Journal of PeriAnesthesia Nursing
Volume 24, Issue 5 , Pages 300-306 , October 2009

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

References 

  1. The Joint Commission: Joint Commission Resources, Organizations JCAHO. New definitions, revised standards address the continuum of sedation and anesthesia. Jt Comm Perspect. 2000;20:10
  2. Lin DM, Wightman MA. Sedation, anesthesia and the JCAHO. 3rd ed. Marblehead, MA: HCPro, Inc; 2005;
  3. Lubisch N, Roskos R, Sattler SM. Improving outcomes in pediatric procedural sedation. Jt Comm J Qual Patient Saf. 2008;34:192–195
  4. Cravero JP, Blike GT, 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. 2006;118:1087–1096
  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 PJ, 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. 2006;160:211–216
  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. 2001;17:414–420
  8. Michel P, Quenon JL, de Sarasqueta AM, et al. Comparison of three methods for estimating rates of adverse events and rates of preventable adverse events in acute care hospitals. BMJ. 2004;328:199
  9. Vincent C, Stanhope N, Crowley-Murphy M. Reasons for not reporting adverse incidents: An empirical study. J Eval Clin Pract. 1999;5:13–21
  10. Katz RI, Lagasse RS. Factors influencing the reporting of adverse perioperative outcomes to a quality management program. Anesth Analg. 2000;90:344–350
  11. Garbutt J, Brownstein DR, Klein EJ, et al. Reporting and disclosing medical errors: Pediatricians' attitudes and behaviors. Arch Pediatr Adolesc Med. 2007;161:179–185
  12. Jeffe DB, Dunagan WC, Garbutt J, et al. Using focus groups to understand physicians' and nurses' perspectives on error reporting in hospitals. Jt Comm J Qual Saf. 2004;30:471–479
  13. Joelson S, Joelson IB, Wallander MA. Geographical variation in adverse event reporting rates in clinical trials. Pharmacoepidemiol Drug Saf. 1997;6(Suppl 3):S31–S35
  14. Marang-van de Mheen PJ, van Hanegem N, Kievit J. Effectiveness of routine reporting to identify minor and serious adverse outcomes in surgical patients. Qual Saf Health Care. 2005;14:378–382
  15. Kessomboon P, Panarunothai S, Wongkanaratanakul P. Detecting adverse events in Thai hospitals using medical record reviews: Agreement among reviewers. J Med Assoc Thai. 2005;88:1412–1418
  16. Evans SM, Berry JG, Smith BJ, et al. Attitudes and barriers to incident reporting: A collaborative hospital study. Qual Saf Health Care. 2006;15:39–43
  17. Cote CJ, Notterman DA, Karl HW, et al. Adverse sedation events in pediatrics: A critical incident analysis of contributing factors. Pediatrics. 2000;105:805–814
  18. Weingart SN, Wilson RM, Gibberd RW, et al. Epidemiology of medical error. BMJ. 2000;320:774–777
  19. Thomas EJ, Lipsitz SR, Studdert DM, et al. The reliability of medical record review for estimating adverse event rates. Ann Intern Med. 2002;136:812–816
  20. Conerly C. Strategies to increase reporting of near misses and adverse events. J Nurs Care Qual. 2007;22:102–106

PII: S1089-9472(09)00317-7

doi: 10.1016/j.jopan.2009.07.004

Journal of PeriAnesthesia Nursing
Volume 24, Issue 5 , Pages 300-306 , October 2009

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