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Chapter 7 - Quality, Legal, and Risk Management Considerations: Ensuring Program Excellence

Published online by Cambridge University Press:  12 December 2024

By
Mary T. Antonelli  and
David E. Seaver
Edited by
Richard D. Urman  and
Alan David Kaye
Richard D. Urman
Affiliation:
Ohio State University
Alan David Kaye
Affiliation:
Louisiana State University School of Medicine
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Summary

The goal of a procedural sedation program is to provide guidance to establish the best standard of care, yielding the best outcome for the patient. This ambition starts with the establishment of an institutional procedural sedation committee. Institutional leadership that provides central oversight for sedation practice is required by The Joint Commission (TJC) and the Centers for Medicare and Medicaid Services (CMS). Due to this requirement many hospitals and organizations have a committee that provides oversight for each area and department providing sedation. The committee structure should include all those providing sedation services to facilitate interprofessional team conversations to ensure optimal sedation practices supported by the anesthesia and nursing professional organizations’ regulatory agency guidelines.

Type
Chapter
Information
Moderate and Deep Sedation in Clinical Practice , pp. 92 - 112
Publisher: Cambridge University Press
Print publication year: 2024

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References

References

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Additional Reading

Caperelli-White, L, Urman, RD. Developing a moderate sedation policy: essential elements and evidence-based considerations. AORN J. 2014 Mar;99(3):416–30. doi: 10.1016/ j.aorn.2013.09.015.CrossRefGoogle ScholarPubMed
Karamnov, S, Sarkisian, N, Grammer, R, Gross, WL, Urman, RD. Analysis of adverse events associated with adult moderate procedural sedation outside the operating room. J Patient Saf. 2017;13(3):111–21.CrossRefGoogle ScholarPubMed
Pisansky, AJ, Beutler, SS, Urman, RD. Education and training for nonanesthesia providers performing deep sedation. Curr Opin Anaesthesiol. 2016;29(4):499–505. doi: 10.1097/ACO.0000000000000342.CrossRefGoogle ScholarPubMed
Ranum, D, Ma, H, Shapiro, FE, Chang, B, Urman, RD. Analysis of patient injury based on anesthesiology closed claims data from a major malpractice insurer. J Healthc Risk Manag. 2014;34(2):31–42.CrossRefGoogle ScholarPubMed

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