Nurse Reports of Adverse Events During Sedation Procedures at a Pediatric Hospital

Journal of Perianesthesia Nursing

Volumn 24, Issue 5, 2009, Pages 300-306

  Lightdale, Jenifer R ^a   Mahoney, Lisa B ^a   Fredette, Meghan E ^a   Valim, Clarissa ^a   Wong, Sharon ^a   DiNardo, James A ^a  

^a NONE

Author keywords

adverse events; pediatrics; research; sedation

Indexed keywords

HYPNOTIC SEDATIVE AGENT;

ARTICLE; CHILD; FEMALE; HOSPITAL; HUMAN; MALE; MANPOWER; MEDICAL RECORD; MEDICATION ERROR; NURSING STAFF; PRESCHOOL CHILD; STATISTICS;

CHILD; CHILD, PRESCHOOL; FEMALE; HOSPITALS, PEDIATRIC; HUMANS; HYPNOTICS AND SEDATIVES; MALE; MEDICATION ERRORS; NURSING RECORDS; NURSING STAFF, HOSPITAL;

EID: 70350132812     PISSN: 10899472     EISSN: None     Source Type: Journal    
DOI: 10.1016/j.jopan.2009.07.004     Document Type: Article

References (20)

1. The Joint Commission: Joint Commission Resources, Organizations JCAHO. New definitions, revised standards address the continuum of sedation and anesthesia. Jt Comm Perspect 20 (2000) 10
2. Lin D.M., and Wightman M.A. Sedation, anesthesia and the JCAHO. 3rd ed (2005), HCPro, Inc, Marblehead, MA
3. Lubisch N., Roskos R., and Sattler S.M. Improving outcomes in pediatric procedural sedation. Jt Comm J Qual Patient Saf 34 (2008) 192-195
4. Cravero J.P., Blike G.T., Beach M., et al. Incidence and nature of adverse events during pediatric sedation/anesthesia for procedures outside the operating room: Report from the Pediatric Sedation Research Consortium. Pediatrics 118 (2006) 1087-1096
5. Blike GT, Cravero JP: Pride, Prejudice and Pediatric Sedation: A Multispeciality Evaluation of State of the Art. Report from the Dartmouth Summit of Pediatric Sedation 2000. Available at: http://www.npsf.org/pdf/r/PediatricSedation.pdf. Accessed April 23, 2009.
6. Pitetti R., Davis P.J., Redlinger R., et al. Effect on hospital-wide sedation practices after implementation of the 2001 JCAHO procedural sedation and analgesia guidelines. Arch Pediatr Adolesc Med 160 (2006) 211-216
7. Dial S., Silver P., Bock K., et al. Pediatric sedation for procedures titrated to a desired degree of immobility results in unpredictable depth of sedation. Pediatr Emerg Care 17 (2001) 414-420
8. Michel P., Quenon J.L., de Sarasqueta A.M., et al. Comparison of three methods for estimating rates of adverse events and rates of preventable adverse events in acute care hospitals. BMJ 328 (2004) 199
9. Vincent C., Stanhope N., and Crowley-Murphy M. Reasons for not reporting adverse incidents: An empirical study. J Eval Clin Pract 5 (1999) 13-21
10. Katz R.I., and Lagasse R.S. Factors influencing the reporting of adverse perioperative outcomes to a quality management program. Anesth Analg 90 (2000) 344-350
11. Garbutt J., Brownstein D.R., Klein E.J., et al. Reporting and disclosing medical errors: Pediatricians' attitudes and behaviors. Arch Pediatr Adolesc Med 161 (2007) 179-185
12. Jeffe D.B., Dunagan W.C., Garbutt J., et al. Using focus groups to understand physicians' and nurses' perspectives on error reporting in hospitals. Jt Comm J Qual Saf 30 (2004) 471-479
13. Joelson S., Joelson I.B., and Wallander M.A. Geographical variation in adverse event reporting rates in clinical trials. Pharmacoepidemiol Drug Saf 6 Suppl 3 (1997) S31-S35
14. Marang-van de Mheen P.J., van Hanegem N., and Kievit J. Effectiveness of routine reporting to identify minor and serious adverse outcomes in surgical patients. Qual Saf Health Care 14 (2005) 378-382
15. Kessomboon P., Panarunothai S., and Wongkanaratanakul P. Detecting adverse events in Thai hospitals using medical record reviews: Agreement among reviewers. J Med Assoc Thai 88 (2005) 1412-1418
16. Evans S.M., Berry J.G., Smith B.J., et al. Attitudes and barriers to incident reporting: A collaborative hospital study. Qual Saf Health Care 15 (2006) 39-43
17. Cote C.J., Notterman D.A., Karl H.W., et al. Adverse sedation events in pediatrics: A critical incident analysis of contributing factors. Pediatrics 105 (2000) 805-814
18. Weingart S.N., Wilson R.M., Gibberd R.W., et al. Epidemiology of medical error. BMJ 320 (2000) 774-777
19. Thomas E.J., Lipsitz S.R., Studdert D.M., et al. The reliability of medical record review for estimating adverse event rates. Ann Intern Med 136 (2002) 812-816
20. Conerly C. Strategies to increase reporting of near misses and adverse events. J Nurs Care Qual 22 (2007) 102-106