Evidence map›Paper›PMID 40986498›Full record

ArticleJournal of patient safety2025

Design and Development of an Intervention to Improve the Quality and Safety of Pediatric Dental Sedation: A Human-Centered Design Approach.

Kawtar Zouaidi, Jan Yeager, Suhasini Bangar, Sayali Tungare, Urvi Mehta, Janelle Urata, Alfa-Ibrahim Yansane, Thomas Tanbonliong, Jungsoo Kim, Emily Sedlock and 9 more

Abstract read
In one paragraph

Article in Journal of patient safety, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

19 authors.

Kawtar ZouaidiTexas Center for Oral Healthcare Quality and Safety, UTHealth Houston School of Dentistry, Houston, TX.
Jan YeagerClinical Innovation Center, UCSF, San Francisco, California.
Suhasini BangarDepartment of Diagnostic and Biomedical Sciences, UTHealth School of Dentistry, Houston, TX.
Sayali TungareTexas Center for Oral Healthcare Quality and Safety, UTHealth Houston School of Dentistry, Houston, TX.
Urvi MehtaTexas Center for Oral Healthcare Quality and Safety, UTHealth Houston School of Dentistry, Houston, TX.
Janelle UrataUniversity of California, San Francisco School of Dentistry, San Francisco.
Alfa-Ibrahim YansanePreventive & Restorative Dentistry Sciences, University of California, San Francisco School of Dentistry, California.
Thomas TanbonliongPediatric Dentistry, Graduate Program Director, Pediatric Dentistry, University of Washington, School of Dentistry, Seattle, Washington.
Jungsoo KimPediatric Dentistry, University of California, San Francisco School of Dentistry, San Francisco, California.
Emily SedlockTexas Center for Oral Healthcare Quality and Safety, UTHealth Houston School of Dentistry, Houston, TX.
Krishna Kumar KookalTechnology Services and Informatics and Texas Center for Oral Healthcare Quality and Safety, UTHealth Houston School of Dentistry, Houston.
Yan XiaoColleges of Nursing and Health Innovation and Engineering, University of Texas at Arlington, Arlington.
Tokede OluwabunmiDepartment of Diagnostic and Biomedical Sciences, UTHealth Houston School of Dentistry, Houston, TX.
Heiko SpallekSchool of Dentistry, The University of Sydney, New South Wales, Australia.
Amy FranklinFaculty, and Community Affairs, McWilliams School of Biomedical Informatics, Houston.
Gregory W OlsonDepartment of Pediatric Dentistry, School of Dentistry, UTHealth Science Center Houston, Houston, TX.
Joel WhitePreventive and Restorative Dentistry Science, University of California, San Francisco School of Dentistry, San Francisco, California.
Elsbeth KalenderianSchool of Dentistry, Marquette University, Milwaukee, Wisconsin.
Muhammad F WaljiTexas Center for Oral Healthcare Quality and Safety, UTHealth Houston School of Dentistry, Houston, TX.

Funding

AHRQ HHS R18 HS027268
6 · The paper itself

Abstract

backgroundThere are gaps in understanding the experiences of children, parents, and providers during dental conscious sedation. This study aimed to capture and analyze these experiences to identify opportunities for improvement and enhance the quality and safety of pediatric dental conscious sedation.

methodsA human-centered design approach was used to examine the conscious sedation experience in 2 US advanced education pediatric dental clinics. Researchers conducted field observations, interviews with providers and parents, and providers focus groups to explore experiential factors. Data were transcribed and analyzed using content thematic analysis. Insights from the data were used to explore and generate new solutions to improve dental conscious sedation quality and safety.

resultsA total of 25 observations, 18 interviews (9 providers, 9 parents), and 4 provider focus groups were conducted across both sites. The process identified 4 key improvement opportunities: helping providers navigate the ambiguity of patient behavior, facilitating rapport building between providers and patients/parents, aligning expectations and supporting sedation sensemaking, and making the sedation experience more patient-centered. A multicomponent intervention was developed to address these needs, including a parent-facing brochure, a patient educational video, and an enhanced set of sedation records for providers to document patient and sedation information.

conclusionsThis study used human-centered design to identify key challenges in pediatric dental conscious sedation and develop a multicomponent intervention in collaboration with patients, parents, and providers. The research demonstrates the potential of this approach to enhance sedation quality and safety, with future studies needed to assess its impact.

Indexed as

Anesthesia, DentalDental Care for ChildrenPatient SafetyProcedural SedationQuality ImprovementUser-Centered DesignChildFemaleFocus GroupsHumansMaleParentsPatient-Centered Caredesign thinkingpatient experiencepediatric dentistrysedation

Identifiers

PMID40986498
PMCPMC12453093

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.