{"id":"https://openalex.org/W790388277","doi":null,"title":"The Development of an Auditing Tool to Measure Adherence to a Sedation Protocol","display_name":"The Development of an Auditing Tool to Measure Adherence to a Sedation Protocol","publication_year":2015,"publication_date":"2015-01-01","ids":{"openalex":"https://openalex.org/W790388277","mag":"790388277"},"language":"en","primary_location":{"id":"pmh:oai:repository.arizona.edu:10150/556004","doi":null,"is_oa":false,"landing_page_url":"http://hdl.handle.net/10150/556004","pdf_url":null,"source":{"id":"https://openalex.org/S4306400271","display_name":"UA Campus Repository (The University of Arizona)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I138006243","host_organization_name":"University of Arizona","host_organization_lineage":["https://openalex.org/I138006243"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"acceptedVersion","is_accepted":true,"is_published":false,"raw_source_name":null,"raw_type":"Electronic Dissertation"},"volume":null,"type":"dissertation","is_traditional":true,"indexed_in":[],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5000923466","display_name":"Keith Wesley Kent","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":true,"raw_author_name":"Keith Wesley Kent","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]}],"institutions":[],"countries_distinct_count":0,"institutions_distinct_count":0,"corresponding_author_ids":["https://openalex.org/A5000923466"],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":null,"has_fulltext":false,"cited_by_count":0,"citation_normalized_percentile":null,"cited_by_percentile_year":null,"biblio":{"volume":null,"issue":null,"first_page":null,"last_page":null},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10867","display_name":"Intensive Care Unit Cognitive Disorders","score":0.31349998712539673,"subfield":{"id":"https://openalex.org/subfields/2706","display_name":"Critical Care and Intensive Care Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10867","display_name":"Intensive Care Unit Cognitive Disorders","score":0.31349998712539673,"subfield":{"id":"https://openalex.org/subfields/2706","display_name":"Critical Care and Intensive Care Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10436","display_name":"Anesthesia and Sedative Agents","score":0.22200000286102295,"subfield":{"id":"https://openalex.org/subfields/2703","display_name":"Anesthesiology and Pain Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10508","display_name":"Patient Safety and Medication Errors","score":0.09589999914169312,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/sedation-regimens","display_name":"sedation protocols","score":0.777999997138977},{"id":"https://openalex.org/keywords/protocol-adherence","display_name":"protocol adherence","score":0.9769999980926514},{"id":"https://openalex.org/keywords/audit-and-feedback","display_name":"audit and feedback","score":0.9860000014305115},{"id":"https://openalex.org/keywords/mechanical-ventilation","display_name":"mechanical ventilation","score":0.8270000219345093},{"id":"https://openalex.org/keywords/critically-ill-patients","display_name":"critically ill patients","score":0.671999990940094},{"id":"https://openalex.org/keywords/sedation-management","display_name":"sedation management","score":0.6340000033378601},{"id":"https://openalex.org/keywords/pain-management","display_name":"pain management","score":0.8190000057220459},{"id":"https://openalex.org/keywords/length-of-hospital-stay","display_name":"length of hospital stay","score":0.9259999990463257},{"id":"https://openalex.org/keywords/electronic-health-record-data-extraction","display_name":"electronic health record data extraction","score":0.8299999833106995},{"id":"https://openalex.org/keywords/clinical-protocol-implementation","display_name":"clinical