Below is a demonstration mock-up of the TROOPS tool, simulating how it and its pop-up item
definitions would appear in an electronic medical record or web-based interface.
Tracking and Reporting Outcomes
Of Procedural Sedation (TROOPS)
A standardized quality improvement tool from the
International Committee for the Advancement of Procedural Sedation i
www.ProceduralSedation.org
No adverse events during sedation or recovery (form completed)
Yes, unplanned interventions or outcomes occurred (check all that apply below)
               
IntermediateSentinelSuspected Etiology
Airway / Breathing
Positive pressure ventilation i
Naloxone or flumazenil
Oral airway
Tracheal intubation
Neuromuscular blockade
Pulmonary aspiration i
Apnea i
Respiratory depression i
Upper airway obstruction i
Laryngospasm i
Circulation
Bolus IV fluids
Vasoactive drug administration
Chest Compressions
Death
Hypotension
Bradycardia
Cardiac arrest
Neuro
Anticonvulsant administration
Neurological deficit
Seizure or seizure-like movements
Sedation Quality & Patient Experience Outcomes
Sedation insufficient
Escalation of care or hospitalization i
Provider dissatisfied
Patient/family dissatisfied
Patient active resistance or need for restraint i
Sedation complication
Paradoxical response i
Unpleasant recovery reaction/agitation i
Unpleasant recall
Other
Other
INTERMEDIATE items can endanger patients if not promptly managed, or reflect suboptimal sedation quality or patient experience and warrant timely reporting with peer scrutiny.
SENTINEL items are life-threatening and warrant immediate reporting and the highest level of peer scrutiny.