{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,16]],"date-time":"2026-06-16T15:39:20Z","timestamp":1781624360982,"version":"3.54.5"},"reference-count":5,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2025,10,21]],"date-time":"2025-10-21T00:00:00Z","timestamp":1761004800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Pediatric Anesthesia"],"published-print":{"date-parts":[[2026,1]]},"abstract":"ABSTRACT<\/jats:title>\n \n Background<\/jats:title>\n There is difficulty completing outpatient procedures in children with complex developmental and behavioral diagnoses. These visits may require increased personnel and incur delays.<\/jats:p>\n <\/jats:sec>\n \n Aims<\/jats:title>\n We sought to evaluate if an interdisciplinary team of providers, nurses, and a clinical pharmacist dedicated to advanced preparation (e.g., discussing patient, reviewing concerns with procedure completion, understanding medication needs) and the development of a pre\u2010appointment plan can streamline outpatient visits.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n Pediatric patients with complex behavioral disorders requiring a procedure at an outpatient visit were evaluated retrospectively using pre\u2010 and post\u2010implementation data. Outcomes assessed were duration of outpatient appointment and procedural sedation times, procedure success, and description of pharmacist interventions as part of the team. Data are reported descriptively.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n \n Thirty\u2010five patients were included: 17 pre\u2010 and 18 post\u2010implementation of the team. Median appointment and sedation times were reduced in the post\u2010 compared to the pre\u2010implementation group, 133\u2009min (IQR 98\u2013178) vs. 173\u2009min (IQR 153\u2013190) (\n p<\/jats:italic>\n \u2009=\u20090.08) and 40\u2009min (IQR 30\u201354) vs. 75\u2009min (IQR 45\u2013100) (\n p<\/jats:italic>\n \u2009=\u20090.02), respectively. There was no difference in procedure success, and 15 pharmacist interventions were made in six patients in the post\u2010implementation group related to drug\u2013drug interactions, premedication selection, and dose recommendations.\n <\/jats:p>\n <\/jats:sec>\n \n Conclusions<\/jats:title>\n An interdisciplinary sedation team focused on pre\u2010appointment planning for complex pediatric behavioral patients requiring a procedure in the outpatient setting was associated with reduced appointment and sedation times, a clinically and statistically significant finding, respectively. Future studies should focus on resource utilization and patient and caregiver satisfaction.<\/jats:p>\n <\/jats:sec>","DOI":"10.1111\/pan.70069","type":"journal-article","created":{"date-parts":[[2025,10,21]],"date-time":"2025-10-21T17:36:52Z","timestamp":1761068212000},"page":"81-87","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Benefit of an Interdisciplinary Pediatric Sedation Team With a Clinical Pharmacist on Outpatient Appointment Duration and Procedural Sedation Time"],"prefix":"10.1111","volume":"36","author":[{"ORCID":"https:\/\/orcid.org\/0009-0008-7812-7403","authenticated-orcid":false,"given":"Emersen","family":"Pero\u2010Cleveland","sequence":"first","affiliation":[{"name":"Department of Specialty Pharmacy University of Rochester Medical Center Rochester New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jonathan","family":"Rabey","sequence":"additional","affiliation":[{"name":"Department of Pharmacy Golisano Children's Hospital \u2013 University of Rochester Medical Center Rochester New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Allen","family":"Mosher","sequence":"additional","affiliation":[{"name":"Department of Pharmacy University of Rochester Medical Center Rochester New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emily","family":"Geraci","sequence":"additional","affiliation":[{"name":"Department of Pharmacy Golisano Children's Hospital \u2013 University of Rochester Medical Center Rochester New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shaina","family":"DePaul","sequence":"additional","affiliation":[{"name":"Department of Pediatrics Golisano Children's Hospital \u2013 University of Rochester Medical Center Rochester New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David","family":"Hutchinson","sequence":"additional","affiliation":[{"name":"Department of Pharmacy Practice and Administration Wegmans School of Pharmacy \u2013 St. John Fisher University Rochester New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jennifer L.","family":"Natoli","sequence":"additional","affiliation":[{"name":"Department of Nursing Golisano Children's Hospital \u2013 University of Rochester Medical Center Rochester New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elise","family":"van der Jagt","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Critical Care Golisano Children's Hospital \u2013 University of Rochester Medical Center Rochester New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7649-9624","authenticated-orcid":false,"given":"Nicole M.","family":"Acquisto","sequence":"additional","affiliation":[{"name":"Department of Pharmacy and Emergency Medicine University of Rochester Medical Center Rochester New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,10,21]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.21203\/rs.3.rs\u2010270521\/v1"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.1097\/dbp.0b013e3182245b09"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.1177\/000992289503400602"},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.2146\/ajhp110707"},{"key":"e_1_2_12_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajem.2018.01.056"}],"container-title":["Pediatric Anesthesia"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/pan.70069","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,12,9]],"date-time":"2025-12-09T06:24:46Z","timestamp":1765261486000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/pan.70069"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,10,21]]},"references-count":5,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2026,1]]}},"alternative-id":["10.1111\/pan.70069"],"URL":"https:\/\/doi.org\/10.1111\/pan.70069","archive":["Portico"],"relation":{},"ISSN":["1155-5645","1460-9592"],"issn-type":[{"value":"1155-5645","type":"print"},{"value":"1460-9592","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,10,21]]},"assertion":[{"value":"2025-04-10","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-10-08","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-10-21","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}