Category: Professional Posters
Purpose: To design and implement an electronic Cardiopulmonary resuscitation (CPR) calculator combined with clinical decision support system (CDSS) to improve patient safety and enhance workflow efficiency as a replacement for manual CPR calculation.
Methods: : The CPR calculator was developed in two stages: The first stage was creating a Excel. It calculates the 14 medication doses, the Cardioversion procedure doses and the length of endotracheal tube (ETT). The implementation of the Excel aimed to test the concept and process. The Excel was deployed in the paediatric section. The first version experienced many changes based on the feedback. Once the nurse enters the patient’s weight, doses are instantly calculated. A paper copy is printed out, with all the drug doses.
The CPR medication doses are calculated according to the patient’s weight. Therefore, it is vital that the accuracy of weight entry is double confirmed. However, there is a potential of entering a wrong patient's weight. For that reason, a software that link an average patient's weight based on the world health organization child growth chart with the patient's age using soft and hard limits for weight was used to minimise potential errors. The task force developed tables for the upper and lower limits of weight based on the patient's sex and age.
In the second stage, the CPR calculator was developed on web-based programs. The CPR calculator is integrated with the hospital information system. After entering the medical record number, the CPR calculator will retrieve the patient age and gender which are used to validate the patient's weight.
Results: CPR calculator eliminates practice variation and enhances patient care. In Addition, it makes the calculation accurate and faster. The CPR calculator enforces physician compliance with hospital policies. Also, it stops incomplete orders or illegible hand writing, furthermore, it helps in removing prescribing errors e.g. calculation errors, in checking for patient factors (weight, age and gender) and medications aspects (dose and route).
Conclusion: In conclusion the implementation of the CPR medications calculator offers many advantages which include eliminating medication errors, improving service and response times, enhancing interaction between healthcare professionals, improving patient contact time and increasing productivity as well as efficiency.