Premium
Interactive pediatric emergency checklists to the palm of your hand ‐ How the Pedi Crisis App traveled around the world
Author(s) -
Gálvez Jorge A.,
Lockman Justin L.,
Schleelein Laura E.,
Simpao Allan F.,
Ahumada Luis M.,
Wolf Bryan A.,
Shah Maully J.,
Heitmiller Eugenie,
Rehman Mohamed
Publication year - 2017
Publication title -
pediatric anesthesia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.704
H-Index - 82
eISSN - 1460-9592
pISSN - 1155-5645
DOI - 10.1111/pan.13173
Subject(s) - medicine , analytics , confidence interval , observational study , session (web analytics) , the internet , medical emergency , world wide web , computer science , data science , pathology
Summary BACKGROUND Cognitive aids help clinicians manage critical events and have been shown to improve outcomes by providing critical information at the point of care. Critical event guidelines, such as the Society of Pediatric Anesthesia's Critical Events Checklists described in this article, can be distributed globally via interactive smartphone apps. From October 1, 2013 to January 1, 2014, we performed an observational study to determine the global distribution and utilization patterns of the Pedi Crisis cognitive aid app that the Society for Pediatric Anesthesia developed. We analyzed distribution and utilization metrics of individuals using Pedi Crisis on iOS (Apple Inc., Cupertino, CA ) devices worldwide. We used Google Analytics software (Google Inc., Mountain View, CA ) to monitor users’ app activity (eg, screen views, user sessions). Methods The primary outcome measurement was the number of user‐sessions and geographic locations of Pedi Crisis user sessions. Each user was defined by the use of a unique Apple ID on an iOS device. Results Google Analytics correlates session activity with geographic location based on local Internet service provider logs. Pedi Crisis had 1 252 active users (both new and returning) and 4 140 sessions across 108 countries during the 3‐month study period. Returning users used the app longer and viewed significantly more screens that new users (mean screen views: new users 1.3 [standard deviation +/−1.09, 95% confidence interval 1.22‐1.55]; returning users 7.6 [standard deviation +/−4.19, 95% confidence interval 6.73—8.39] P <.01) Conclusions Pedi Crisis was used worldwide within days of its release and sustained utilization beyond initial publication. The proliferation of handheld electronic devices provides a unique opportunity for professional societies to improve the worldwide dissemination of guidelines and evidence‐based cognitive aids.