11.00
Hdl Handle:
http://hdl.handle.net/10755/308505
Category:
Full-text
Type:
Presentation
Title:
Neonatal Epinephrine: Reducing Calculation Errors
Author(s):
Rotramel, Gaye
Lead Author STTI Affiliation:
Non-member
Author Details:
Gaye Rotramel, MS, RN, grotramel@sjmc.org
Abstract:

Session presented on: Tuesday, November 19, 2013

Abstract

         

Background: Epinephrine calculation errors during neonatal resuscitation of low birth weight and very low birth weight babies can significantly affect outcomes in terms of mortality and morbidity. An extensive review of literature concluded that medication errors in the calculation of Epinephrine during resuscitation can occur when providers rely on memory, lack access to needed information, safety techniques or standardized procedures (Benner, Sheets, Uris, Malloch, Schwed, & Jamison, 2002; Karlsen, 2006).

Methodology: A quantitative quasi-experimental pilot research study measured the effectiveness of a researcher-designed Epi Chart©,  a pre-calculated intravenous and endotracheal Epinephrine dosage chart, specific to babies weighing less than three kilograms used during neonatal resuscitation. The study was a convenient sample of 86 healthcare professionals working in Labor and Delivery, Newborn Nursery, Neonatal Intensive Care, and the Postpartum Unit of a large tertiary center. Subjects were asked the same Epinephrine dosage calculation question. The experimental group used the Epi Chart© and the control group relied on memory for the question response. Correct responses were compared between the experimental and control groups.

Results: Chi-square test demonstrated the effectiveness of the researcher designed Epi Chart© in the accuracy of responses in Epinephrine doses in the experimental group at the 0.01 alpha level (99% statistical confidence). The experimental group who used the Epi Chart© had significantly more correct dosages than the control group (p-value <0.0001). 

 

Conclusion: Utilization of the researcher developed Epi Chart© will result in a reduction of medication errors during neonatal resuscitation

Future Plans: Replication of this study in different geographical areas.

Keywords:
neonatal resuscitation; research; patient safety
Repository Posting Date:
19-Dec-2013
Date of Publication:
19-Dec-2013
Conference Date:
2013
Conference Name:
42nd Biennial Convention
Conference Host:
Sigma Theta Tau International, the Honor Society of Nursing
Conference Location:
Indianapolis, Indiana, USA
Description:
42nd Biennial Convention 2013 Theme: Give Back to Move Forward. Held at the JW Marriott

Full metadata record

DC FieldValue Language
dc.language.isoen_USen_GB
dc.type.categoryFull-texten_GB
dc.typePresentationen_GB
dc.titleNeonatal Epinephrine: Reducing Calculation Errorsen_GB
dc.contributor.authorRotramel, Gayeen_GB
dc.contributor.departmentNon-memberen_GB
dc.author.detailsGaye Rotramel, MS, RN, grotramel@sjmc.orgen_GB
dc.identifier.urihttp://hdl.handle.net/10755/308505-
dc.description.abstract<p>Session presented on: Tuesday, November 19, 2013</p><b>Abstract</b><p class="TitlePage">          <b></b><p align="left" class="TitlePage"><b>Background: </b>Epinephrine calculation errors during neonatal resuscitation of low birth weight and very low birth weight babies can significantly affect outcomes in terms of mortality and morbidity. An extensive review of literature concluded that medication errors in the calculation of Epinephrine during resuscitation can occur when providers rely on memory, lack access to needed information, safety techniques or standardized procedures (Benner, Sheets, Uris, Malloch, Schwed, & Jamison, 2002; Karlsen, 2006). <p align="left" class="TitlePage"><b>Methodology:</b> A quantitative quasi-experimental pilot research study measured the effectiveness of a researcher-designed Epi Chart©,  a pre-calculated intravenous and endotracheal Epinephrine dosage chart, specific to babies weighing less than three kilograms used during neonatal resuscitation. The study was a convenient sample of 86 healthcare professionals working in Labor and Delivery, Newborn Nursery, Neonatal Intensive Care, and the Postpartum Unit of a large tertiary center. Subjects were asked the same Epinephrine dosage calculation question. The experimental group used the Epi Chart© and the control group relied on memory for the question response. Correct responses were compared between the experimental and control groups. <p align="left" class="TitlePage"><b>Results:</b> Chi-square test demonstrated the effectiveness of the researcher designed Epi Chart© in the accuracy of responses in Epinephrine doses in the experimental group at the 0.01 alpha level (99% statistical confidence). The experimental group who used the Epi Chart© had significantly more correct dosages than the control group (p-value <0.0001).  <p align="left" class="TitlePage"><b> </b><p align="left" class="TitlePage"><b>Conclusion:</b> Utilization of the researcher developed Epi Chart© will result in a reduction of medication errors during neonatal resuscitation <p align="left" class="TitlePage"><b>Future Plans:</b> Replication of this study in different geographical areas.en_GB
dc.subjectneonatal resuscitationen_GB
dc.subjectresearchen_GB
dc.subjectpatient safetyen_GB
dc.date.available2013-12-19T17:32:13Z-
dc.date.issued2013-12-19-
dc.date.accessioned2013-12-19T17:32:13Z-
dc.conference.date2013en_GB
dc.conference.name42nd Biennial Conventionen_GB
dc.conference.hostSigma Theta Tau International, the Honor Society of Nursingen_GB
dc.conference.locationIndianapolis, Indiana, USAen_GB
dc.description42nd Biennial Convention 2013 Theme: Give Back to Move Forward. Held at the JW Marriotten_GB
All Items in this repository are protected by copyright, with all rights reserved, unless otherwise indicated.