Original articlePreprinted Order Sets as a Safety Intervention in Pediatric Sedation
Section snippets
Methods
This project was approved by the Institutional Review Board at Louisiana State University Health Sciences Center-Shreveport. Prior to July 2004, there was no standard order set for pediatric patients requiring procedural sedation in our institution. A standard order set was created by one of the authors (M.B.) with input from the Pediatric Department Chairman and a Pediatric Intensivist (available by request from M.B.). The list of all required documents for pediatric procedural sedations was
Results
A total of 84 charts were reviewed (42 preintervention and 42 postintervention). The mean ages of the patients being sedated were 71 months “before” (range: 19 days to 15 years old) and 43 months “after” (range: 60 days to 14 years old). Sedation was required for a variety of diagnostic and therapeutic procedures in both groups. After the implementation of pre-printed physician orders, consent forms and prepared packets, 2% of order forms (1 of 42) and 14% of consent forms (6 of 42) were still
Discussion
By implementing preprinted physician orders and prepared packets for pediatric procedural sedation, we were able to demonstrate a significant increase in documentation compliance while decreasing medication ordering errors. We reduced medication ordering errors by 64% by simply implementing preprinted order sets for pediatric procedural sedation.
Previous studies using preprinted or formatted order sets have been conducted in different settings including emergency departments and oncology units.
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The authors have no financial affiliation or conflict of interest in the subject matter, materials, or products mentioned in this manuscript.