{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T17:52:57Z","timestamp":1790790777020,"version":"4.1.0"},"reference-count":17,"publisher":"Springer Science and Business Media LLC","issue":"10","license":[{"start":{"date-parts":[[2025,8,6]],"date-time":"2025-08-06T00:00:00Z","timestamp":1754438400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2025,8,6]],"date-time":"2025-08-06T00:00:00Z","timestamp":1754438400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Pediatr Radiol"],"abstract":"<jats:title>Abstract<\/jats:title>\n          <jats:sec>\n            <jats:title>Background<\/jats:title>\n            <jats:p>Our institution decided to implement an awake MRI scanning quality improvement project using audiovisual distraction (AVD) technology.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Objective<\/jats:title>\n            <jats:p>To reduce the utilization of minimal\/moderate sedation by at least 20% in children 4 to 18\u00a0years, while maintaining comparable diagnostic quality and adhering to allotted exam times, through the implementation of an awake MRI program.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Materials and methods<\/jats:title>\n            <jats:p>This project was conducted at a pediatric sedation clinic between October 2021 and January 2024. We included patients 4 to 18\u00a0years of age, scheduled for an MRI at the pediatric hospital, and eligible for either minimal\/moderate sedation or AVD. The outcome measure was the percentage of patients referred to our sedation clinic who completed an MRI with AVD and without sedation, analyzed on a statistical process control (SPC) P-Chart. Process measures were the number of children eligible for AVD per month, analyzed on an SPC C-Chart. Balance measures were the number of studies that exceeded allotted exam time or were non-diagnostic.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Results<\/jats:title>\n            <jats:p>Of 734 MRI referrals aged 4 to 18\u00a0years, 320 patients met inclusion criteria. Two hundred twenty-eight (71.3%) received minimal\/moderate sedation (mean age [SD] 9.7\u00a0years [\u00b1\u20093.0]) and 92 (28.8%) underwent AVD (mean age 10.0\u00a0years [\u00b1\u20092.7]). The average monthly decrease in minimal\/moderate sedation use was 28.8 percentage points. The average number of children considered eligible for AVD increased by special cause variation from 3.8 to 7 patients per month. All 92 MRI referrals triaged to AVD completed their MRI successfully without sedation; all studies were diagnostic, and 96% of studies were within the allotted exam time.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Conclusion<\/jats:title>\n            <jats:p>We implemented an awake MRI program with AVD that decreased monthly sedation needs by 28.8 percentage points while maintaining a high rate of diagnostic studies and no MRI delays.<\/jats:p>\n          <\/jats:sec>","DOI":"10.1007\/s00247-025-06293-4","type":"journal-article","created":{"date-parts":[[2025,8,6]],"date-time":"2025-08-06T07:14:09Z","timestamp":1754464449000},"page":"2148-2159","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["A quality improvement project to reduce magnetic resonance imaging sedation in children"],"prefix":"10.1007","volume":"55","author":[{"given":"Juan","family":"Boriosi","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christina","family":"Bryndzia","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael","family":"Lasarev","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Justin","family":"Brucker","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Susan","family":"Rebsamen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Teresa","family":"Chapman","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Brianna","family":"Peterson","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Megan","family":"Peters","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2025,8,6]]},"reference":[{"issue":"6","key":"6293_CR1","doi-asserted-by":"publisher","first-page":"743","DOI":"10.1093\/oxfordjournals.bja.a013586","volume":"84","author":"S Malviya","year":"2000","unstructured":"Malviya S, Voepel-Lewis T, Eldevik OP, Rockwell DT, Wong JH, Tait AR (2000) Sedation and general anaesthesia in children undergoing MRI and CT: adverse events and outcomes. 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