Position Papers

The Physician-Patient Alliance for Health & Safety has issued the following position statements, all to improve patient care and patient safety. Please add your support for these position statements and help us improve patient health.

Black Lives Matter, Healthcare Inequalities, and the Need for Systemic Change

Patient Ambulation a Key Metric to Improved Health

Patients Receiving Opioids Must Be Monitored With Continuous Electronic Monitoring

Position Statement on Concomitant Use of Benzodiazepines and Opioids

Position Statement on Procedural Sedation

Clinical Toolkits

We have assembled clinical toolkits that might be of interest:

New York Partnership for Patients Adverse Drug Event Reduction Initiative Team Planning Worksheet for Opioids

  • The New York State Partnership for Patients (NYSPFP) is a joint initiative of the Healthcare Association of New York State (HANYS) and the Greater New York Hospital Association (GNYHA)-hospital trade associations representing not-for profit and public health care institutions, including large health systems, acute and long-term care hospitals, skilled nursing facilities, hospices, and home care. Collectively, they represent all of the hospitals in New York State.
  • This worksheet was “developed by NYSPFP in partnership with the Institute for Safe Medication Practices (ISMP)” and “provides opioid-related process improvement strategies for consideration as hospitals work to reduce adverse drug events.”

OB VTE Safety Recommendations – just some of the references that were used in developing these recommendations:

1. Bourjeily G, Paidas M, Khail H, Rosene-Montella K, Roger M. “Pulmonary Embolism in Pregnancy”. Lancet 2010; 375; 500-12

2. Centre for Maternal and Child Enquires (CMACE). Maternal obesity in the UK: findings from a national project, 2010.

3. Bates SM, Greer IA, Middeldorp S, et al:” VTE ,Thrombophilia, antithrombotic therapy, and pregnancy. Antithrombotic Therapy and Prevention of Thrombosis”, 9th ed: American College of Chest Physicians Evidenced-Based Clinical Practice Guidelines Chest 2012; Feb.;141 (2 Supplement) e 6915-7365

4. Ann Surg. 2004 February; 239(2): 162–171.doi: .1097/01.sla.0000109149.77194.6cPMCID: PMC1356208Copyright

5. “Evidence-Based Compression Prevention of Stasis and Deep Vein Thrombosis “Rhys J. Morris, PhD and John P. Woodcock, PhD, DSc, CPhys, FInstP, FIPEM From the Department of Medical Physics and Bioengineering, University of Wales College of Medicine, Cardiff, Wales.

6. James AH, Jamison MG, Brancazio LR,Meyers ER. Venous thromboembolism during pregnancy and the postpartum period: incidence, risk factors, and mortality. Am J Obstet Gynecol. 2006;194: 1311-5.

7. James AH. “Pregnancy-associated Thrombosis”. Hematology 2009; 277-285.

8. Giancarlo Agnelli, MD; Prevention of Venous Thromboembolism; prevention of venous thromboembolism in Surgical Patients. Circulation.2004; 110: IV-4-IV-12 Link: http://circ.ahajournals.org/content/110/24_suppl_1/IV-4.full

9. Rodger, M. “Evidence Base for the Management of Venous Thromboembolism in Pregnancy.” Hematology 2010; 173-180.

10.   Will Lester, Nick Freemantle, Irena Begaj, Daniel Ray, John Wood, Domenico Pagano, “Fatal Venous Thromboembolism Associated With Hospital Admission-A Cohort Study to Assess the Impact of a National Risk Assessment Target”. Heart. 2013;99(23):1734-1739.

San Diego Patient Safety Council Patient-Controlled Analgesia (PCA) Guidelines of Care

  • This toolkit was prepared by The San Diego Patient Safety Council, which consists of clinicians and healthcare professionals from acute care facilities across Southern California.
  • Although it was prepared “to provide San Diego County Acute Care settings with recommendations for the standardization of intravenous Patient Controlled Analgesia (PCA) medication administration in the care of the opioid naïve patient”, we felt that you might find these recommendations useful.

STOPBang Questionnaire

  • The STOPBang Questionnaire helps screen patients for obstructive sleep apnea (OSA).
  • Twenty-four percent of men and nine percent of women are affected by OSA.
  • According to researchers, “an estimated 82% of men and 92% of women with moderate-to severe OSA have not been diagnosed.”

One thought on “Position Papers & Community Toolkits

  1. Mary Benniew

    As far as I’m concerned there is no systemic racism in the USA. I spent 30+ years in corporate america and witnessed the widespread reverse discrimination caused by Affirmative Action. Many white people were overlooked for hiring and promotions because the Company needed to fill a “quota” with a less qualified mintority. The same is true in the educational system. All we need to do is look toward those successful black people like Oprah, game show hosts, politicians, sports stars and Obama himself. America is not a racist Country. Any reparations due were paid through Affirmative Action and the blood spilled during the confederate war. Those lagging behind need to pull themselves up by their boot straps and get to school and work. It is much easier for a minority to move forward then any white male or female starting out in the USA.

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