From Root Cause to Action Plan: How an Adverse Event Uncovered Deficiencies in Resident Knowledge of Sedation Policies and Practices

被引:1
作者
Pieczynski, Lauren M. [1 ]
Raiten, Jesse M. [1 ]
Lane-Fall, Meghan B. [1 ,2 ,3 ]
机构
[1] Univ Penn, Perelman Sch Med, Dept Anesthesiol & Crit Care, Philadelphia, PA 19104 USA
[2] Univ Penn, Leonard Davis Inst Hlth Econ, Philadelphia, PA 19104 USA
[3] Univ Penn, Dept Med, Ctr Healthcare Improvement & Patient Safety, Philadelphia, PA 19104 USA
关键词
D O I
10.1213/XAA.0000000000000249
中图分类号
R614 [麻醉学];
学科分类号
100217 ;
摘要
Mild or moderate sedation for procedures frequently is administered outside the operating room by resident physicians with varying degrees of training. An adverse event at our institution involving procedural sedation prompted us to conduct a survey among resident physicians. This survey investigated resident knowledge and attitudes about sedatives and analgesics, in addition to knowledge of risk factors for sedation-related adverse events. The survey identified a range of knowledge deficiencies among resident physicians and a lack of awareness of institutional sedation policies. Identification of knowledge gaps facilitated an educational initiative that promoted training in the pharmacology of sedatives and analgesics, safe sedation practices, and institutional sedation policies. Additional interventions included updating our sedation policy and creation of an electronic order set to facilitate the safe prescription of sedatives.
引用
收藏
页码:163 / 171
页数:9
相关论文
共 5 条
[1]  
Gross JB, 2002, ANESTHESIOLOGY, V96, P1004
[2]  
Karan Suzanne B, 2004, Gastrointest Endosc Clin N Am, V14, P289, DOI 10.1016/j.giec.2004.01.009
[3]  
Mayson K, 2006, CAN ASSOC RADIOL J, V57, P35
[4]   The nature of anesthesia and procedural sedation outside of the operating room [J].
Pino, Richard M. .
CURRENT OPINION IN ANESTHESIOLOGY, 2007, 20 (04) :347-351
[5]   Assessing Pediatric Residents' Clinical Performance in Procedural Sedation A Simulation-Based Needs Assessment [J].
Schinasi, Dana Aronson ;
Nadel, Frances M. ;
Hales, Roberta ;
Boswinkel, Jan P. ;
Donoghue, Aaron J. .
PEDIATRIC EMERGENCY CARE, 2013, 29 (04) :447-452