A Quality Improvement Method on Improving the Safe Procedural & Analgesia Service in the Emergency Medicine Setting

Introduction: Procedural sedation and analgesia are common procedures in the emergency department, performed almost daily on a large cohort of patients. Despite their frequency, safety profiles have been a concern due to sentinel cases of complications leading to adverse outcomes. Consequently, the term "safe procedural sedation and analgesia" has been adopted to emphasize safety as a crucial component of the procedure. Methods: To ensure a robust safety profile, we implemented the mnemonic BACSACS, providing a guided protocol for procedural sedation and analgesia. This mnemonic was designed to enhance safety and standardize the procedure. Results: Data from the implementation of the BACSACS protocol were analyzed to assess its effectiveness and impact on patient outcomes. Conclusion: The use of the BACSACS mnemonic in procedural sedation and analgesia helped instil a safety-focused approach. Data analysis confirmed its effectiveness, demonstrating improved safety profiles and positive patient outcomes.