Adverse Drug Reactions in Moderate Sedation: Process Improvement During a Pandemic.
Background: A gap analysis identified the need for process improvement surrounding the identification and reporting of adverse drug reactions related to moderate sedation. A change to documentation was selected to address this gap. The challenge was disseminating the change in a meaningful way durin...
| Published in: | Patient Safety (2689-0143) Vol. 5; no. 1; pp. 1 - 13 |
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| Main Authors: | , , , |
| Format: | research tables/charts Journal Article |
| Published: |
Pennsylvania Patient Safety Authority
Mar2023
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| Online Access: | View this record in EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=163350419&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 163350419 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 26890143 N1OO jtl: Patient Safety (2689-0143) issn: 26890143 maglogo: N pubinfo: dt: Mar2023 vid: 5 iid: 1 pid: 50366 pub: Pennsylvania Patient Safety Authority place: Harrisburg, Pennsylvania artinfo: ui: 163350419 163350419 163350419 10.33940/med/2023.3.4 163350419 ppf: 1 ppct: 12 formats: fmt: @attributes: type: P tig: atl: Adverse Drug Reactions in Moderate Sedation: Process Improvement During a Pandemic. aug: au: Bayne, Julia Craft, Amanda Ho, Alex Riley, Jenna Mastromarino affil: Penn State Health St. Joseph Medical Center sug: subj: COVID-19 Pandemic United States Conscious Sedation Adverse Drug Event Prevention and Control Quality Improvement United States Documentation Quality of Health Care Patient Safety Patient Education Human Quantitative Studies Descriptive Statistics Data Analysis Software ab: Background: A gap analysis identified the need for process improvement surrounding the identification and reporting of adverse drug reactions related to moderate sedation. A change to documentation was selected to address this gap. The challenge was disseminating the change in a meaningful way during a time of high census and limited staffing due to the COVID-19 pandemic. Complex adaptive systems theory was used to plan interventions in these conditions. Methods: Process improvement was organized into Plan-Do-Study-Act cycles guided by the gap analysis, literature, and aims. Quantitative data analysis was conducted using chart audits and a Likert survey. Interventions: Adoption of end-user-redesigned documentation was completed over time using one-on-one instruction, brief just-in-time education sessions at huddles, and ongoing feedback. Results: The survey results demonstrated a significant increase in adverse event knowledge (p=<0.01) and documentation confidence following just-in-time training (p<.01). Chart audits revealed an increase in identification of adverse events (p=0.03). Conclusions: Using a theory-based approach to implement process improvement is a successful way to create change in a challenging environment. Identification of adverse drug reactions related to moderate sedation increased, which is essential for evaluation and safe administration. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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