Emergency Department, Royal Belfast Hospital for Sick Children, Belfast, UK.
Friedrich Schiller University Jena, Jena, Germany.
Acta Paediatr. 2021 Mar;110(3):1038-1045. doi: 10.1111/apa.15551. Epub 2020 Sep 28.
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.
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.
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.
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.
从科室和医师个体角度调查儿科急救中纸质和电子处方及复苏辅助工具的使用情况。
采用两阶段基于网络的自我报告问卷调查。第（i）阶段，PERUKI 各站点的一名牵头调查员完成科室层面的调查；第（ii）阶段，医师个人记录其个人实践情况。
46/54（85%）个 PERUKI 站点完成了站点调查。198 名医师完成了医师个人调查。医师个人在选择核对药物剂量时，选择使用用药指南应用程序的频率几乎与使用硬拷贝用药指南相同。APLS WETFLAG 计算和硬拷贝辅助工具在两次调查中都得到了广泛认可。三分之一的站点接受并一半的医师个人选择在个人移动设备上使用复苏应用程序作为儿科复苏辅助工具。
我们的调查显示，英国国家用药指南应用程序的普及率很高，这是 NHS 数字政策和策略的成功。尽管有潜在的优势，但我们调查中的许多医师并不使用复苏应用程序。对应用程序的抵触可能是多方面的，包括人为因素。需要克服这些障碍，以创建数字化医疗保健文化。
