Alharthy Nesrin, Abuhaimed Raghad, Alturki Munirah, Alanazi Shatha, Althaqeb Raghad, Alghaith Alanowd, Alshibani Abdullah
Pediatrics Emergency Department, King Abdulaziz Medical City, Riyadh 14611, Saudi Arabia.
Emergency Medical Services Department, College of Applied Medical Sciences, King Saud bin Abdulaziz University for Health Sciences, Riyadh 11481, Saudi Arabia.
Pediatr Rep. 2025 Jan 16;17(1):9. doi: 10.3390/pediatric17010009.
BACKGROUND/OBJECTIVES: This study aimed to assess and compare the rates of medication error (ME) using the PediSTAT application compared to the conventional method of calculating the correct dose and determining the appropriate route of medication administration for common pediatric emergencies.
A prospective cross-sectional study design was used for the study. Data were collected using a questionnaire that was distributed to certified paramedics holding a bachelor's degrees or higher and working in Riyadh City, Saudi Arabia. Alternate simple random sampling was used to recruit the participants into two groups using the same questionnaire: the PediSTAT group and the conventional method group. The questionnaire contained four pediatric emergency vignettes: cardiac arrest, asthma exacerbation, seizures, and hypoglycemia.
A total of 63 participants agreed to the study. Almost 80% of them were males, 81% held bachelor's degrees, and 87% were certified in pediatric resuscitation courses. The findings of the study showed that the use of the PediSTAT application increased accuracy and reduced the risk of ME for common pediatric emergencies. This was shown to be statistically significant for asthma medication dose (-value < 0.001, 95% CI 0.034-0.352), midazolam dose (-value = 0.012, 95% CI 0.030-0.764), and hypoglycemia medication dose (-value < 0.001, 95% CI 0.046, 0.452).
The study findings supported the use of standardized precalculated applications such as PediSTAT, which was shown to reduce the risk of ME in prehospital care for pediatric emergencies.
背景/目的：本研究旨在评估并比较使用PediSTAT应用程序与传统方法计算常见儿科急症正确剂量并确定适当用药途径时的用药错误（ME）发生率。
本研究采用前瞻性横断面研究设计。通过向沙特阿拉伯利雅得市拥有学士学位或更高学历的认证护理人员发放问卷来收集数据。采用交替简单随机抽样法，使用相同问卷将参与者分为两组：PediSTAT组和传统方法组。问卷包含四个儿科急症案例：心脏骤停、哮喘发作、癫痫发作和低血糖。
共有63名参与者同意参与研究。其中近80%为男性，81%拥有学士学位，87%获得儿科复苏课程认证。研究结果表明，使用PediSTAT应用程序可提高准确性，并降低常见儿科急症的用药错误风险。这在哮喘药物剂量（P值<0.001，95%CI 0.034 - 0.352）、咪达唑仑剂量（P值 = 0.012，95%CI 0.030 - 0.764）和低血糖药物剂量（P值<0.001，95%CI 0.046，0.452）方面具有统计学意义。
研究结果支持使用标准化的预先计算应用程序，如PediSTAT，该应用程序可降低儿科急症院前护理中的用药错误风险。
