![]() ![]() Greatest areas Pediatrics Emergency Department Pediatrics: reliance on dosage equations was major cause of error Out of 200 consecutive medication prescribing errors, nearly 70% occurred in Pediatric Patients. This problem is costing them money.ħ Lesar study Medication error rate in tertiary care center Over half of general public followed the story closely. These data suggest that sites caring for pediatric patients should consider modeling their resuscitation carts after the Broselow cart to enhance provider confidence and patient safety.Color Coding Kids: The Broselow-Luten Systemĭeaths: 44,000 to 98,000 Cost: 17 to 29 Billion Dollars “Wake up Call” Can argue with statistics hard to argue that we should decrease medical errors or that it is a significant problem. In addition, subjects located intubation equipment and nasogastric tubes significantly faster when using the Broselow cart, and correct equipment was provided significantly more often with the Broselow cart. Despite less prior experience with the Broselow cart, subjects in this study found it easier to use and preferred it over the standard cart. Ten percent of the subjects had prior experience with the Broselow cart versus 62% having experience with the standard cart.Ĭonclusions. ![]() Correct equipment was provided a statistically significant 99% of the time with the Broselow cart versus 83% of the time with the standard cart. Intubation supplies and nasogastric tubes were found significantly faster when using the Broselow cart (mean time: 29.1 and 20 seconds, respectively) versus the standard cart (mean time: 38.7 and 38.2 seconds, respectively). Of the 21 subjects, 67% preferred the Broselow cart, 10% preferred the standard cart, and 23% indicated no preference. Of the 21 subjects, 62% found the Broselow cart “easy” or “very easy” to use versus 33% for the standard cart. All simulations were performed in the Center for Advanced Pediatric Education at Stanford University Medical Center (Stanford, CA), a training facility designed to replicate the real medical environment with the technology to allow for videotaping of scenarios. Time to and accuracy of the selection of appropriate medical equipment along with posttesting satisfaction were measured. We performed a prospective, randomized, controlled, crossover trial in which 21 pediatric health care providers were assigned the role of obtaining the appropriate equipment during 2 standardized, simulated codes alternately using either a standard or Broselow cart. To compare which resuscitation cart organization (standard versus Broselow) allows for faster access to equipment, more accurate selection of appropriately sized equipment, and better user satisfaction. A literature review has revealed no studies examining the utility of either cart. Many emergency departments, however, use a pediatric resuscitation cart based on the Broselow tape (“Broselow cart”) in which each drawer is color coded and organized by patient length and weight ranges each drawer contains all necessary equipment for resuscitation of a patient in that specific length/weight range. Historically, children's hospitals and clinics have used a standard pediatric resuscitation cart (“standard cart”) in which drawers are organized by intervention (eg, intubation module, intravenous module), requiring multiple drawers to be opened during a code. Access to resuscitation equipment is a critical component in delivering optimal care in pediatric arrest situations. ![]()
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