A gap analysis identified the need for process improvement surrounding the identification and reporting of adverse drug reactions related to moderate sedation. A change to documentation was selected to address this gap. The challenge was disseminating the change in a meaningful way during a time of high census and limited staffing due to the COVID-19 pandemic. Complex adaptive systems theory was used to plan interventions in these conditions.
Adverse drug reactions in moderate sedation: Process improvement during a pandemic (31 March 2023) https://patientsafetyj.com/article/74022-adverse-drug-reactions-in-moderate-sedation-process-improvement-during-a-pandemic
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