Hixson R, Gandhi M, Holton F
Department of Anaesthesia, Darlington Memorial Hospital, Hollyhurst Road, Darlington, UK.
Arch Dis Child. 2009 Apr;94(4):268-72. doi: 10.1136/adc.2008.142380. Epub 2008 Oct 31.
To compare the accuracy of prescribing analgesic and anti-emetic drugs to children when using either the 2006 BNF for children (BNFC) or a new device, the Paediatric Analgesia Wheel.
A simulated prescription chart was created requiring doctors to prescribe seven drugs to each of two children (14 prescriptions in total). 52 doctors from anaesthesia, paediatrics and emergency medicine were recruited and randomly assigned to complete the chart using either the BNFC or a new device, the Paediatric Analgesia Wheel. The mean number of correct answers and mean time taken to complete the chart were compared.
Prescribing using the Paediatric Analgesia Wheel resulted in a significantly greater number of correct answers (mean 10.9) compared with using the BNFC (mean 3.5). In addition, the mean time taken to complete the prescription chart was significantly shorter when using the Paediatric Analgesia Wheel (5.8 min) compared with the BNFC (12.4 min).
The Paediatric Analgesia Wheel provides a time-efficient method of prescribing commonly used analgesic and anti-emetic drugs to children and results in improved accuracy when compared with using the BNFC.
比较使用2006年儿童版英国国家处方集（BNFC）或一种新设备——儿童镇痛轮给儿童开具镇痛和止吐药物时的准确性。
创建了一份模拟处方表，要求医生给两名儿童各开具七种药物（共14张处方）。招募了52名来自麻醉科、儿科和急诊科的医生，并随机分配他们使用BNFC或新设备儿童镇痛轮来填写处方表。比较正确答案的平均数和完成处方表所需的平均时间。
与使用BNFC（平均3.5个）相比，使用儿童镇痛轮开具处方时正确答案的数量显著更多（平均10.9个）。此外，使用儿童镇痛轮完成处方表的平均时间（5.8分钟）显著短于使用BNFC的时间（12.4分钟）。
与使用BNFC相比，儿童镇痛轮为给儿童开具常用镇痛和止吐药物提供了一种省时的方法，且准确性更高。
