall frequency, types, and examples of medication errors during medical emergencies involving cardiopulmonary resuscitation and related situations, and the breakdown by type of error. The overall frequency of medication errors during medical emergencies, specifically situations related to resuscitation, is highly variable. Medication errors during such emergencies, particularly cardiopulmonary resuscitation and surrounding events, are not well characterized in the literature but may be more frequent than previously thought. Depending on whether research methods included database mining, simulation, or prospective observation of clinical practice, reported occurrence of medication errors during cardiopulmonary resuscitation and surrounding events has ranged from less than 1% to 50%. Because of the chaos of the resuscitation environment, errors in prescribing, dosing, preparing, labeling, and administering drugs are prone to occur. System-based strategies, such as infusion pump policies and code cart management, as well as personal strategies exist to minimize medication errors during emergency situations.

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Section: Dosingmentioning

confidence: 99%

Medication Errors in Cardiopulmonary Arrest and Code-Related Situations

Flannery

Parli

2016

American Journal of Critical Care

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“…This tape allows the application of preset drug calculations and equipment sizes using an estimate of the child's weight based on the child's length. This system quickly and accurately estimates a child's weight, calculates drug doses and guides equipment size selection [79,86].…”

Section: …Think Ahead…mentioning

confidence: 99%

Resuscitation Team Organization for Emergency Departments: A Conceptual Review and Discussion

Mellick¹,

Adams²

2009

TOEMJ

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Abstract:In this article we discuss code or resuscitation team organization. The goals of this article are to define the questions surrounding code team organization and structure, discuss how organization can make a difference, review resuscitation systems and processes, and discuss aspects of team structure and performance. Issues of team performance include teamwork, leadership, communication and safety.

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“…Endotracheal intubation, venous access, and mechanical ventilation may all become "foreign" procedures. 16,17 The Broselow pediatric emergency tape was designed to alleviate a number of challenges in emergency care of children. 18 The Broselow tape is a 146.5 cm strip of laminated paper divided into colored regions that correspond to patient height.…”

Section: Assessment Of Disaster Preparedness In the United Statesmentioning

confidence: 99%

Disaster Planning for Pediatrics

Branson

2011

Respir Care

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Natural and man-made disasters are inevitable and appear to be more common in the current age. Substantial time and effort have been invested and millions of dollars spent on disaster prevention and management. An important oversight in this planning has been the special needs of children. The vulnerability of children and their physiologic characteristics place them at increased risk during a disaster. Importantly, reunification with family and assurance of safety in this vulnerable group is a priority. This paper addresses issues related to pediatric needs, the medical system's shortcomings in caring for children, and recommendations for action.

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Effect of an Intervention Standardization System on Pediatric Dosing and Equipment Size Determination

Cited by 96 publications

References 31 publications

Medication Errors in Cardiopulmonary Arrest and Code-Related Situations

Medication Errors in Cardiopulmonary Arrest and Code-Related Situations

Resuscitation Team Organization for Emergency Departments: A Conceptual Review and Discussion

Disaster Planning for Pediatrics

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