Quality and Safety Corner
Pediatric Sedation Center of Excellence
By Cheri Landers, MD
The SPS Quality and Safety Committee is a large group with many active subgroups. Currently, the largest focus of this group is describing the Pediatric Sedation Center of Excellence and working towards developing a recognition process for institutions or programs that meet the qualifications of such a Center of Excellence. In addition, each subgroup has a specific project focus. Current projects include defining prescreening guidelines, sedation efficiency metrics, a more valid score to determine sedation efficacy, and defining metrics for timely sedation delivery.
SPS Guideline Repository
By Urmila Tirodker, MD
The provision of sedation for children undergoing tests or procedures outside of the operating room has evolved significantly over the last 40 years. These services have been provided by several sub-specialties such as anesthesia, intensive care, emergency medicine, hospitalists, dentists, pediatric subspecialists, APNs, nursing etc. Professional societies around the globe (such as ASA, AAP, ACEP, AAPD, SPS etc.) along with regulatory bodies (Joint Commission and CMS) have helped make this interdisciplinary area of care safer by providing recommendations or guidelines for varied practitioners who participate in delivery of pediatric sedation. Most of the guidelines share common elements. They are intended to maximize the safety and effectiveness of sedation systems by defining the appropriate triage of patients, recommending strategies for sedation, outlining appropriate monitoring and personnel, defining safe discharge criteria and a robust quality assurance system for pediatric sedation. The SPS membership over the years has reflected this interdisciplinary variety of providers who strive to improve quality and safety in the pediatric sedation delivery across the globe.
The SPS Quality and Safety Committee is committed to providing safe, high quality pediatric procedural sedation care globally. We have attempted to provide SPS members with a rapid online resource of a repository of sedation guidelines that span various disciplines and countries. This section is a review and repository of several such landmark and most cited sedation guidelines put forth by professional societies and peer reviewed articles that pertain to areas of clinical practice, administrative practice, regulatory standards, quality and safety in pediatric sedation across various disciplines.
These guidelines have been divided into procedural sedation management, acute pain assessment and management and International sedation guidelines. The clinical practice guidelines have been further subdivided into various disciplines (such as Anesthesia, Pediatrics/Hospital medicine, Dentistry, Emergency Medicine, Radiology, Gastroenterology, APN and Nursing guidelines). The International Guidelines in this review span several countries from Europe, North America, Australia, South Africa etc.).