Accepted for/Published in: JMIR Medical Informatics
Date Submitted: Oct 6, 2023
Open Peer Review Period: Oct 6, 2023 - Dec 1, 2023
Date Accepted: Jun 26, 2024
(closed for review but you can still tweet)
Pediatric Sedation Assessment and Management System (PSAMS) for Pediatric Sedation in China: Development and Implementation Report
ABSTRACT
Background:
Recently, the growing demand for pediatric sedation services outside the operating room has imposed a heavy burden on pediatric centers in China. There is an urgent need to develop a novel system to help provide better sedation services.
Objective:
This study aimed to develop and implement a computerized system, Pediatric Sedation Assessment and Management System (PSAMS), to streamline pediatric sedation services at a major children’s hospital in southwest China.
Methods:
The PSAMS was designed to reflect the actual workflow of pediatric sedation. It consists of three main components: server-hosted software, client applications on tablets and computers, and specialized devices like gun-type scanners, desktop label printers, and pulse oximeters. With the input of a multidisciplinary team, the PSAMS was developed and refined during its application in the sedation process. This study analyzed data from the first two years after the system's deployment.
Results:
From January 2020 to December 2021, a total of 127,325 sedations were performed on 85,281 patients using the PSAMS. Besides basic variables imported from Hospital Information Systems (HIS), the PSAMS database currently contains an additional 33 variables, capturing comprehensive information from presedation assessment to post-procedural recovery. The recorded data from PSAMS indicates a one-time sedation success rate of 97.1% in 2020 and 97.5% in 2021. The observed rate of adverse events was 3.5% (95% CI: 3.37%-3.68%) in 2020 and 2.8% (95% CI: 2.71%-2.94%) in 2021.
Conclusions:
The PSAMS streamlined the entire sedation workflow, reduced the burden of data collection, and laid down a foundation for the future cooperation of multiple pediatric healthcare centers.
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