Procedural sedation competencies: a review and multidisciplinary international consensus statement on knowledge, skills, training, and credentialing.

Autor:	Leroy PL; Department of Pediatrics, Maastricht University Medical Centre and School of Health Professions Education, Maastricht University, Maastricht, The Netherlands. Electronic address: p.leroy@mumc.nl., Krauss BS; Department of Pediatrics, Harvard Medical School, Boston Children's Hospital, Boston, MA, USA., Costa LR; Department of Pediatric Dentistry, Federal University of Goias, Goiania, Goias, Brazil., Barbi E; Department of Pediatrics, Institute for Maternal and Child Health-IRCCS 'Burlo Garofolo', Trieste, Italy., Irwin MG; Department of Anaesthesiology, University of Hong Kong, Queen Mary Hospital, Hong Kong., Carlson DW; Department of Pediatrics, Southern Illinois University School of Medicine, Springfield, IL, USA., Absalom A; Department of Anaesthesia, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands., Andolfatto G; University of British Columbia Department of Emergency Medicine, Lions Gate Hospital, North Vancouver, British Columbia, Canada., Roback MG; Department of Pediatrics, University of Colorado School of Medicine, Aurora, CO, USA., Babl FE; Departments of Paediatrics and Critical Care, University of Melbourne, Emergency Department, Royal Children's Hospital, Emergency Research, Murdoch Children's Research Institute, Parkville, WA, Australia., Mason KP; Department of Anesthesia, Harvard Medical School, Boston Children's Hospital, Boston, MA, USA., Roelofse J; Departments of Anaesthesia, University of the Western Cape, Stellenbosch University, Tygerberg, Republic of South Africa., Costa PS; Department of Pediatrics, Federal University of Goias, Goiania, Goias, Brazil., Green SM; Department of Emergency Medicine, Loma Linda University, Loma Linda, CA, USA.
Jazyk:	angličtina
Zdroj:	British journal of anaesthesia [Br J Anaesth] 2024 Sep 25. Date of Electronic Publication: 2024 Sep 25.
DOI:	10.1016/j.bja.2024.07.036
Abstrakt:	Procedural sedation is practised by a heterogeneous group of practitioners working in a wide array of settings. However, there are currently no accepted standards for the competencies a sedation practitioner should have, the content of sedation training programmes, and guidelines for credentialing. The multidisciplinary International Committee for the Advancement of Procedural Sedation sought to develop a consensus statement on the following: which competencies should medical or dental practitioners have for procedural sedation and how are they obtained, assessed, maintained, and privileged. Using the framework of Competency-Based Medical Education, the practice of procedural sedation was defined as a complex professional task requiring demonstrable integration of different competencies. For each question, the results of a literature review were synthetised into preliminary statements. Following an iterative Delphi review method, final consensus was reached. Using multispeciality consensus, we defined procedural sedation competence by identifying a set of core competencies in the domains of knowledge, skills, and attitudes across physical safety, effectiveness, psychological safety, and deliberate practice. In addition, we present a standardised framework for competency-based training and credentialing of procedural sedation practitioners. (Copyright © 2024 The Author(s). Published by Elsevier Ltd.. All rights reserved.)
Databáze:	MEDLINE
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