Factors Influencing Safety in Sedated Children

影响镇静儿童安全的因素

基本信息

批准号：
7563224
负责人：
Nancy A. Crego
金额：
$ 0.47万
依托单位：
UNIVERSITY OF VIRGINIA
依托单位国家：
美国
项目类别：
财政年份：
2008
资助国家：
美国
起止时间：
2008-01-24 至 2009-03-23
项目状态：
已结题

项目摘要

DESCRIPTION (provided by applicant): The objective of this project is to improve the safety of children sedated by nurses for diagnostic radiology by improving our understanding of the occurrence and nature of adverse events as well as understanding the influence of patient factors, provider factors and nursing practices on sedation safety. The specific aims of this study are: 1. Describe the influence of type of sedation providers (RN, MD) on safety (occurrence of unexpected adverse events) and type of adverse event when the influence of patient risk factors (age, weight, ASA class, co-existing medical conditions), procedure type and care processes (medication and monitoring type) are considered in diagnostic radiology procedures for children. 2. Determine the influence of patient risk factors (age weight, ASA class, co-existing medical conditions), procedure type, care processes (medication and monitoring type) and sedation provider type on inadequate sedation, unexpected bag-valve-mask-ventilation and prolonged sedation in children sedated for diagnostic radiology procedures. A retrospective, cross-sectional, correlational design using secondary data from the Pediatric Sedation Research Consortium will be used. Analysis of secondary data for children under 15 years of age sedated for diagnostic radiology procedures by non-anesthesia sedation providers (i.e. nurses and non-anesthesia physicians) will be analyzed to describe adverse event occurrences and provider differences, and to develop models of factors that explain adverse events. Relevance: The overall need for pediatric sedation is increasing. However, there is a gap in our knowledge regarding the safe delivery of anesthesia by nurses, including the differences in adverse event occurrences between nurse and physician sedation providers. This lack of evidence may impede future efforts to change pediatric sedation delivery processes and improve safety as resources become more limited.

描述（由申请人提供）：该项目的目的是通过提高我们对不良事件的发生和性质的理解，并了解患者因素，提供者因素和护理实践对镇静安全的影响，从而提高护士镇静的儿童进行诊断放射学。这项研究的具体目的是： 1。描述镇静提供者类型（RN，MD）对安全性因素（年龄，体重，ASA类，共存的医疗状况），程序类型和护理过程（药物和监测类型）的影响时，镇静提供者（RN，MD）对安全性（出现意外不良事件的发生）和不良事件类型的影响。 2。确定患者危险因素（年龄体重，ASA类，共存医疗状况），程序类型，护理过程（药物和监测类型）和镇静提供者类型对镇静剂不足，意外的袋阀门 - 掩蔽态 - 延长的儿童镇静剂的影响。将使用来自小儿镇静研究联盟的辅助数据的回顾性，横断面的相关设计。通过非麻醉镇静剂提供者（即护士和非麻醉医师）对15岁以下儿童的二级数据分析，以描述不良事件的情况和提供者的差异，并分析解释不良事件的因素的发展模型。相关性：小儿镇静的总体需求正在增加。但是，我们的知识差距是护士安全进行麻醉的差距，包括护士和医师镇静提供者之间发生不良事件的差异。缺乏证据可能会阻碍未来的努力改变小儿镇静过程，并随着资源变得更加有限而提高安全性。