protocol implementation","score":0.460999995470047}],"concepts":[{"id":"https://openalex.org/C199521495","wikidata":"https://www.wikidata.org/wiki/Q181487","display_name":"Audit","level":2,"score":0.6784268021583557},{"id":"https://openalex.org/C2780385302","wikidata":"https://www.wikidata.org/wiki/Q367158","display_name":"Protocol (science)","level":3,"score":0.6558598875999451},{"id":"https://openalex.org/C2780009758","wikidata":"https://www.wikidata.org/wiki/Q6804172","display_name":"Measure (data warehouse)","level":2,"score":0.5591769814491272},{"id":"https://openalex.org/C2776814716","wikidata":"https://www.wikidata.org/wiki/Q574801","display_name":"Sedation","level":2,"score":0.5182435512542725},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.4089621603488922},{"id":"https://openalex.org/C41008148","wikidata":"https://www.wikidata.org/wiki/Q21198","display_name":"Computer science","level":0,"score":0.3900952637195587},{"id":"https://openalex.org/C42219234","wikidata":"https://www.wikidata.org/wiki/Q131130","display_name":"Anesthesia","level":1,"score":0.30930155515670776},{"id":"https://openalex.org/C144133560","wikidata":"https://www.wikidata.org/wiki/Q4830453","display_name":"Business","level":0,"score":0.2803837060928345},{"id":"https://openalex.org/C121955636","wikidata":"https://www.wikidata.org/wiki/Q4116214","display_name":"Accounting","level":1,"score":0.25830864906311035},{"id":"https://openalex.org/C124101348","wikidata":"https://www.wikidata.org/wiki/Q172491","display_name":"Data mining","level":1,"score":0.19102153182029724},{"id":"https://openalex.org/C204787440","wikidata":"https://www.wikidata.org/wiki/Q188504","display_name":"Alternative medicine","level":2,"score":0.07271689176559448},{"id":"https://openalex.org/C142724271","wikidata":"https://www.wikidata.org/wiki/Q7208","display_name":"Pathology","level":1,"score":0.0}],"mesh":[],"locations_count":2,"locations":[{"id":"pmh:oai:repository.arizona.edu:10150/556004","doi":null,"is_oa":false,"landing_page_url":"http://hdl.handle.net/10150/556004","pdf_url":null,"source":{"id":"https://openalex.org/S4306400271","display_name":"UA Campus Repository (The University of Arizona)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I138006243","host_organization_name":"University of Arizona","host_organization_lineage":["https://openalex.org/I138006243"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"acceptedVersion","is_accepted":true,"is_published":false,"raw_source_name":null,"raw_type":"Electronic Dissertation"},{"id":"mag:790388277","doi":null,"is_oa":false,"landing_page_url":"http://arizona.openrepository.com/arizona/handle/10150/556004","pdf_url":null,"source":null,"license":null,"license_id":null,"version":null,"is_accepted":false,"is_published":false,"raw_source_name":null,"raw_type":null}],"best_oa_location":null,"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","score":0.98580002784729,"display_name":"Good health and well-being"}],"study_designs":[],"awards":[],"funders":[],"has_content":{"grobid_xml":false,"pdf":false},"content_urls":null,"referenced_works_count":33,"referenced_works":["https://openalex.org/W189647164","https://openalex.org/W409482519","https://openalex.org/W1549157706","https://openalex.org/W1840713340","https://openalex.org/W1968662215","https://openalex.org/W2004365296","https://openalex.org/W2008119176","https://openalex.org/W2014514659","https://openalex.org/W2017984541","https://openalex.org/W2027253893","https://openalex.org/W2037246474","https://openalex.org/W2044145896","https://openalex.org/W2050845046","https://openalex.org/W2052755735","https://openalex.org/W2072648137","https://openalex.org/W2072998171","https://openalex.org/W2078927264","https://openalex.org/W2079285804","https://openalex.org/W2083003221","https://openalex.org/W2097885227","https://openalex.org/W2106657