Articles the Physician-Patient Alliance for Health & Safety (PPAHS) have been reading the this past week.
Make the Operating Room Smoke-Free
Nurse Janelle Casanave, RN, urges you to make your operating room smoke-free:
Articles the Physician-Patient Alliance for Health & Safety (PPAHS) have been reading the these past week raise 3 patient safety questions:
#1 Patient Safety Question – Are you ready for a mass casualty?
Articles the Physician-Patient Alliance for Health & Safety (PPAHS) have been reading the these past few weeks provide 11 patient safety tips.
#1 Patient Safety Tip – Lowering psychological distress may lower risks of arthritis, cardiovascular disease, and COPD
Articles the Physician-Patient Alliance for Health & Safety (PPAHS) have been reading the week of July 16, 2018 suggest ideas to improve patient safety.
Ideas to Improve Patient Safety – Requiring Patients to Comply to Conduct Rules to Fight the Opioid Epidemic
The University of Tennessee Medical Center (UTMC) is now requiring patients admitted for medical treatments of drug-use-related infections to comply with new conduct rules. Dr. Jerry Epps, UTMC’s senior vice president and chief medical officer, explains:
“This is done first and foremost for patient safety. When patients are bringing in needles and drugs, and their friends are coming in with drugs, and they can shoot up in the bathroom and maybe kill themselves, I argue we’re doing our best to protect patients and team members from this dreadful problem.”Good Idea for #Opioidepidemic? - Require Patients to Comply to Conduct Rules Click To Tweet
Ideas to Improve Patient Safety – Encourage COPD Patients to Regularly Exercise
“Pulmonary rehabilitation — a patient-tailored approach combining exercise, education, and behavioral changes — can improve physical capacity, reduce shortness of breath, and enhance the quality of life of COPD patients.”
Arwel Jones, PhD, research fellow at the Lincoln Institute for Health in the U.K., who is the senior author of the study, discusses the difficulty that such a recommendation may be for COPD patients:
“Being physically active is extremely important for people with COPD, however, people with the disease find it difficult to remain physically active once they have finished pulmonary rehabilitation.”Encourage #COPD Patients to Regularly Exercise Click To Tweet
Ideas to Improve Patient Safety – Utilize Capnography to Monitoring Patients Under Conscious Sedation
Referring to the clinical education podcast, “Capnography Monitoring During Conscious Sedation: A Must for Maintaining “Eyes and Ears,” Melicent Lavers-Sailly writes about the value of monitoring with capnography:
“Capnography, the measurement of carbon dioxide (CO2) in respiratory gases, has long been used to monitor the breathing of patients under anesthesia in the operating room. Now there is a growing recognition of its value as a reliable tool for monitoring patients under conscious sedation in ambulatory settings outside the OR.”Utilize Capnography to Monitoring Patients Under Conscious Sedation Click To Tweet
Ideas to Improve Patient Safety – Use Data to Help Make Better Healthcare Decisions & Treatment Choices
In the article, “The benefits of leveraging data and analytics in EMS,” Dr. Brent Myers makes the case for using date to help make better healthcare decisions and treatment choices. Rather than make decisions “either guessing or using their gut,” Dr. Myers encourages “leveraging data to make smarter decisions.”
He provides two examples where data has helped make smarter decisions:
“For example, stroke assessment and care have changed since the beginning of 2018, dramatically. This can’t be emphasized enough as the entire industry is still processing this information. Two recent studies – the DAWN Trial and the DEFUSE-3 Study – highlight findings that provide new guidelines for stroke patient assessment and transport. Specifically, these studies indicate the benefit of extending the treatment window to 16 or even 24 hours after the onset of symptoms for a subset of patients with large vessel occlusion acute ischemic stroke (LVO-AIS).
