Educational aids for health professionals
It is unclear whether prompts or visual aids help health professionals manage anaphylaxis more effectively because the certainty of evidence is very low (supplement S6d). One trial found that hospital residents who received training on the use of a wallet sized prompt sheet did not improve their knowledge more than controls in nine out of ten topic areas (very low certainty).11Hernandez-Trujillo V, Simons FE. Prospective evaluation of an anaphylaxis education mini-handout: the AAAAI Anaphylaxis Wallet Card. J Allergy Clin Immunol Pract 2013;1(2):181-185. Another trial found that a visual prompt about the Brighton Collaboration case definition did not improve the accuracy of anaphylaxis diagnosis compared to a journal article containing the full definition (very low certainty).22Joshi D, Alsentzer E, Edwards K, Norton A, Williams SE. An algorithm developed using the Brighton Collaboration case definitions is more efficient for determining diagnostic certainty. Vaccine 2014;32(28):3469-3472. A non-randomised trial found that a flowchart did not reduce administration errors in a simulation about reactions to contrast media.33Gardner JB, Rashid S, Staib L, Asch D, Cavallo J, Arango J, Kirsch J, Pahade J. Benefit of a Visual Aid in the Management of Moderate-Severity Contrast Media Reactions. AJR Am J Roentgenol 2018;211(4):717-723.