Differences in Pediatric Non-Interventional Radiology Procedural Sedation Practices and Adverse Events by Registered Nurses and Physicians.
Journal Article (Journal Article)
Purpose
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.Results
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.Conclusions
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
Language
- eng