sábado, 4 de octubre de 2014

AHRQ Patient Safety Network ► Analysis of adverse events associated with adult moderate procedural sedation outside the operating room.

AHRQ Patient Safety Network

In light of the recent death of comedienne Joan Rivers, study offers a timely review of adverse events associated with procedural sedation outside the OR.J Patient Saf. 2014 Sep 8; [Epub ahead of print].

PSNet header image

Analysis of adverse events associated with adult moderate procedural sedation outside the operating room.
Karamnov S, Sarkisian N, Grammer R, Gross WL, Urman RD. J Patient Saf. 2014 Sep 8; [Epub ahead of print].
The recent death of comedienne Joan Rivers, which followed a cardiac arrest during a routine throat procedure, has brought national attention to the potential safety hazards of office-based procedural anesthesia. This retrospective study examined adverse events associated with moderate procedural sedation performed outside of the operating room at a tertiary medical center. Adverse events were relatively rare, with only 52 safety incidents identified out of more than 140,000 cases over an 8-year period. The most common harm was oversedation leading to apnea and requiring the use of reversal agents or prolonged bag-mask ventilation. Women were found to be at particularly increased risk for adverse events including oversedation and hypotension. These findings suggest that a combination of patient and procedural characteristics may help risk stratify patients, allowing for appropriate responses such as increased monitoring and staffing for patients likely to experience sedation-related complications. A previous AHRQ WebM&M perspective described office-based anesthesia as the "Wild West" of patient safety.
PubMed citation icon indicating hyperlink to external website
Available at icon indicating hyperlink to external website


Related Resources
STUDY
Ambulatory care adverse events and preventable adverse events leading to a hospital admission.
Woods DM, Thomas EJ, Holl JL, Weiss KB, Brennan TA. Qual Saf Health Care. 2007;16:127-131.
COMMENTARY
What happens when things go wrong?
Brandom BW, Callahan P, Micalizzi DA. Paediatr Anaesth. 2011;21:730-736.
STUDY
Paid malpractice claims for adverse events in inpatient and outpatient settings.
Bishop TF, Ryan AK, Casalino LP. JAMA. 2011;305:2427-2431.
STUDY
Medication injection safety knowledge and practices among anesthesiologists: New York State, 2011.
Gounder P, Beers R, Bornschlegel K, Hinterland K, Balter S. J Clin Anesth. 2013;25:521-528.
View all related resources...


No hay comentarios: