UNTAP

Project Page Title: UNTAP

Project By-Line: UNdersTAnding the Patient Experience of Pain and Discomfort During Cardiac Catheterization

Introduction Paragraph: Patient centeredness is an essential component of high-quality care, yet little is reported in the literature regarding the patient experience during procedures performed in the cardiac catheterization lab.  In phase I of this project, we conducted a retrospective, exploratory analysis of adult cardiac catheterization outpatients receiving procedural sedation (benzodiazepine and/or opioids)

Design:

Phase I:  In 2018 we conducted a retrospective review of the patient experience of pain and medication use in patients (n=375) who had elective cardiac catheterization at DUH from April-June 2017. Our findings showed that extended duration of sedation intervals was associated with lower overall sedation administration and similar patient satisfaction. The association of a 6-minute interval between first sedative administration and local anesthetic with less frequent medication re-administration and total dosage is hypothesis-generating, suggesting opportunities to further improve understanding of patient comfort and satisfaction during cardiac catheterization, especially as it relates to sedative medication administration. 

Phase II: In 2019 we will design an intervention study to determine how to best optimize processes for administering peri-procedural sedation to allow for less medication without impacting patient experience.

Timeline: Spring 2019 kick-off!

Project Lead: Anna Mall (anna.mall@duke.edu)