Procedural Sedation Outcomes

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Why Choose Us: Procedural Sedation

Our Outcomes: The Results of Our Care

Sedation can help children stay still for certain procedures, and can help with feelings of fear and anxiety. The sedation medicine we use makes kids feel more relaxed or sleepy.

Why Measuring Results Matters

At Nemours, we measure our results and compare them to national rates to help track our progress in providing pediatric care with the best possible results. Why? So we can:

  • help you make decisions about your child’s care
  • be clear about our results
  • improve so we can consistently deliver better, safer care

Here are a couple of outcomes we track and focus on to improve the experience for both you and your child.

 

Reducing Complications

Reducing Complications


Lower (Better) Complication Rate Than the National Average

Sometimes complications happen that can affect the use of sedation medicine. At Nemours/Alfred I. duPont Hospital for Children in Wilmington, Del., we continually measure and record the rate of variance (complications) related to using sedation in children. That includes events outside of what we’d normally expect to happen — like the child requires oxygen, their airway is obstructed, there’s an unexpected change in vital signs, etc. But because our attention is on safe practices at all times, our complication rates are lower (better) than the national benchmark (the guideline or target we’re trying to achieve).

 

2016 Complication Rate Related to Sedation, Nemours/Alfred I. duPont Hospital for Children (Wilmington, Del.)

4,112

Total number of sedation patients

3.1%

Hospital

6.5%

National average (benchmark)

 

Data source and benchmark: Each sedation event in the hospital has an associated quality field to report any complication related to the sedation. This field was designed to match that of the Pediatric Sedation Research Consortium (PSRC), the research arm of the Society for Pediatric Sedation (SPS). Our rate is benchmarked against that of the other pooled PSRC members (currently 48 institutions participating nationwide).

Reducing the Number of Uncompleted Procedures

Reducing the Number of Uncompleted Procedures


Lower (Better) Rate of Uncompleted Procedures Than the National Average

No one wants to have a procedure or diagnostic medical imaging test cancelled because of problems with sedation. One reason a procedure may not be able to be completed is difficulty placing an intravenous line (IV) to deliver sedation medicines. To avoid this issue, we offer several options for making IV placement easier for your child (and for us). That includes using “relaxing” medications that can be delivered by mouth or through the nose, nitrous oxide (“laughing gas”), numbing creams and sprays, and distraction devices. As a result, 90 percent of our IV starts are successful on the first try. 

Our hospital sedation committee tracks and carefully analyzes each and every time we’re unable to complete a procedure because of a sedation-related problem. We can then address these issues, making sure we do everything possible to improve our processes. That’s why our rate of overall “sedation failure” is very low (just 0.15 percent of our cases).

 

2016 Sedation Failure Rate (Procedures Not Completed Due to Complications), Nemours/Alfred I. duPont Hospital for Children (Wilmington, Del.)

4,112

Total number of sedation patients

0.15%

Hospital

0.2%

National average (benchmark)

 

Data source and benchmark: Data is from the QA section of the Epic Anesthesia record, “Procedure not completed due to problems with sedation,” compared with the same category in the data from the PSRC. Our rate is benchmarked against that of the other pooled PSRC members.

Our Differentiators: What Sets Us Apart

Our Differentiators: What Sets Us Apart


Why Choose Nemours Procedural Sedation

If your child needs sedation for a procedure at Nemours/Alfred I. duPont Hospital for Children know that they’ll be in good hands.
 
  • Our pediatric sedation experts are extremely well-trained and experienced in working solely with sedation in children. Our four physicians have an average of 20 years of experience in providing sedation in emergency department and sedation unit settings.
  • Our team also is complemented by very experienced advanced practice nurses (APNs) and anesthesiologists. This allows us to tailor your child’s sedation needs to the ideal provider. For example, your child may need a lighter sedation with “laughing gas” for a minor procedure with a nurse practitioner, or stronger sedation with a physician for a longer or more invasive procedure.
  • Our team works in a medical unit devoted only to providing sedation.
  • Our sedation service is closely involved with and follows the principles of the Society for Pediatric Sedation (SPS). Membership in this group allows us to compare our methods and outcomes with other high-performing facilities across the country.
  • We’ve established procedures and lines of communication around the best applications of sedation medicine with children. We continually examine those procedures and collect data to make sure we’re effective.
  • We often use propofol, a quick-recovery, low-complication medicine for our sedation procedures. Other pediatric hospitals in our region use pentobarbital, a drug shown to have longer recovery times and more complications, especially with children.

Whatever your child’s sedation needs, we are committed to using only the safest, most effective sedation medicines and procedures every time.

Learn More About Procedural Sedation at Nemours »

 

We ask for your honest feedback so we can make improvements for all of our patients. Here's how families ranked our unit in surveys (Jan.–Aug. 2017):

Nemours/Alfred I. duPont Hospital for Children (Wilmington, Del.)

  • Friendliness of staff: 90 percent
  • Overall standard of care: 87 percent
  • Concern for comfort (pain): 86 percent
  • Likelihood to recommend: 85 percent
  • Staff worked together: 85 percent
  • Response to concern/complaint: 81 percent
  • Informed about delays: 75 percent

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