Differences in Pediatric Non-Interventional Radiology Procedural Sedation Practices and Adverse Events by Registered Nurses and Physicians.

Journal Article (Journal Article)


The purpose of this study was to determine differences in sedation-related adverse events according to the type of provider monitoring and delivering sedation.

Design and methods

A retrospective, cross-sectional, correlational design using secondary data from the Pediatric Sedation Research Consortium database was used for this study.


A sample of 36,352 cases (0-14 years of age) sedated and monitored for diagnostic radiology procedures by three types of providers (registered nurses [RNs] alone, physicians (MDs) alone, or registered nurse + physician [RN+MD sedation teams]) were compared. Patients sedated by RNs alone or MDs alone had lower odds of unanticipated adverse events (odds ratios 0.46 and 0.53, respectively; p<0.0001) compared with RN+MD sedation provider teams.


Team skills may be an important competency for RN+MD sedation teams in the non-interventional radiology setting.

Practice implications

This study can inform clinicians, administrators, and quality-improvement managers of the differences in adverse event outcomes of pediatric radiology procedures when RN+MD teams provide sedation compared with RNs or MDs alone.

Full Text

Duke Authors

Cited Authors

  • Crego, N; Baernholdt, M; Merwin, E

Published Date

  • July 2017

Published In

Volume / Issue

  • 35 /

Start / End Page

  • 129 - 133

PubMed ID

  • 27717624

Pubmed Central ID

  • PMC5378685

Electronic International Standard Serial Number (EISSN)

  • 1532-8449

International Standard Serial Number (ISSN)

  • 0882-5963

Digital Object Identifier (DOI)

  • 10.1016/j.pedn.2016.09.003


  • eng