Weekly Must Reads in Patient Safety (Sep 19, 2014)

As you may be tired of reading about the death of Joan Rivers, we thought that we’d highlight some important practice recommendations instead …

… and then just one article on Joan Rivers. Not only is the article in Gastroenterology & Endoscopy News, but Kenneth P. Rothfield, MD, MBA (chairman of the Department of Anesthesiology at Saint Agnes Hospital) is quoted in this article. Dr Rothfield is on our board of advisors, so we must confess that we are biased towards his passion and commitment to patient safety.

Clinical Practice Guidelines for Prevention and Treatment of Pressure Ulcers

National Pressure Ulcer Advisory Panel recently released Clinical Practice Guidelines for Prevention and Treatment of Pressure Ulcers. Please click here for a copy.

Updated Opioid Toolkit to Include Naloxone Recommendations

The Substance Abuse Mental Health Services Administration (SAMHSA) recently updated its opioid toolkit to include naloxone recommendations.

5 Anesthesia Tests to Avoid

JAMA Internal Medicine recently released 5 specific tests or procedures commonly performed in anesthesiology that may not be necessary – do you agree or disagree?

Capnography Outside the Operating Rooms

Hats off to @Anaesthesia_AGB for tweeting about this article in Anesthesiology, “Capnography Outside the Operating Rooms” written by Dr Bhavani Kodali (Associate Professor, Department of Anesthesiology, Brigham and Women’s Hospital, Harvard Medical School)

Clinic in RiversDeath Denies Biopsy Claim

It’s unclear if the doctors attending Ms. Rivers deviated in any way from their normal protocol, but treating a famous person may pose an added stress, Dr. Rothfield explained. Gastroenterology & Endoscopy News probably should have mentioned Dr. Rothfield’s article on “4 Lessons Learned from the Death of Joan Rivers” … so, we’ll do it here.

One thought on “Weekly Must Reads in Patient Safety (Sep 19, 2014)

  1. Good round-up. Speaking of Dr. Kodali, in May we featured a webinar on which he participated.

    Here is a transcript of that webinar, organized according to topic, with Dr. Kodali’s comments on continous monitoring:


    And here is the part of the transcript with Dr. Kodali’s comments on a related issue, alarm fatigue:


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