Nancy Crego1, Marianne Baernholdt2, Elizabeth Merwin3. 1. Duke University School of Nursing, Durham, NC. Electronic address: Nancy.crego@duke.edu. 2. Langston Center for Quality, Safety, and Innovation, Nursing Alumni Endowed Distinguished Professor, School of Nursing, Virginia Commonwealth University, Richmond, VA. 3. Ann Henshaw Gardiner Professor of Nursing, Executive Vice Dean, Duke University School of Nursing, Durham, NC.
Abstract
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.
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.
Authors: D M Polaner; C S Houck; M A Rockoff; T J Mancuso; G A Finley; L G Maxwell; J Cravero; Z N Kain; C Bell; A Bosenberg; M Zwass; R Valley; R Agarwal; A Savarese; L J Rice; C J Coté; P J Davidson; L R Ferrari; P J Davis Journal: Pediatrics Date: 2001-10 Impact factor: 7.124
Authors: Lawrence B Cohen; Julie S Wecsler; John N Gaetano; Ariel A Benson; Kenneth M Miller; Valerie Durkalski; James Aisenberg Journal: Am J Gastroenterol Date: 2006-05 Impact factor: 10.864
Authors: Joseph P Cravero; George T Blike; Michael Beach; Susan M Gallagher; James H Hertzog; Jeana E Havidich; Barry Gelman Journal: Pediatrics Date: 2006-09 Impact factor: 7.124