Opioid Safety, Respiratory Compromise

Understanding Adverse Events and Death: Root Cause Analysis of California Department of Public Health Case

by Dr. Bradley Truax

(The Truax Group consults with hospitals to improve patient safety and procedures.)

PCA (Patient Controlled Analgesia) safety has been one of our most frequent topics. Serious incidents related to PCA continue to occur frequently. Another case with some valuable lessons learned comes from the California Department of Public Health (CDPH 2012). Read More