At the recent Institute for Healthcare Improvement (IHI) 24th Annual National Forum on Quality Improvement in Health Care.
The presentation focused on The Joint Commission Sentinel Event Alert on safe use of opioids in hospitals, which states:
“While opioid use is generally safe for most patients, opioid analgesics may be associated with adverse effects, the most serious effect being respiratory depression, which is generally preceded by sedation.”
As a reminder of the human toll for not heeding The Joint Commission alert, PPAHS presented the “Faces of Tragedy”:
To assist in reducing and hopefully eliminate future tragedies, PPAHS recently released and presented its safety checklist that reminds caregivers of the essential steps needed to be taken to initiate Patient-Controlled Analgesia (PCA) with a patient and to continue to assess that patient’s use of PCA:
Commenting on the need for better health outcomes and the PCA Safety Checklist, Frank Federico, RPh (Patient Safety Advisory Group at The Joint Commission and executive director at the Institute for Healthcare Improvement) said:
“Use and adherence with standardized processes for eligible patients leads to better clinical outcomes. The PPAHS PCA checklist lays out essential steps to be taken to initiate patient-controlled analgesia (PCA) with a patient and to continue to assess that patient’s use of PCA. Following these steps will help to increase patient safety and save lives.”
What are you doing to address The Joint Commission Sentinel Event Alert on safe use of opioids in hospitals?