Review of sedation and analgesia management and weaning practice guidelines: an inter-professional quality improvement project to decrease incidence of Iatrogenic Withdrawal in a PICU
Sedation and analgesia, used in pediatric intensive care to keep patients safe and comfortable can also cause iatrogenic withdrawal syndrome (IWS). The goal of this quality improvement project are to decrease the incidence and severity of iatrogenic withdrawal syndrome (IWS) from in patients intubated and ventilated in PICU.
This study will start in December 2017/January 2018. For more information about this study, please contact Katie O'Hearn, Study Coordinator. The principal investigator of this study is Dr. Tatiana Sampaio.
Using simulation for
Audit and Feedback Review of Adverse Events (USAFER)
The purpose of
this study is to create initiatives to reduce adverse medical events through
physician input. Physicians are currently being recruited to participate in a
simulation of an adverse medical event. A brief scenario will be followed by a
confidential team debrief where the physician will help create initiatives to
prevent the error from occurring again.
The USAFER study opens in September 2016. CHEO authors include Anna Theresa Lobos, Christina Ramsay, Dale Dalgleish; for more information please contact Dale Dalgleish
Death Prediction and
Physiology after Removal of Therapy (DePPaRT)
study aims to address the shortage of available organs in Canada by first
addressing directly our shortage of empirical knowledge about donation
processes. This study will document the physiology of the dying process and,
under the leadership of Dr. Jason Shahin from McGill University, will also aim
to develop a tool that will allow doctors to predict how long it will take
patients to die after the removal of life sustaining therapy. A qualitative
component of the study let by Prof. Jennifer Chandler from the University of
Ottawa will investigate the decision-making surrounding consent for organ
donation and how family members felt when their loved ones became organ donors
or were unable to proceed to donation. Results from both the quantitative and
qualitative aspects of this study will inform DCD policy and practice and could
lead to improvements in the uptake of the practice, both nationally and
The CHEO lead is Dr. Sonny Dhanani, and for more information about this project that runs until December 2017, please contact Amanda van Beinum, Study Coordinator at CHEO.