Regulatory Challenges to Emergency Medicine Procedural Sedation
| Autor: | Margaret J. Carman, Mark G. Roback, Benjamin F. Jackson, Steven M. Green, A. Norse |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
business.industry
United States Food and Drug Administration Sedation MEDLINE Conscious Sedation 030208 emergency & critical care medicine Emergency department Commission medicine.disease Centers for Medicare and Medicaid Services U.S United States Food and drug administration Risk perception 03 medical and health sciences 0302 clinical medicine Emergency Medicine medicine Government Regulation Humans 030212 general & internal medicine Medical emergency medicine.symptom business Emergency Service Hospital Medicaid |
| Zdroj: | Annals of emergency medicine. 77(1) |
| ISSN: | 1097-6760 |
| Popis: | As currently written, national regulatory guidance on procedural sedation has elements that are contradictory, confusing, and out of date. As a result, hospital procedural sedation policies are often widely inconsistent between institutions despite similar settings and resources, putting emergency department (ED) patients at risk by denying them uniform access to safe, effective, and appropriate procedural sedation care. Many hospitals have chosen to take overly conservative stances with respect to regulatory compliance to minimize their perceived risk. Herein, we review and critique standards and policies from the Centers for Medicare & Medicaid Services, The Joint Commission, state nursing boards, the Food and Drug Administration, and others with respect to their effect on ED procedural sedation. Where appropriate, we recommend modifications of and enhancements to their guidance that would improve the access of ED patients to modern, safe, and effective procedural sedation care. |
| Databáze: | OpenAIRE |
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