Understanding the Process of Procedural Sedation for Orthopedic Injuries in the Pediatric Emergency Department

Objective: To establish a procedural sedation (PS) time line for patients in the pediatric emergency department (PED) with orthopedic injuries. Methods: Retrospective review of patients requiring PS for orthopedic injuries. Process times were collected. Ten percent of encounters were co-reviewed. In...

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Bibliographic Details
Published in:Journal of patient experience 2020-06, Vol.7 (3), p.311-315
Main Authors: Vukovic, Adam A, Keiner, Elizabeth, Hanson, Holly R
Format: Article
Language:English
Subjects:
Anesthesia
Patient Experience Research Briefs
Pediatrics
Trauma centers
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Summary:Objective: To establish a procedural sedation (PS) time line for patients in the pediatric emergency department (PED) with orthopedic injuries. Methods: Retrospective review of patients requiring PS for orthopedic injuries. Process times were collected. Ten percent of encounters were co-reviewed. Interrater reliability and descriptive statistics were calculated. Results: A total of 189 patients were included. Co-abstracted data demonstrated excellent agreement. The median time to PS and length of stay (LOS) were 214 (interquartile range [IQR]: 160-282) and 320 (IQR: 257-402) minutes, respectively. Conclusion: Patients with orthopedic injuries requiring PS experience prolonged PED visits. Interventions should target safely reducing the time to PS and LOS.
ISSN:2374-3735
2374-3743
DOI:10.1177/2374373519846659