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Enhancing pediatric safety: assessing and improving resident competency in life-threatening events with a computer-based interactive resuscitation tool.

Publication ,  Journal Article
Lerner, C; Gaca, AM; Frush, DP; Hohenhaus, S; Ancarana, A; Seelinger, TA; Frush, K
Published in: Pediatr Radiol
July 2009

BACKGROUND: Though rare, allergic reactions occur as a result of administration of low osmolality nonionic iodinated contrast material to pediatric patients. Currently available resuscitation aids are inadequate in guiding radiologists' initial management of such reactions. OBJECTIVE: To compare radiology resident competency with and without a computer-based interactive resuscitation tool in the management of life-threatening events in pediatric patients. MATERIALS AND METHODS: The study was approved by the IRB. Radiology residents (n = 19; 14 male, 5 female; 19 certified in basic life support/advanced cardiac life support; 1 certified in pediatric advanced life support) were videotaped during two simulated 5-min anaphylaxis scenarios involving 18-month-old and 8-year-old mannequins (order randomized). No advance warning was given. In half of the scenarios, a computer-based interactive resuscitation tool with a response-driven decision tree was available to residents (order randomized). Competency measures included: calling a code, administering oxygen and epinephrine, and correctly dosing epinephrine. RESULTS: Residents performed significantly more essential interventions with the computer-based resuscitation tool than without (72/76 vs. 49/76, P < 0.001). Significantly more residents appropriately dosed epinephrine with the tool than without (17/19 vs. 1/19; P < 0.001). More residents called a code with the tool than without (17/19 vs. 14/19; P = 0.08). A learning effect was present: average times to call a code, request oxygen, and administer epinephrine were shorter in the second scenario (129 vs. 93 s, P = 0.24; 52 vs. 30 s, P < 0.001; 152 vs. 82 s, P = 0.025, respectively). All the trainees found the resuscitation tool helpful and potentially useful in a true pediatric emergency. CONCLUSION: A computer-based interactive resuscitation tool significantly improved resident performance in managing pediatric emergencies in the radiology department.

Duke Scholars

Published In

Pediatr Radiol

DOI

EISSN

1432-1998

Publication Date

July 2009

Volume

39

Issue

7

Start / End Page

703 / 709

Location

Germany

Related Subject Headings

  • United States
  • Safety Management
  • Resuscitation
  • Professional Competence
  • Pediatrics
  • Nuclear Medicine & Medical Imaging
  • Manikins
  • Male
  • Internship and Residency
  • Infant
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Lerner, C., Gaca, A. M., Frush, D. P., Hohenhaus, S., Ancarana, A., Seelinger, T. A., & Frush, K. (2009). Enhancing pediatric safety: assessing and improving resident competency in life-threatening events with a computer-based interactive resuscitation tool. Pediatr Radiol, 39(7), 703–709. https://doi.org/10.1007/s00247-009-1265-y
Lerner, Catherine, Ana M. Gaca, Donald P. Frush, Sue Hohenhaus, Anjanette Ancarana, Terry A. Seelinger, and Karen Frush. “Enhancing pediatric safety: assessing and improving resident competency in life-threatening events with a computer-based interactive resuscitation tool.Pediatr Radiol 39, no. 7 (July 2009): 703–9. https://doi.org/10.1007/s00247-009-1265-y.
Lerner C, Gaca AM, Frush DP, Hohenhaus S, Ancarana A, Seelinger TA, et al. Enhancing pediatric safety: assessing and improving resident competency in life-threatening events with a computer-based interactive resuscitation tool. Pediatr Radiol. 2009 Jul;39(7):703–9.
Lerner, Catherine, et al. “Enhancing pediatric safety: assessing and improving resident competency in life-threatening events with a computer-based interactive resuscitation tool.Pediatr Radiol, vol. 39, no. 7, July 2009, pp. 703–09. Pubmed, doi:10.1007/s00247-009-1265-y.
Lerner C, Gaca AM, Frush DP, Hohenhaus S, Ancarana A, Seelinger TA, Frush K. Enhancing pediatric safety: assessing and improving resident competency in life-threatening events with a computer-based interactive resuscitation tool. Pediatr Radiol. 2009 Jul;39(7):703–709.
Journal cover image

Published In

Pediatr Radiol

DOI

EISSN

1432-1998

Publication Date

July 2009

Volume

39

Issue

7

Start / End Page

703 / 709

Location

Germany

Related Subject Headings

  • United States
  • Safety Management
  • Resuscitation
  • Professional Competence
  • Pediatrics
  • Nuclear Medicine & Medical Imaging
  • Manikins
  • Male
  • Internship and Residency
  • Infant