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Consensus-based recommendations for standardizing terminology and reporting adverse events for emergency department
Maala Bhatt1, Robert M Kennedy, Martin H Osmond
1Division of Emergency Medicine, Montreal Children's Hospital, McGill University, Montreal, Quebec, Canada. maala.bhatt@muhc.mcgill.ca
Insights
Standardizing terminology for pediatric procedural sedation and analgesia is crucial for accurate adverse event tracking. This consensus aims to improve data aggregation and evidence-based guidelines for emergency department care.
Area of Science:
- Pediatric Emergency Medicine
- Clinical Research Methodology
- Patient Safety
Background:
- Pediatric procedural sedation and analgesia are common in emergency departments.
- Inconsistent terminology hinders accurate adverse event and complication rate assessment in existing literature.
- Infrequent serious adverse events necessitate large-scale studies for safety evaluation, limiting evidence-based guideline development.
Framework:
- Developed consensus-based recommendations for standardizing procedural sedation and analgesia terminology.
- Focused on uniform reporting of adverse events and outcomes.
- Assembled a panel of pediatric sedation researchers and experts.
Implementation:
- Aimed to create a standardized reporting mechanism for future research.
- Facilitate aggregation and comparison of sedation safety data across studies.
- Enhance the reliability of safety assessments in pediatric emergency care.
Implications:
- Enable the establishment of a robust database for evidence-based practice guidelines.
- Improve the accuracy and consistency of pediatric sedation safety reporting.
- Advance the field of pediatric emergency medicine through standardized research practices.
Abstract:
Children commonly require sedation and analgesia for procedures in the emergency department. Establishing accurate adverse event and complications rates from the available literature has been difficult because of the difficulty in aggregating results from previous studies that have used varied terminology to describe the same adverse events and outcomes. Further, serious adverse events occur infrequently, necessitating the study of large numbers of children to assess safety. These limitations prevent the establishment of a sufficiently large database on which evidence-based practice guidelines may be based. We assembled a panel of pediatric sedation researchers and experts to develop consensus-based recommendations for standardizing procedural sedation and analgesia terminology and reporting of adverse events. Our goal was to create a uniform reporting mechanism for future studies to facilitate the aggregation and comparison of results.
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