Physician-Patient Alliance for Health & Safety clinical education podcasts feature interviews on their practices and recommendations for improving patient safety and health outcomes.

Our top 5 patient safety podcasts are:

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#5 Patient Safety Podcast – Importance of Monitoring Patients Receiving Opioids (YouTube views 27,119, as of December 17, 2017)

The Society of Hospital Medicine developed a guide for Reducing Adverse Drug Events Related to Opioids (RADEO). In this second of two podcasts on the RADEO guide, “Importance of Monitoring Patients Receiving Opioids,” lead author, Thomas W. Frederickson MD, FACP, SFHM, MBA, talks about monitoring patients receiving opioids.

Dr. Frederickson discussed the two most widely used respiratory monitoring technologies – pulse oximetry which measures oxygenation and capnography which measures adequacy of ventilation.

Dr. Frederickson points out three limitations to the use of pulse oximetry:

1. Reliance on standard pulse oximetry thresholds can cause false alarms
2. Decreased oxygen saturation detected by pulse oximetry can be a lagging indicator
3. Pulse oximetry alone might not be sufficient for high-risk patients

He also discusses three keys to successfully implementing capnography:

1. Implement capnography with high risk patients
2. Educate staff on recording and understanding trends
3. Address patient comfort with education

For the first part of the interview on reducing adverse drug events related to opioids with Dr. Frederickson, please click here.

Number 5 #PatientSafety Podcast - Importance of Monitoring Patients Receiving #Opioids Click To Tweet

#4 Patient Safety Podcast – 5 Keys to Reducing Harms from Opioids (YouTube views 27,953, as of December 17, 2017)

ECRI Institute recently released the 2016 Top 10 Patient Safety Concerns for Healthcare Organizations. Of ECRI’s top 10 patient safety concerns, inadequate monitoring for respiratory depression has the greatest likelihood of preventable harm. This occurs when the patient receives opioids and is not monitored effectively and sufficiently. ECRI says that inadequate monitoring for respiratory depression in patients receiving opioids poses the greatest risk to patients and assigned it a risk map of 80. In order to improve clinical understanding of how patient harm from opioids may be reduced, Lynn Razzano, (RN, MSN, ONCC) and Michael Wong, JD of the Physician-Patient Alliance for Health & Safety (PPAHS) had a discussion with ECRI’s Patient Safety Analyst, Stephanie Uses, PharmD, MJ, JD.

The 5 keys to reducing harms from opioids are:

1. Detecting patient deterioration as early as possible
2. Monitoring with capnography
3. Ensuring highest risk patients are monitored
4. Utilizing reminder alerts to monitor patients
5. Empowering nurses to drive the protocol

Number 4 #PatientSafety Podcast - 5 Keys to Reducing Harms from #Opioids Click To Tweet

#3 Patient Safety Podcast – Capnography Monitoring: Yesterday’s Luxury, Today’s Necessity During Conscious Sedation (YouTube views 28,123, as of December 17, 2017)

Matt Kurrek, MD, FRCPC (Professor, Department of Anesthesia, University of Toronto) and Richard Merchant, MD, FRCPC (Clinical Professor, University of British Columbia, Department of Anesthesia, Pharmacology & Therapeutics) coauthored an editorial, “Yesterday’s Luxury, Today’s Necessity,” after the Canadian Anesthesiologists’ Society [CSA] published its revised 2012 guidelines to the practice of anesthesia. The CSA guidelines emphasize the need for end tidal CO2 monitoring during conscious sedation. In this podcast, “Capnography Monitoring: Yesterday’s Luxury, Today’s Necessity During Conscious Sedation,” Drs. Kurrek and Merchant discuss why capnography monitoring may have been considered yesterday’s luxury, but is now a necessity during procedures involving conscious sedation.

Number 3 #PatientSafety Podcast - #Capnography Monitoring: Yesterday's Luxury, Today's Necessity During Conscious Sedation Click To Tweet

#2 Patient Safety Podcast – Is Respiratory Compromise The New “Sepsis”? (combined YouTube views 28,441, as of December 17, 2017)

In this podcast “Is Respiratory Compromise The New “Sepsis”?,” Jeffrey S. Vender, MD (Clinical Professor, University Of Chicago, Pritzker School of Medicine) and Chairman of the clinical advisory committee to the Respiratory Compromise Institute points out that there are similarities between sepsis and respiratory compromise. Although sepsis and respiratory compromise are clearly very different conditions, similar to the sepsis awareness campaign, greater awareness about respiratory compromise will lead to earlier diagnosis and interventions, which will drastically improve patient outcomes.

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#1 Patient Safety Podcast – Reducing Adverse Drug Events Related to Opioids: An Interview with Dr Thomas Frederickson (YouTube views 31,939, as of December 17, 2017).

The Society of Hospital Medicine developed a guide for Reducing Adverse Drug Events Related to Opioids (RADEO). In this first of two podcasts on the RADEO guide, “Reducing Adverse Drug Events Related to Opioids,” lead author, Thomas W. Frederickson MD, FACP, SFHM, MBA, discusses 5 key steps to identifying and addressing for patient conditions that pose a greater risk of respiratory depression:

1. Screen for sleep apnea
2. Use a screening tool to identify patients with OSA
3. Build multi-modal and opioid sparing strategies for at-risk patient groups
4. Educate on the risks of interactions with other medication
5. Empower clinicians with the right tools and policies

For the second part of the interview with Dr Frederickson on the importance of monitoring patients receiving opioids, please click here.

Number 1 #PatientSafety Podcast - Reducing Adverse Drug Events Related to #Opioids Click To Tweet

 

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