ABSTRACT
INTRODUCTION: The use of vests for handling medication (prescription, preparation, and dispensing) in the emergency department is a strategy designed to increase patient safety by reducing interruptions and, consequently, medication errors. In this study, we aim to assess how professionals perceive the use of vests in a pediatric emergency department of a tertiary hospital. MATERIAL AND METHODS: A cross-sectional survey was conducted among pediatric emergency physicians and nurses in October and November 2019. We analyzed the results of a 19-item survey on the perception of vests as a tool for reducing interruptions and medication errors. RESULTS: In this study, 91 surveys were delivered and 89 (97.8%) were completed. One hundred percent of the professionals were aware of the vests. Nurses reported the following reasons for not using the vest: high workload (25%) and preparation of nebulized and oral medications (25%). One hundred percent of doctors asked for the vest because of forgetfulness. Thirty-five physicians (81.4%) and 17 nurses (85.0%) said that wearing the vest, they were rarely or never interrupted. Eighty-two respondents (93.2%) agreed that vests are an effective strategy for minimizing medication errors. CONCLUSIONS: Although medical professionals consider vests to be a useful strategy to prevent interruptions and reduce medication errors, adherence to the protocol is low, so a promotion strategy is needed to encourage professionals to use the vests.
Subject(s)
Medication Errors , Patient Safety , Humans , Child , Cross-Sectional Studies , Medication Errors/prevention & control , Workload , PerceptionABSTRACT
No disponible
Subject(s)
Humans , Female , Young Adult , Adult , Middle Aged , Health Care Surveys , Child Health Services , Aftercare , Mothers , Cross-Sectional Studies , ParturitionSubject(s)
Patient Discharge , Personal Satisfaction , Female , Follow-Up Studies , Hospitals , Humans , Infant, Newborn , Postnatal Care , PregnancyABSTRACT
OBJECTIVES: Health educational interventions improve health outcomes and quality of life in children with asthma. The main purpose of this study was to evaluate the effect of an education intervention for an asthma inhaler technique during hospital admission for an asthma exacerbation. METHODS: This prospective study was conducted in a pediatric hospitalization unit of a third-level hospital. Children admitted for an asthma exacerbation were eligible for inclusion. It was developed in 2 phases: during hospital admission (T1) and 1 month after discharge (T2). In the T1 phase, caregivers completed the questionnaire to assess asthma control in children (CAN questionnaire) and performed the inhaler technique, which was evaluated with a 6-step checklist. An educational intervention was performed. In the T2 phase, caregivers completed the CAN questionnaire, and the inhaler technique was reevaluated. We hypothesized that the inhaler technique improved after the implementation of an asthma education program. RESULTS: A total of 101 children were included, of whom 85 completed the T2 phase (84%). At baseline, 11.8% of participants performed the inhaler technique correctly. All steps of the inhaler technique upgraded in the T2 phase significantly (P < .01), except for the step "assemble the inhaler device correctly." Former evaluation by a pediatric pneumologist was associated with a higher score in the inhaler technique in the T1 phase. The median CAN questionnaire score in the T1 phase was 8 (interquartile range 4-16), which reduced to 4 (interquartile range 1.2-6) in the T2 phase (P < .01). CONCLUSIONS: The development of an educational intervention during admission improved inhaler technique as well as asthma knowledge.
Subject(s)
Asthma , Quality of Life , Administration, Inhalation , Asthma/drug therapy , Child , Hospitalization , Humans , Prospective StudiesABSTRACT
No disponible