“While the nearest hospital may have been an appropriate destination in the past, the new research indicates transport to the nearest thrombectomy-capable or comprehensive stroke center may be preferred for those with evidence of LVO-AIS, even when it is not the nearest facility.”Use Data to Help Make Better Healthcare Decisions & Treatment Choices Click To Tweet
Ideas to Improve Patient Safety – Reducing Psychological Distress May Decrease the Risk of COPD and Other Diseases
A research team led by Catharine Gale, PhD, a professor at the University of Edinburgh and at MRC Lifecourse Epidemiology Unit, University of Southampton, reviewed the clinical records of 16,485 individuals over a three-year period and found that psychological distress may increase the risk of COPD and other diseases:
“The study showed that, compared with people who had no symptoms of psychological distress, those with low levels of distress had a 57% increased chance of having arthritis and those with moderate distress levels had a 72% increased chance. A similar pattern was reported regarding cardiovascular diseases, with low distress levels increasing the risk by 46% and moderate levels by 77%.”Reducing Psychological Distress May Decrease the Risk of COPD and Other Diseases Click To Tweet
Articles the Physician-Patient Alliance for Health & Safety (PPAHS) have been reading the week of July 9, 2018 ask us to consider 3 ways we need to change our perception of opioids, pain medications, and other sedatives
There is No Absolute Safety When Using an Opioid
In an interview with Christopher G. Gharibo, MD, a pain specialist and the director of pain medicine at NYU Langone Health, Dr. Gharibo discusses the use of opioids and pain medications. He cautions, “what we need to keep in mind is that there is no absolute safety in many of the medicines that we prescribe, whether it is an opioid or a nonopioid.”
To improve the safety when using opioids, he suggests a number of measures, including these two:
To read the complete interview with Dr. Gharibo, please go to Pain Medicine News.There is No Absolute Safety When Using an #Opioid Click To Tweet
Opioids Aren’t necessarily the Culprit
Much has been discussed about the role of opioids in deaths. However, a recent study found that 82.5% of opioid-related overdose deaths in 2016 involved either fentanyl or heroin.
This is not to suggest that caution should not be used when prescribing or using opioids, but merely to point out that it is often opioid use in combination with other substances that is deadly.#Opioids Aren’t necessarily the Culprit Click To Tweet
Under General Anesthesia May Not Mean “Out Cold”
Being under general anesthesia is often thought to be when the patient is “out cold.” However, recent research suggests that brain activity and responses to stimuli may persist. Harry Scheinin, MD, PhD, one of the project leaders, commented on the results:
“I don’t think it’s bad that brains are working more than we had previously thought and that anesthesia would resemble sleep more than we had previously thought. But there still is this problem of unintended awareness, so we need better ways to measure really objectively the level of sleep, especially when we are using these muscle relaxants because we are then putting the patients into a situation where they can’t show ‘hey, I’m awake.’”Under General Anesthesia May Not Mean “Out Cold” Click To Tweet
Articles the Physician-Patient Alliance for Health & Safety (PPAHS) have been reading the week of July 2, 2018 ask us to consider 3 patient safety ideas to implement.
#1 Patient Safety to Implement – Remember that Some Patients Need Opioids
In the nation’s battle to curtail the use of opioids, there are patients who need them.
Articles PPAHS have been reading the week of June 18, 2018 emphasize these equations for patient safety.
#1 Equation for Patient Safety: Nurses = Patient Safety
What do environmental concerns, pressure ulcers, C-sections, the value of a human life, and opioids have in common?
They are the themes in the articles we have been reading the past two weeks of May 14 and 21, 2018.
Chronic obstructive pulmonary disease (COPD) is a chronic inflammatory lung disease that causes obstructed airflow from the lungs. Although cigarette smoking is often the cause of COPD, a recent study led by researchers from the Barcelona Institute for Global Health (ISGlobal) reminds us that COPD may be caused by other factors.
Articles we have been reading this past week of April 23, 2018 discuss eight ways to improve patient safety and health outcomes.
#1 Way to Improve Patient Safety and Health Outcomes- Use Opioid-Sparing Strategies and More Precise Monitoring
Articles we have been reading this past week of April 16, 2018 ask us to reconsider how we think about patient safety.
#1 – COPD prevalence is nearly double in rural areas compared to metropolitan areas
The risk of COPD is nearly double in rural areas compared to that in urban areas, according to CDC’s Weekly Morbidity and Mortality Report.