Archives of disease in childhood
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Randomized Controlled Trial Comparative Study
Medicine dosing by weight in the home: can parents accurately weigh preschool children? A method comparison study.
To determine the accuracy with which parents can estimate preschool children's weight using home scales in order to calculate antipyretic dose. ⋯ Weight can be estimated accurately enough to calculate antipyretic medicine doses by the minority of parents having scales that can be used to estimate their child's weight.
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Randomized Controlled Trial
Scald risk in social housing can be reduced through thermostatic control system without increasing Legionella risk: a cluster randomised trial.
To quantify the effects of a thermostatic control system in social (public) housing on the prevalence of dangerous (>60°C) water temperatures and on fuel consumption. ⋯ The thermostatic control with daily sterilisation was effective in capping hot water temperatures and therefore reduced scald risk. Although expected to save energy, fuel consumption was increased relative to the control group. Trial registration ClinicalTrials.gov ID: NCT00874692.
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Randomized Controlled Trial
Improved junior paediatric prescribing skills after a short e-learning intervention: a randomised controlled trial.
Medication errors are common, with junior doctors accounting for the majority in acute healthcare. Paediatrics is uniquely challenging, but the evidence base to guide prescribing education is limited. The authors set out to develop a short, educationally sound, low cost e-learning resource for paediatric prescribing to improve junior doctors' prescribing skills and to evaluate its effectiveness. ⋯ This short e-learning resource significantly improved the paediatric prescribing skills of junior doctors. Outcomes were maintained at 3 months, suggesting the utility of low cost, low fidelity, educationally sound e-learning interventions. However, the direct impact on patient outcomes following this intervention has yet to be determined.
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Randomized Controlled Trial
Markers for bacterial infection in children with fever without source.
To compare the diagnostic properties of procalcitonin (PCT), C reactive protein (CRP), total white blood cells count (WBC), absolute neutrophil count (ANC) and clinical evaluation to detect serious bacterial infection (SBI) in children with fever without source. ⋯ The study data demonstrate that CRP, PCT, WBC and ANC had almost similar diagnostic properties and were superior to clinical evaluation in predicting SBI in children aged 1 month to 3 years.
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Randomized Controlled Trial
Successful e-learning programme on the detection of child abuse in emergency departments: a randomised controlled trial.
To evaluate the effectiveness of an electronic learning (e-learning) programme on the performance of nurses in the recognition of child abuse in a simulated case in the Emergency Department (ED). ⋯ E-learning improved the performance in case simulations and the self-efficacy of the nurses in the ED in the detection of child abuse. Wider implementation of the e-learning programme to improve the first step in the detection of child abuse is recommended.