Sedation and patient safety.
The safety of patients receiving sedation and sedating analgesia therapies is a system property. There are multiple team members and processes needed to ensure safety that reside outside the purview of nursing. This article outlines safety considerations in sedation using the Eindhoven classification system as framework for aggregating contributing factors in error events into a useful format. Using this approach offers consistency in investigation and a framework for making sense of data. For this article, sedatives and analgesic medication related events are considered.
Simmons
Debora
D
The Institute for Healthcare Excellence, The University of Texas MD Anderson Cancer Center, 1515 Holcombe, Unit 141, Houston, TX 77030-4437, USA. dsimmon@mdanderson.org
D002983:Clinical Competence; D016292:Procedural Sedation / Q000009:adverse effects* / Q000379:methods / Q000451:nursing; D003422:Critical Care / Q000458:organization & administration*; D016903:Drug Monitoring / Q000379:methods / Q000451:nursing; D004868:Equipment Failure; D006804:Ergonomics; D006801:Humans; D033181:Information Dissemination; D008508:Medication Errors / Q000145:classification / Q000379:methods / Q000451:nursing / Q000517:prevention & control*; D017146:Models, Organizational; D009730:Nursing Assessment / Q000379:methods; D010043:Outcome and Process Assessment, Health Care / Q000458:organization & administration; D011785:Quality Assurance, Health Care / Q000458:organization & administration; D012307:Risk Factors; D017751:Safety Management / Q000458:organization & administration*; D013597:Systems Analysis