Patient Safety Weekly Must Reads (November 11, 2016)

This week in #patientsafety, the PPAHS interviewed Harold Oglesby, RRT, to uncover the strategies implemented to keep the Candler Hospital, St. Joseph’s/Candler Health System free from opioid-related adverse events for 12 years in a row.  From around the web, we’ve found 3 articles highlighting national efforts to raise the bar in patient safety education and one on “routine” medical procedures that go wrong.


12 Years of Event-Free Opioid Use.  In 2014, the Candler Hospital, St. Joseph’s/Candler Health System (SJ/C) celebrated 10 years free from opioid-related adverse events.  This year, we reprise our 2014 interview with Harold Oglesby, RRT and Manager at The Center for Pulmonary Health to uncover the key strategies implemented remain event free after 12 years.

From Around the Web:

Address patient shame, stigma when treating opioid misuse.  The AMA has released a series of educational resources addressing the role of shame in patients with opioid use disorders.  The webinars and modules presented are tools for physicians to promote the fundamental role of self-education and in curbing the opioid epidemic.

Integrating Patient Safety Lessons into Residency Training.  An in-depth look at the “horror room” at the University of Chicago Medical Center.  It’s a great look at this teaching hospital’s efforts to instill patient safety awareness across organizational silos.

Fentanyl Presents Need for New Strategies for Combating Opioid Abuse.  Fentanyl and its analogs, such as acetyl fentanyl, are playing a growing role in opioid overdose cases on the streets.  This JEMS article suggests EMS professionals can lead the initiative by educating the public about the dangers of opioid overdoses in their communities and collaborating with other agencies to establish an opiate action plan.

When a “Routine” Medical Procedure Goes Wrong.  This Yahoo News headline looks at some of the cases of “routine” procedures that have ended in malpractice lawsuits, largely driven by medical errors.  One of the cases is of Joan Rivers, which the PPAHS has written about in past articles.

Leave a Comment, if You Care About Patient Safety