Objectives: Errors are common when preparing epinephrine for neonatal resuscitation. Epinephrine is available in two concentrations (1 mg/mL and 1 mg/10 mL) and requires weight-based calculations, which increases the risk of dosing errors. We developed a printed cognitive aid to assist with dose preparation. We hypothesized that the cognitive aid would result in a 25% difference in errors in preparing the dose of epinephrine during simulated neonatal resuscitation.
Methods: Nurses ( = 100) in a large academic and community hospital were randomly assigned to calculate the intended dose and prepare epinephrine for neonatal resuscitation with or without the cognitive aid. Scenarios were video recorded and timed. Secondary outcomes included errors in the written intended dose, errors in choosing the correct epinephrine concentration, and time required to prepare the final dose. Proportions were compared by using Fisher's exact test. Variables influencing dosing errors were investigated by using logistic regression.
Results: Using the cognitive aid significantly decreased the proportion of doses prepared incorrectly (24% vs 50%; = .01). The aid also decreased errors in choosing the correct epinephrine concentration (12% vs 44%; < .001), but there was no difference in the written intended dose or the time to prepare the dose. Years of experience, self-perceived math comfort, and anxiety were not predictive of dosing errors.
Conclusions: A simple cognitive aid decreased epinephrine dosing errors during simulated neonatal resuscitation but did not improve efficiency. Despite the effectiveness of the cognitive aid, errors were not completely eliminated. This is a serious safety risk for newborns and requires additional interventions.
Download full-text PDF |
Source |
|---|---|
| http://dx.doi.org/10.1542/hpeds.2020-000299 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Emergency Airway Management: A Systematic Review on the Effectiveness of Cognitive Aids in Improving Outcomes and Provider Performance.
Clin Pract
January 2025
Department of Otolaryngology-Head and Neck Surgery, McGill University, Montreal, QC H4A 3J1, Canada.
Emergency airway management is a critical skill for healthcare professionals, particularly in life-threatening situations like "cannot intubate, cannot oxygenate" (CICO) scenarios. Errors and delays in airway management can lead to adverse outcomes, including hypoxia and death. Cognitive aids, such as checklists and algorithms, have been proposed as tools to improve decision-making, procedural competency, and non-technical skills in these high-stakes environments.
View Article and Find Full Text PDFSleep-driven prefrontal cortex coordinates temporal action and multimodal integration.
Mol Brain
January 2025
Research Centre for Idling Brain Science, University of Toyama, Toyama, 930-0194, Japan.
Cognitive processes such as action planning and decision-making require the integration of multiple sensory modalities in response to temporal cues, yet the underlying mechanism is not fully understood. Sleep has a crucial role for memory consolidation and promoting cognitive flexibility. Our aim is to identify the role of sleep in integrating different modalities to enhance cognitive flexibility and temporal task execution while identifying the specific brain regions that mediate this process.
View Article and Find Full Text PDFEnhanced detection of mild cognitive impairment in Alzheimer's disease: a hybrid model integrating dual biomarkers and advanced machine learning.
BMC Geriatr
January 2025
Department of Creative Product Design, Asia University, Taichung, Taiwan.
Alzheimer's disease (AD) is a complex, progressive, and irreversible neurodegenerative disorder marked by cognitive decline and memory loss. Early diagnosis is the most effective strategy to slow the disease's progression. Mild Cognitive Impairment (MCI) is frequently viewed as a crucial stage before the onset of AD, making it the ideal period for therapeutic intervention.
View Article and Find Full Text PDFThe Benefits of Hearing Aids for Adults: A Systematic Umbrella Review.
Ear Hear
January 2025
Department of Health Sciences, Faculty of Medicine Health and Human Sciences, Macquarie University, North Ryde, New South Wales, Australia.
Objectives: This umbrella review aims to summarize the major benefits of hearing aid usage in adults by synthesizing findings from published review articles.
Design: A comprehensive search of databases, including MEDLINE, EMBASE, PsycINFO, and Google Scholar, was conducted. The search was limited to English-language review articles published between 1990 and 2023, focusing on hearing aid outcomes in at least 5 adults (aged ≥18 years).
Beyond Facilitating Unisensory Processing: Crossmodal Associative Memory Training Further Modulates Sensory Integration.
Biol Psychol
January 2025
Department of Psychology, College of Humanities and Management, Guizhou University of Traditional Chinese Medicine, Guiyang, China.
Audiovisual associative memory and audiovisual integration involve common behavioral processing components and significantly overlap in their neural mechanisms. This suggests that training on audiovisual associative memory may have the potential to improve audiovisual integration. The current study tested this hypothesis by applying a 2 (group: audiovisual training group, unimodal control group) * 2 (time: pretest, posttest) design.
View Article and Find Full Text PDFWant AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!