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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Detalles Bibliográficos
Autores principales: Vukovic, Adam A, Keiner, Elizabeth, Hanson, Holly R
Formato: Online Artículo Texto
Lenguaje:English
Publicado: SAGE Publications 2019
Materias:
Patient Experience Research Briefs
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7410132/
https://www.ncbi.nlm.nih.gov/pubmed/32821789
http://dx.doi.org/10.1177/2374373519846659
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author Vukovic, Adam A
Keiner, Elizabeth
Hanson, Holly R
author_facet Vukovic, Adam A
Keiner, Elizabeth
Hanson, Holly R
author_sort Vukovic, Adam A
collection PubMed
description 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.
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spelling pubmed-74101322020-08-19 Understanding the Process of Procedural Sedation for Orthopedic Injuries in the Pediatric Emergency Department Vukovic, Adam A Keiner, Elizabeth Hanson, Holly R J Patient Exp Patient Experience Research Briefs 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. SAGE Publications 2019-05-02 2020-06 /pmc/articles/PMC7410132/ /pubmed/32821789 http://dx.doi.org/10.1177/2374373519846659 Text en © The Author(s) 2019 https://creativecommons.org/licenses/by-nc/4.0/ This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License (https://creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access pages (https://us.sagepub.com/en-us/nam/open-access-at-sage).
spellingShingle Patient Experience Research Briefs
Vukovic, Adam A
Keiner, Elizabeth
Hanson, Holly R
Understanding the Process of Procedural Sedation for Orthopedic Injuries in the Pediatric Emergency Department
title Understanding the Process of Procedural Sedation for Orthopedic Injuries in the Pediatric Emergency Department
title_full Understanding the Process of Procedural Sedation for Orthopedic Injuries in the Pediatric Emergency Department
title_fullStr Understanding the Process of Procedural Sedation for Orthopedic Injuries in the Pediatric Emergency Department
title_full_unstemmed Understanding the Process of Procedural Sedation for Orthopedic Injuries in the Pediatric Emergency Department
title_short Understanding the Process of Procedural Sedation for Orthopedic Injuries in the Pediatric Emergency Department
title_sort understanding the process of procedural sedation for orthopedic injuries in the pediatric emergency department
topic Patient Experience Research Briefs
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7410132/
https://www.ncbi.nlm.nih.gov/pubmed/32821789
http://dx.doi.org/10.1177/2374373519846659
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