Zouaidi Kawtar, Yeager Jan, Bangar Suhasini, Tungare Sayali, Mehta Urvi, Urata Janelle, Yansane Alfa-Ibrahim, Tanbonliong Thomas, Kim Jungsoo, Sedlock Emily, Kookal Krishna Kumar, Xiao Yan, Oluwabunmi Tokede, Spallek Heiko, Franklin Amy, Olson Gregory W, White Joel, Kalenderian Elsbeth, Walji Muhammad F
Texas Center for Oral Healthcare Quality and Safety, UTHealth Houston School of Dentistry, Houston, TX.
Clinical Innovation Center, UCSF, San Francisco, California.
J Patient Saf. 2025 Oct 1;21(7Supp):S72-S80. doi: 10.1097/PTS.0000000000001401. Epub 2025 Sep 23.
There are gaps in understanding the experiences of children, parents, and providers during dental conscious sedation. This study aimed to capture and analyze these experiences to identify opportunities for improvement and enhance the quality and safety of pediatric dental conscious sedation.
A human-centered design approach was used to examine the conscious sedation experience in 2 US advanced education pediatric dental clinics. Researchers conducted field observations, interviews with providers and parents, and providers focus groups to explore experiential factors. Data were transcribed and analyzed using content thematic analysis. Insights from the data were used to explore and generate new solutions to improve dental conscious sedation quality and safety.
A total of 25 observations, 18 interviews (9 providers, 9 parents), and 4 provider focus groups were conducted across both sites. The process identified 4 key improvement opportunities: helping providers navigate the ambiguity of patient behavior, facilitating rapport building between providers and patients/parents, aligning expectations and supporting sedation sensemaking, and making the sedation experience more patient-centered. A multicomponent intervention was developed to address these needs, including a parent-facing brochure, a patient educational video, and an enhanced set of sedation records for providers to document patient and sedation information.
This study used human-centered design to identify key challenges in pediatric dental conscious sedation and develop a multicomponent intervention in collaboration with patients, parents, and providers. The research demonstrates the potential of this approach to enhance sedation quality and safety, with future studies needed to assess its impact.
在理解牙科清醒镇静过程中儿童、家长及医护人员的体验方面存在差距。本研究旨在捕捉并分析这些体验，以确定改进机会，提高儿科牙科清醒镇静的质量和安全性。
采用以人为本的设计方法，对美国两家高级儿科牙科教育诊所的清醒镇静体验进行研究。研究人员进行了实地观察、对医护人员和家长的访谈以及医护人员焦点小组讨论，以探索体验因素。数据进行转录并采用内容主题分析。数据得出的见解用于探索并生成新的解决方案，以提高牙科清醒镇静的质量和安全性。
在两个地点共进行了25次观察、18次访谈（9名医护人员、9名家长）以及4次医护人员焦点小组讨论。该过程确定了4个关键改进机会：帮助医护人员应对患者行为的不确定性、促进医护人员与患者/家长之间建立融洽关系、使期望一致并支持镇静理解，以及使镇静体验更以患者为中心。开发了一种多组分干预措施来满足这些需求，包括面向家长的手册、患者教育视频以及一套增强的镇静记录，供医护人员记录患者和镇静信息。
本研究采用以人为本的设计来识别儿科牙科清醒镇静中的关键挑战，并与患者、家长和医护人员合作开发了一种多组分干预措施。该研究证明了这种方法在提高镇静质量和安全性方面的潜力，未来还需要进行研究以评估其影响。
