Oğuz Kuşcu, A Erim Pamuk, Nilda Sütay Süslü, Sefik Hosal
Is ChatGPT accurate and reliable in answering questions regarding head and neck cancer?
Frontiers in oncology
systematic evaluation performances prehospital providers actual pediatric anaphylaxis cases never reported epinephrine medication errors pediatric resuscitation common root causes errors fully understood primary objective study identify underlying causes prehospital medication errors observed simulated pediatric anaphylaxis reaction two 4person emergency medical services crews eight geographically diverse agencies participated 20minute simulation 5year old child progressive respiratory distress hypotension anaphylactic reaction crews used equipment drugs checklistbased scoring protocol developed help identify errors trained facilitator conducted structured debriefing supplemented playback video recordings immediately simulated event elicit underlying causes errors errors analyzed mixed quantitative qualitative methods one hundred fortytwo subjects participated 62 simulation sessions ninetyfive percent crews 5962 gave epinephrine 27 crews 46 delivered correct dose epinephrine appropriate concentration route twelve crews 20 gave dose 5 times correct dose 8 crews 14 bolused epinephrine intravenously among 55 crews gave diphenhydramine 4 delivered protocolbased dose three crews provided intravenous steroid 1 used protocolbased dose underlying causes errors categorized eight themes faulty reasoning weight estimation errors faulty recall medication dosages problematic references calculation errors dose estimation communication errors medication delivery errors simulation followed structured debriefing identified multiple underlying causes medication errors prehospital management pediatric anaphylactic reactions sequential synergistic errors observed epinephrine delivery