Evidence map›Paper›PMID 25035756›Full record

Observational studyThe western journal of emergency medicine2014

Analysis of medication errors in simulated pediatric resuscitation by residents.

Evelyn Porter, Besh Barcega, Tommy Y Kim

Registry-linked trialAbstract readObservational Study
In one paragraph

Observational study in The western journal of emergency medicine, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03921346 (A Mobile Device App to Reduce Prehospital Medication Errors and Time to Drug Preparation and Delivery by EMS During Simulated Pediatric Cardiopulmonary Resuscitation), which is not on this map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT03921346 nacompletednot on this mapstarted 2019, after this paper: background citation

A Mobile Device App to Reduce Prehospital Medication Errors and Time to Drug Preparation and Delivery by EMS During Simulated Pediatric Cardiopulmonary Resuscitation: a Multicenter, Prospective, Randomized, Controlled Trial

TypeinterventionalSponsorPediatric Clinical Research PlatformRan2019 to 2020Enrolled150ConditionsCardiopulmonary Arrest, Resuscitation, Pediatrics, Medication ErrorsArmsMobile device app (PedAMINES™) 1st drug, Mobile device app (PedAMINES™) 2nd drug, Mobile device app (PedAMINES™) 3rd drug, Mobile device app (PedAMINES™) 4th drug, Conventional method 1st drug
3 · Its place in the literature

Who cites it

18 citing papers in PubMed.

  1. Trial
  2. Trial
  3. Pediatric Pharmacists' Participation in Cardiopulmonary Resuscitation Events.The journal of pediatric pharmacology and therapeutics : JPPT : the official journal of PPAG · 2025
    Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Observational
  9. Article
  10. Article
  11. Article
  12. The Role of Clinical Pharmacists in the Emergency Department.Journal of medical toxicology : official journal of the American College of Medical Toxicology · 2018
    Article
  13. Article
  14. Article
  15. In Reply.Anesthesiology · 2016
    Article
  16. [Not Available].The Canadian journal of hospital pharmacy
    Article
  17. Pediatric Pharmacists' Participation in Cardiopulmonary Resuscitation Events.The journal of pediatric pharmacology and therapeutics : JPPT : the official journal of PPAG
    Article
  18. Pharmacist Participation in CPR Needs Resuscitation.The Canadian journal of hospital pharmacy
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Evelyn PorterUniversity of California San Francisco, Department of Emergency Medicine, San Francisco, California.
Besh BarcegaLoma Linda University Medical Center and Children's Hospital, Departments of Emergency Medicine and Pediatrics, Loma Linda, California.
Tommy Y KimLoma Linda University Medical Center and Children's Hospital, Departments of Emergency Medicine and Pediatrics, Loma Linda, California.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThe objective of our study was to estimate the incidence of prescribing medication errors specifically made by a trainee and identify factors associated with these errors during the simulated resuscitation of a critically ill child.

methodsThe results of the simulated resuscitation are described. We analyzed data from the simulated resuscitation for the occurrence of a prescribing medication error. We compared univariate analysis of each variable to medication error rate and performed a separate multiple logistic regression analysis on the significant univariate variables to assess the association between the selected variables.

resultsWe reviewed 49 simulated resuscitations. The final medication error rate for the simulation was 26.5% (95% CI 13.7% - 39.3%). On univariate analysis, statistically significant findings for decreased prescribing medication error rates included senior residents in charge, presence of a pharmacist, sleeping greater than 8 hours prior to the simulation, and a visual analog scale score showing more confidence in caring for critically ill children. Multiple logistic regression analysis using the above significant variables showed only the presence of a pharmacist to remain significantly associated with decreased medication error, odds ratio of 0.09 (95% CI 0.01 - 0.64).

conclusionOur results indicate that the presence of a clinical pharmacist during the resuscitation of a critically ill child reduces the medication errors made by resident physician trainees.

Indexed as

Critical CareEducation, Medical, GraduateHumansInternship and ResidencyMedication ErrorsPediatricsProspective StudiesResuscitationSurveys and QuestionnairesVideotape Recording

Identifiers

PMID25035756
PMCPMC4100856

What OpenQuestion holds

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.