244","https://openalex.org/W2114262384","https://openalex.org/W2115140164","https://openalex.org/W2116089402","https://openalex.org/W2119243103","https://openalex.org/W2123098876","https://openalex.org/W2124623783","https://openalex.org/W2139551958","https://openalex.org/W2140724036","https://openalex.org/W2152324756","https://openalex.org/W2161487098","https://openalex.org/W2163190189","https://openalex.org/W4230200539"],"related_works":["https://openalex.org/W2037246474","https://openalex.org/W2947697673","https://openalex.org/W4415187130","https://openalex.org/W3093223779","https://openalex.org/W2191533356","https://openalex.org/W2913447786","https://openalex.org/W2078927264","https://openalex.org/W3025659324","https://openalex.org/W6991661243","https://openalex.org/W2933824176"],"abstract_inverted_index":{"Introduction:":[0],"A":[1,69,192],"protocol":[2,28,56,63,190],"for":[3,9,82,115,223],"management":[4],"of":[5,126,129,136,161,174,189,194,227,243,254],"sedation":[6,55,176],"and":[7,48,59,88,95,122,133,196,211,233,238],"pain":[8],"mechanically":[10,78],"ventilated":[11,79],"patients":[12,81,104],"at":[13,57],"Flagstaff":[14],"Medical":[15],"Center":[16],"(FMC)":[17],"was":[18,24,74,152],"implemented":[19],"in":[20,169,202,250],"August":[21],"2013.":[22],"It":[23],"unknown":[25],"whether":[26,34,61],"the":[27,62,187,203,224,252],"is":[29,246],"being":[30],"adhered":[31],"to":[32,51,54,241],"or":[33],"it":[35],"has":[36,64],"had":[37],"an":[38,46,247],"impact":[39],"on":[40],"patient":[41,66,170],"outcomes.":[42,67],"Objectives:":[43],"To":[44],"develop":[45],"audit":[47,195,232],"feedback":[49,197,234],"mechanism":[50],"monitor":[52],"adherence":[53,113,150,206],"FMC":[58],"determine":[60],"impacted":[65],"Methods:":[68],"retrospective":[70],"manual":[71],"chart":[72],"review":[73],"conducted":[75],"including":[76],"all":[77],"adult":[80],"four,":[83],"one-month":[84],"periods:":[85],"1)":[86],"pre-protocol;":[87],"2)":[89],"one":[90],"month,":[91],"3)":[92],"six":[93],"months,":[94],"4)":[96],"12":[97],"months":[98],"post-protocol":[99,116],"implementation.":[100],"Results:":[101],"132":[102],"total":[103],"were":[105,119,140],"included":[106],"(32":[107],"pre;":[108],"100":[109],"post-protocol).":[110],"Mean":[111],"weighted":[112],"score":[114,151],"study":[117],"groups":[118],"5.0\u00b10.6,":[120],"5.0\u00b10.7,":[121],"5.2\u00b10.7":[123],"(p=0.926)":[124],"out":[125],"ten.":[127],"Time":[128],"mechanical":[130,162],"ventilation":[131],"(p=0.003)":[132],"hospital":[134,156],"length":[135],"stay":[137],"(LOS)":[138],"(p=0.023)":[139],"reduced":[141],"post":[142],"(56\u00b158h;":[143],"9.8\u00b17.9days)":[144],"vs.":[145],"pre-protocol":[146],"(90\u00b167h;":[147],"13\u00b17days).":[148],"The":[149],"weakly":[153],"correlated":[154],"with":[155,186],"LOS":[157],"but":[158],"not":[159,221],"time":[160],"ventilation.":[163],"Conclusion:":[164],"This":[165],"project":[166,180],"demonstrates":[167],"improvements":[168],"outcomes":[171],"from":[172],"utilization":[173],"a":[175,200,255],"protocol.":[177,257],"However,":[178],"this":[179],"also":[181],"highlights":[182],"several":[183],"challenges":[184],"associated":[185],"monitoring":[188,212],"adherence.":[191],"lack":[193],"may":[198],"be":[199],"factor":[201],"observed":[204],"unchanged":[205],"over":[207],"time.":[208],"Both":[209],"research":[210],"activities":[213],"are":[214,236],"impaired":[215],"by":[216],"EHR":[217],"systems":[218],"that":[219,230],"do":[220],"allow":[222],"easy":[225],"extraction":[226],"data.":[228],"Ensuring":[229],"adequate":[231],"strategies":[235],"designed":[237],"available":[239],"prior":[240],"implementation":[242,253],"new":[244,256],"protocols":[245],"essential":[248],"step":[249],"planning":[251]},"counts_by_year":[],"updated_date":"2026-10-12T09:40:04.860316","created_date":"2016-06-24T00:00:00"}