Prescribing in a paediatric emergency: A PERUKI survey of prescribing and resuscitation aids

Article


Jahn, Haiko Kurt, Jahn, Ingo Henry Johannes, Roland, Damian, Behringer, Wilhelm, Lyttle, Mark and Paediatric Emergency Research in the United Kingdom. 2021. "Prescribing in a paediatric emergency: A PERUKI survey of prescribing and resuscitation aids." Acta Paediatrica. 110 (3), pp. 1038-1045. https://doi.org/10.1111/apa.15551
Article Title

Prescribing in a paediatric emergency: A PERUKI survey of prescribing and resuscitation aids

ERA Journal ID15595
Article CategoryArticle
AuthorsJahn, Haiko Kurt, Jahn, Ingo Henry Johannes, Roland, Damian, Behringer, Wilhelm, Lyttle, Mark and Paediatric Emergency Research in the United Kingdom
Journal TitleActa Paediatrica
Journal Citation110 (3), pp. 1038-1045
Number of Pages8
YearMar 2021
PublisherJohn Wiley & Sons
Place of PublicationCroatia
ISSN0803-5253
1651-2227
Digital Object Identifier (DOI)https://doi.org/10.1111/apa.15551
Web Address (URL)https://onlinelibrary.wiley.com/doi/10.1111/apa.15551
Abstract

Aim: The aim was to investigate the use of paper-based and electronic prescribing and resuscitation aids in paediatric emergency care from a departmental and individual physician perspective.

Methods: A two-stage web-based self-report questionnaire was performed. In stage (i), a lead investigator at PERUKI sites completed a department-level survey; in stage (ii), individual physicians recorded their personal practice.

Results: The site survey was completed by 46/54 (85%) of PERUKI sites. 198 physicians completed the individual physicians' survey. Individual physicians selected the use of formulary apps for checking of medication dosages nearly as often as hardcopy formularies. The APLS WETFLAG calculation and hardcopy aids were widely accepted in both surveys. A third of sites accepted and half of the individual physicians selected resuscitation apps on the personal mobile device as paediatric resuscitation aids.

Conclusion: Our survey shows a high penetrance of the British National Formulary app, a success of NHS digital policy and strategy. Despite potential advantages, many physicians in our survey do not use resuscitation apps. Reluctance to engage with apps is likely to be multifactorial and includes human factors. These obstacles need to be overcome to create a digital healthcare culture.

Keywordschild; mHealth; paediatrics; resuscitation
ANZSRC Field of Research 2020420302. Digital health
420308. Health informatics and information systems
Byline AffiliationsRoyal Belfast Hospital for Sick Children, United Kindom
Friedrich Schiller University Jena, Germany
University of Queensland
University of Leicester, United Kingdom
Bristol Royal Hospital for Children, United Kingdom
University of the West of England, United Kingdom
Paediatric Emergency Research in the United Kingdom and Ireland (PERUKI)
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