The Effects of Using the Web-Based Double Eye Control Program on Medication Error

The Effects of Using the Web-Based Double Eye Control Program on Medication of High Risk Drugs in Pediatric Patients: The Effect of Web-Based Double Eye Control Program

Methods: The study was carried out as a quasi-experimental study in the Pediatric Surgery Clinics of a university hospital using the "Pre-Test-Post-Test Model in a Single Group". The sample of the study consisted of all high-risk drugs administered by 24 nurses working in these clinics, taking part in medication and agreeing to take part in the study. Data were collected by the researcher using the Medication Observation Form. The Form was created based on the literature, and by making use of the "10 Correct Rules in Medication" and the Medication Skills Steps in the Double Eye Control Program. In the first step, medication error rates were determined through observation method. In the second step; the Web-Based Double-Eye Control Program, which is a standard drug dose calculation and medication program created by the researchers, was started to be implemented. Medication error rates were determined again through post-intervention observation method. Informed voluntary consent, ethics committee and hospital permissions were obtained for the implementation of the study.

Study Overview

• Status: Completed
• Conditions: Main Heading (Descriptor) Terms
• Intervention / Treatment: Other: Web-Based Double-Eye Control Program

Detailed Description

Background: In this study, it was aimed to examine the effect of using Web Based Double-Eye Control Program as a new decision support system in preventing errors and standardization in high-risk medications of pediatric nurses.

Methods: The study was carried out as a quasi-experimental study in the Pediatric Surgery Clinics of a university hospital using the "Pre-Test-Post-Test Model in a Single Group". The sample of the study consisted of all high-risk drugs (532 before the intervention, 538 after the intervention, a total of 1070 drug doses) administered by 24 nurses working in these clinics, taking part in medication and agreeing to take part in the study. Data were collected by the researcher using the Medication Observation Form. The Form was created based on the literature, and by making use of the "10 Correct Rules in Medication" and the Medication Skills Steps in the Double Eye Control Program. In the first step, medication error rates were determined through observation method. In the second step; the Web-Based Double-Eye Control Program, which is a standard drug dose calculation and medication program created by the researchers, was started to be implemented. Medication error rates were determined again through post-intervention observation method. Informed voluntary consent, ethics committee and hospital permissions were obtained for the implementation of the study.

• Study Type: Observational
• Enrollment (Actual): 1070

Contacts and Locations

Study Locations

• Turkey
  • Çi̇ğli̇
    • İzmir, Çi̇ğli̇, Turkey, 35620
      • İzmir Katip Çelebi University

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: Child; Adult; Older Adult
• Accepts Healthy Volunteers: No

• Sampling Method: Non-Probability Sample

Study Population

The population of the research was composed of Nurses working in the Pediatric Surgery Department Clinic (Pediatric Surgery, Pediatric Surgery Intensive Care, Neonatal Surgery Intensive Care Clinics) of a university hospital in Turkey between November 2017 and June 2018, and all high-risk drugs they administered.

Description

Inclusion Criteria:

• The medications observed were to be in the high-risk drug group for children,
• Volunteering of nurses working in the clinic to participate in the research,
• Nurses working in the clinic should have had proper level of internet usage knowledge to use a web-based program.

Exclusion Criteria:

-

Study Plan

How is the study designed?

Number of groups / cohorts

1

Cohorts and Interventions

Group / Cohort

Intervention / Treatment

Medication errors during the application of high-risk drugs; Medication Errors During the Application of High-risk Drugs Before and After Using Web-Based Double-Eye Control Program

Other: Web-Based Double-Eye Control Program; Web-Based Double-Eye Control Program, a web-based drug dose calculation program, is compatible with smartphones, tablets and computers. On the interface of the website, the nurse is required to enter data such as the age, weight, medications and doses ordered by the physician of the patient. When all these data are entered, the amount of medication that the nurse should give and whether the ordered dose is within the safe dose range for the patient are calculated by the program, so that the nurse can control her own calculations. On the other interface of the website, there are medication instructions uploaded by the researchers. With this interface, nurses access all pharmacological information about especially high-risk drugs (indications, contraindications, interacting drugs and fluids, fluids to be used for diluting, medication route, medication pace, etc.) and information that will enable the medication to be carried out in a standard way.

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Error rates	Medication errors during administration of high-risk drugs in pediatric patients	Between January 2017 and September 2018

Collaborators and Investigators

• Sponsor: Izmir Katip Celebi University
• Collaborators: Ege University

Study record dates

Study Major Dates

• Study Start (Actual): November 1, 2017
• Primary Completion (Actual): June 30, 2018
• Study Completion (Actual): September 30, 2018

Study Registration Dates

• First Submitted: December 30, 2023
• First Submitted That Met QC Criteria: April 15, 2024
• First Posted (Actual): April 17, 2024

Study Record Updates

• Last Update Posted (Actual): April 17, 2024
• Last Update Submitted That Met QC Criteria: April 15, 2024
• Last Verified: April 1, 2024

More Information

Terms related to this study

• Keywords: Child; Medication Error; Child Nursing; High-Risk Drugs; Error Prevention Strategies
• Other Study ID Numbers: 17-11/37

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: UNDECIDED

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No