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Alert epi 2


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Alert epi 2

  1. 1. ALERT Presentation: Using an Epipen educational module to improve Food Anaphylaxis Recognition and Response D.J. Scherzer
  2. 2. Background <ul><li>Incorrect outpatient epinephrine-injector usage leads to preventable mortality among food allergy children in the U.S. </li></ul><ul><ul><li>The devices are prescribed with inadequate teaching and follow-up. </li></ul></ul><ul><li>Succinct educational modules improve competence when directed towards specific goals (eg. AED). </li></ul><ul><li>Competency Gaps </li></ul><ul><ul><li>Incomplete knowledge of indications </li></ul></ul><ul><ul><li>Complexity of a multi-step process </li></ul></ul><ul><ul><li>Lack of confidence, concern for treatment risks </li></ul></ul>
  3. 3. PICO Question <ul><li>P opulation </li></ul><ul><ul><li>Parents, patients, school personnel, healthcare staff </li></ul></ul><ul><ul><li>Prescribers </li></ul></ul><ul><li>I ntervention </li></ul><ul><ul><li>Succinct educational module comprised of MCQ, practicum and video </li></ul></ul><ul><li>C omparison </li></ul><ul><ul><li>Historical control – before and after </li></ul></ul><ul><li>O utcome </li></ul><ul><ul><li>Improve ability to know when and how to use epinephrine injector and to be prepared to actually do it. </li></ul></ul><ul><ul><li>Improve ability to teach others to do above. </li></ul></ul>
  4. 4. Approach <ul><li>Prospective longitudinal study; learner outcomes </li></ul><ul><ul><li>Subjects serve as their own controls. </li></ul></ul><ul><ul><li>Pre- assessment survey of subjects: </li></ul></ul><ul><ul><ul><li>Experience and confidence questions </li></ul></ul></ul><ul><ul><ul><li>Knowledge and case management questions </li></ul></ul></ul><ul><ul><ul><li>1:1 practical performance assessment. </li></ul></ul></ul><ul><ul><li>Post- assessment: </li></ul></ul><ul><ul><ul><li>Review practicum and repeat until success with individuals </li></ul></ul></ul><ul><ul><ul><li>Group presentation of edu-video c Q&A. </li></ul></ul></ul><ul><ul><ul><li>Immediate resurvey of individuals with confidence and case management questions </li></ul></ul></ul><ul><ul><li>Follow-up with confidence question and case management questions in 3-6 months. Mock scenario on site? </li></ul></ul>
  5. 5. 3 Questions <ul><li>Do the case management questions and practicum get at the active ingredients of food anaphylaxis competency? </li></ul><ul><li>How can we make the practicum feel more realistic? </li></ul><ul><li>Can we roll this out in a way that is easier logistically? More eLearning? Mock scenarios on site rather than 1:1 practicum. </li></ul>