Adherence to safety guidelines on paediatric procedural sedation: the results of a nationwide survey under general paediatricians in The Netherlands

P. L. J. M. Leroy*, F. H. M. Nieman, H. E. Blokland-Loggers, D. M. Schipper, L. J. I. Zimmermann, J.T.A. Knape

*Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review


Objectives Following two fatal accidents during paediatric procedural sedation (PS), the authors investigated the level of adherence to established safety standards on PS in a nationwide cohort of fully trained general paediatricians, entrusted with PS. Study design and methods: Sample survey Safety guidelines on PS were split into four domains ("Presedation Assessment", "Monitoring during PS", "Recovery after PS" and "Facilities and Competences for Emergencies and Rescue"). Each domain was operationalised into sub-domains and items. Items were presented within a questionnaire list as procedural points of attention on which respondents could give their personal adherence score. Percentages of full adherence were calculated. Non-adherence was defined as gradual deviation from full adherence. After factor and reliability analysis, observed scores were summed up to scales, and results were transformed to a 0-10 report mark (RM). An RM of >= 9 is considered as a satisfactory level of adherence while an RM
Original languageEnglish
Pages (from-to)1027-1030
JournalArchives of Disease in Childhood
Issue number12
Publication statusPublished - Dec 2010

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