Evidence map›Paper›PMID 41572935›Full record

ArticleJournal of patient safety2026

Implementation and Evaluation of the OWLL Intervention to Improve the Quality and Safety of Pediatric Dental Sedation: A Mixed-Methods Approach.

Kawtar Zouaidi, Jan Yeager, Sayali Tungare, Suhasini Bangar, Janelle Urata, Alfa-Ibrahim Yansane, Jungsoo Kim, Emily Sedlock, Krishna K Kookal, Yan Xiao and 7 more

Abstract read
In one paragraph

Article in Journal of patient safety, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

17 authors.

Kawtar ZouaidiUTHealth Houston School of Dentistry.
Jan YeagerUniversity of California at San Francisco, San Francisco, California.
Sayali TungareUTHealth Houston McWilliams School of Biomedical Informatics, Houston.
Suhasini BangarUTHealth Houston School of Dentistry.
Janelle UrataUniversity of California at San Francisco, San Francisco, California.
Alfa-Ibrahim YansaneUniversity of California at San Francisco, San Francisco, California.
Jungsoo KimUniversity of California at San Francisco, San Francisco, California.
Emily SedlockUTHealth Houston School of Dentistry.
Krishna K KookalUTHealth Houston School of Dentistry.
Yan XiaoUniversity of Texas at Arlington, Arlington, Texas.
Oluwabunmi TokedeUTHealth Houston School of Dentistry.
Heiko SpallekUniversity of Sydney, Camperdown, New South Wales, Australia.
Amy FranklinUTHealth Houston McWilliams School of Biomedical Informatics, Houston.
Gregory OlsonUTHealth Houston School of Dentistry.
Joel WhiteUniversity of California at San Francisco, San Francisco, California.
Elsbeth KalenderianMarquette School of Dentistry, Milwaukee, Wisconsin.
Muhammad F WaljiUTHealth Houston School of Dentistry.

Funding

AHRQ HHS R18 HS027268
6 · The paper itself

Abstract

backgroundThe OWLL (Open-Wide Learning Lab) intervention was developed using Human-Centered Design to improve the quality and safety of pediatric dental sedation. The intervention includes a patient-facing informational sedation brochure and video, and an enhanced set of clinical sedation records. Here, we report on the process evaluation 6 months after implementation in daily clinical practice.

methodsThis study was conducted at the outpatient pediatric dental clinics of 2 large US academic dental institutions. We used a mixed-methods design to assess the fidelity, acceptability, appropriateness, and feasibility of the OWLL intervention. Quantitative data were gathered through chart reviews, while qualitative data were collected through surveys and interviews with providers and patients.

resultsDuring implementation, the intervention was used for 81 pediatric sedation patients across sites. Overall, the intervention was well-received by both clinicians and patients. Chart reviews indicated that sedation records were consistently utilized, though occasional gaps in data completeness were observed. Providers welcomed the intervention, finding it compatible with their daily routines and easy to use. However, some challenges were reported, primarily related to time constraints and the need to adjust clinical encounters for effective intervention integration. Parents appreciated the sedation brochure and video, describing them as a valuable and positive addition to the care process.

conclusionThe findings suggest that the intervention was used and is a welcomed addition, with the potential for broader application in clinical settings to further improve patient care. Future efforts should examine the intervention's impact on patient safety outcomes across diverse clinical settings.

Indexed as

Anesthesia, DentalPatient SafetyProcedural SedationQuality ImprovementChildChild, PreschoolFemaleHumansMalepediatric dentistryprocess evaluationquality of caresedation

Identifiers

PMID41572935
PMCPMC13277721

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.