Optimizing parents' performance in anticonvulsant rescue medication administration.

Autor: Schumacher PM; Drug Safety Center and Dept. of Clinical Pharmacy, Leipzig University, Brüderstraße 32, 04103 Leipzig, Germany. Electronic address: pia.schumacher@uni-leipzig.de., Kaune A; Drug Safety Center and Dept. of Clinical Pharmacy, Leipzig University, Brüderstraße 32, 04103 Leipzig, Germany. Electronic address: almuth.kaune@uni-leipzig.de., Merkenschlager A; University Hospital for Children and Adolescents, Centre of Pediatric Research, Liebigstraße 20a, 04103 Leipzig, Germany. Electronic address: andreas.merkenschlager@medizin.uni-leipzig.de., Bernhard MK; University Hospital for Children and Adolescents, Centre of Pediatric Research, Liebigstraße 20a, 04103 Leipzig, Germany. Electronic address: matthias.bernhard@medizin.uni-leipzig.de., Kiess W; University Hospital for Children and Adolescents, Centre of Pediatric Research, Liebigstraße 20a, 04103 Leipzig, Germany. Electronic address: wieland.kiess@medizin.uni-leipig.de., Neininger MP; Drug Safety Center and Dept. of Clinical Pharmacy, Leipzig University, Brüderstraße 32, 04103 Leipzig, Germany. Electronic address: martina.neininger@uni-leipzig.de., Bertsche A; University Hospital for Children and Adolescents, Centre of Pediatric Research, Liebigstraße 20a, 04103 Leipzig, Germany. Electronic address: astrid.bertsche@medizin.uni-leipzig.de., Bertsche T; Drug Safety Center and Dept. of Clinical Pharmacy, Leipzig University, Brüderstraße 32, 04103 Leipzig, Germany. Electronic address: thilo.bertsche@uni-leipzig.de.
Jazyk: angličtina
Zdroj: Epilepsy & behavior : E&B [Epilepsy Behav] 2018 Jul; Vol. 84, pp. 37-43. Date of Electronic Publication: 2018 May 07.
DOI: 10.1016/j.yebeh.2018.02.032
Abstrakt: Objective: Parents of children with epilepsy are at risk of committing high-risk handling errors with a high potential to harm the patient when administering anticonvulsant rescue medication. We developed a training concept addressing identified high-risk handling errors and investigated its effects on parents' skills.
Study Design: In a controlled prospective intervention study, parents of children with epilepsy were asked to demonstrate their administration of rescue medication by using dummy dolls. A clinical pharmacist monitored rectal or buccal administration and addressed errors in the intervention group with training and information sheets. Three to 6weeks later, intervention's sustainability was assessed at a home visit.
Results: One hundred sixty-one parents completed full study assessment: 92 in the intervention group and 69 in the control group. The number of processes with at least one handling error was reduced from 96.4% to 56.7% in rectal tube administration and from 66.7% to 13.5% in buccal administration (both p<0.001).
Conclusion: A one-time intervention for parents significantly and sustainably reduced high-risk handling errors. Dummy dolls and information sheet were adequate for an effective and feasible training to support the correct administration of anticonvulsant rescue medication.
(Copyright © 2018 Elsevier Inc. All rights reserved.)
Databáze: MEDLINE
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