In a new subcommittee collaboration between the SPS Research and Quality & Safety Committees, dedicated SPS members will be harnessing the resources of the Pediatric Sedation Research Consortium (PSRC) to take sedation quality analyses and metrics to the next level.
Historically, quality sedation has been almost exclusively defined by safety, which of course must be the foundation of any sedation system. However, as the Institute of Medicine’s Six Aims for Health Care Quality delineate, safety is only one part; effectiveness, patient-centeredness, timeliness, efficiency, and equity are also key aspects of quality. This newly formed Research Metrics subcommittee has been tasked with determining how to define and measure additional metrics of quality pediatric procedural sedation targeting these other important aims.
To start, this subcommittee will evaluate the current and historical PSRC data to assess for the gaps and opportunities for new questions targeting priority metrics. An interested subset of the participating PSRC institutions can then participate in data submission to facilitate a better understanding of these metrics. The subcommittee can then develop other mechanisms that will likely be needed to validate the new metrics. This process can then be used to enhance the depth of the PSRC quality analyses for individual institutions, revise the Center of Excellence criteria to provide a more advanced evaluation process, and improve widespread sedation quality via dissemination of this information in published literature. The possibilities are endless for this group; we anticipate they will make great strides to improve the quality of sedation care by establishing new metrics and targets for excellence.