{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,11]],"date-time":"2026-04-11T11:00:26Z","timestamp":1775905226688,"version":"3.50.1"},"reference-count":10,"publisher":"Cambridge University Press (CUP)","issue":"5","license":[{"start":{"date-parts":[[2025,4,24]],"date-time":"2025-04-24T00:00:00Z","timestamp":1745452800000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":["cambridge.org"],"crossmark-restriction":true},"short-container-title":["Cardiol Young"],"published-print":{"date-parts":[[2025,5]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec id=\"S104795112500160X_as1\">\n                    <jats:title>Introduction:<\/jats:title>\n                    <jats:p>There is wide variation in institutional sedation strategies in paediatric cardiac ICU. Validated tools such as State Behavioral Scale and Richmond Agitation Sedation Scale were created to help standardise sedation practices.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S104795112500160X_as2\">\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>This is a multi-phase, multicentre, prospective project with the goal of optimising safety and comfort for paediatric cardiac ICU patients. Phase one consisted of an educational intervention with a self-paced, web-based video module on optimal sedation practices using validated sedation screening tools. Participant knowledge was assessed via a de-identified, unmatched pre- and post-test survey. Survey scores were reported as an aggregate average score and compared using a t-test.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S104795112500160X_as3\">\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      There were 259 pre-tests, and 142 post-tests collected during the video-assisted educational intervention. There was a significant increase in mean score on the post-test compared to the pre-test for both instruments: from 4 to 4.8\/10 for State Behavioral Scale (\n                      <jats:italic>p<\/jats:italic>\n                      = 0.01) and from 4.5 to 4.9 for Richmond Agitation Sedation Scale (\n                      <jats:italic>p<\/jats:italic>\n                      = 0.04). 81% of respondents who completed the Richmond Agitation Sedation Scale post-test and 88.1% of those who completed the State Behavioral Scale post-test said their practice would change based on the new knowledge acquired.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S104795112500160X_as4\">\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>We report that our newly developed learning module intervention was effective in increasing short-term knowledge about optimal sedation and sedation scoring. Ongoing phase two efforts include evaluation of long-term compliance of validated sedation screening tools and developing an objective score to measure individual cumulative opioid dosing in the cardiac critical care unit.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1017\/s104795112500160x","type":"journal-article","created":{"date-parts":[[2025,4,24]],"date-time":"2025-04-24T01:20:14Z","timestamp":1745457614000},"page":"900-902","update-policy":"https:\/\/doi.org\/10.1017\/policypage","source":"Crossref","is-referenced-by-count":0,"title":["Implementation of a multiphase, multi-institutional QI initiative to optimise sedation practices in cardiac ICU patients"],"prefix":"10.1017","volume":"35","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5164-8841","authenticated-orcid":false,"given":"Richard U.","family":"Garcia","sequence":"first","affiliation":[{"name":"Emory University"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kimberly","family":"DiMaria","sequence":"additional","affiliation":[{"name":"Children\u2019s Hospital Colorado"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8465-2206","authenticated-orcid":false,"given":"Jamie","family":"Penk","sequence":"additional","affiliation":[{"name":"Lurie Children\u2019s Hospital"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9523-6291","authenticated-orcid":false,"given":"Sherrill","family":"Caprarola","sequence":"additional","affiliation":[{"name":"Children\u2019s Hospital Colorado"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4322-7005","authenticated-orcid":false,"given":"Amy","family":"Romer","sequence":"additional","affiliation":[{"name":"Children\u2019s Hospital of Philadelphia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3204-1176","authenticated-orcid":false,"given":"Michael P.","family":"Fundora","sequence":"additional","affiliation":[{"name":"Emory University"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0901-5420","authenticated-orcid":false,"given":"Deborah U.","family":"Frank","sequence":"additional","affiliation":[{"name":"University of Virginia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Barbara-Jo","family":"Achuff","sequence":"additional","affiliation":[{"name":"Monroe Carrell Jr. Children\u2019s Hospital Vanderbilt University"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"56","published-online":{"date-parts":[[2025,4,24]]},"reference":[{"key":"S104795112500160X_ref2","doi-asserted-by":"publisher","DOI":"10.1097\/PCC.0000000000000756"},{"key":"S104795112500160X_ref3","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2022-056415K"},{"key":"S104795112500160X_ref1","doi-asserted-by":"publisher","DOI":"10.1097\/PCC.0000000000000619"},{"key":"S104795112500160X_ref10","doi-asserted-by":"publisher","DOI":"10.1016\/j.pec.2018.06.018"},{"key":"S104795112500160X_ref7","doi-asserted-by":"publisher","DOI":"10.1177\/0885066619871432"},{"key":"S104795112500160X_ref9","doi-asserted-by":"publisher","DOI":"10.3389\/fped.2021.795487"},{"key":"S104795112500160X_ref8","doi-asserted-by":"publisher","DOI":"10.1097\/01.PCC.0000200955.40962.38"},{"key":"S104795112500160X_ref5","doi-asserted-by":"publisher","DOI":"10.1097\/PCC.0000000000002885"},{"key":"S104795112500160X_ref6","doi-asserted-by":"publisher","DOI":"10.2165\/00148581-200608040-00002"},{"key":"S104795112500160X_ref4","first-page":"1","article-title":"A survey of current practices in sedation, analgesia, withdrawal, and delirium management in paediatric cardiac ICUs","volume":"10","author":"Valentine","year":"2023","journal-title":"Cardiol Young"}],"container-title":["Cardiology in the Young"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S104795112500160X","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,11]],"date-time":"2026-04-11T10:29:34Z","timestamp":1775903374000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S104795112500160X\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,4,24]]},"references-count":10,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2025,5]]}},"alternative-id":["S104795112500160X"],"URL":"https:\/\/doi.org\/10.1017\/s104795112500160x","relation":{},"ISSN":["1047-9511","1467-1107"],"issn-type":[{"value":"1047-9511","type":"print"},{"value":"1467-1107","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,4,24]]},"assertion":[{"value":"\u00a9 The Author(s), 2025. Published by Cambridge University Press","name":"copyright","label":"Copyright","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}}]}}