Blood Clots, Hospital Acquired Conditions

Why Bundled Payments for Joint Replacement May Be Risky for Patients

The following is an excerpt of an article on bundled payments for joint replacement written by Michael Wong, JD, Executive Director of PPAHS and Lynn Razzano, RN, MSN, ONCC, Clinical Nurse Consultant at PPAHS.  It was first appeared on The Doctor Weighs In on November 18, 2016.  To read the full article, please click here.

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Patient Safety

Patient Safety Weekly Must Reads (October 28, 2016)

This week at PPAHS, we continue a new campaign targeting orthopedic VTE with a survey; help us by completing it and sending to relevant colleagues.  The latest #patientsafety news involves a new study on OSA, research into possible drivers of the opioid epidemic, and innovations in hospital design.

From PPAHS:

Announcing Survey on Patient Safety in Orthopedics.  As part of our latest campaign focusing on orthopedic VTE, we’ve designed a survey to understand current physician practices.  Help us by taking the survey and sharing with colleagues, and you’ll be entered into a draw for a $100 Amazon gift card. Read More

Must Reads, Patient Safety

Patient Safety Weekly Must Reads (October 21, 2016)

This week in patient safety news, we featured a guest post article on pre-op screening and assessment for OSA.  We also found some great articles addressing the ICU, the opioid crisis, and the latest in wearable monitor studies. Read More

Blood Clots

New PPAHS Campaign Targeting Orthopedic Venous Thromboembolism

PPAHS will be beginning a new #patientsafety campaign to develop practical solutions to help assess and prevent venous thromboembolism (VTE) in patients undergoing orthopedic procedures, particularly total knee and hip replacement.  More commonly known as blood clots, VTE consists of both deep vein thrombosis (DVT) and pulmonary embolisms (PE) .

In the past, we have focused on the issue of VTE regarding maternal patients and stroke patients.  In collaboration with panels of international health experts, PPAHS has developed the OB VTE Safety Recommendations and the Stroke VTE Safety Recommendations (both of which are free resources on our website).  Members of the panel included:

  • Atul Gawande, MD, MPH (Brigham and Women’s Hospital)
  • Peter J. Pronovost, MD, PhD, FCCM (Johns Hopkins Medicine)
  • Mark Alberts, MD, FAHA (Southwestern Medical Center)
  • Irene Katzan, MD, MS (Cleveland Clinic)
  • William M. Callaghan, MD, MPH (CDC)
  • Frank Federico, RPh (Patient Safety Advisory Group, The Joint Commission)
  • Mary D’Alton, MD (Columbia University Medical Center)

According to the CDC, VTE is estimated to affect 900,000 Americans annually.  It is a preventable, hospital-acquired condition that is responsible for 100,000 deaths each year.  The US Department of Health & Human Services (HHS) has also issued a statement identifying venous thromboembolism as the third most prevalent factor accounting for readmission 30-days after surgery (6.3%).

Hip and knee replacement operations are among the most commonly performed procedures in the U.S. About 1 million of these procedures are performed each year (for more on prevalence, see the study by Hilal Maradit-Kremers, MD, MSc et al, “Prevalence of Total Hip (THA) and Total Knee (TKA) Arthroplasty in the United States”).  The 30-day readmission rate following hip and knee replacement is 4.3% and 3.9% respectively, with the readmission rate rising to 7.8% 90-days after surgery.

Join us in our fight to prevent orthopedic venous thromboembolism (VTE).  

Over the next few months, we will be putting together an expert patient safety panel on orthopedic VTE to advise and help answer healthcare reporters’ questions, looking for interviewees for Patient Safety Podcasts (such as the series created in collaboration with the Society of Hospital Medicine), and for guest contributions to our blog.

Must Reads, Patient Safety

5 Most Viewed Healthcare Posts in 2015

The 5 most viewed healthcare posts on the Physician-Patient Alliance for Health & Safety (PPAHS) blog were from previous years. Although we would like to think that these posts were just great articles – in fact, they had more views in 2015 than any other post, including those posted this year – sadly we think that it just shows that the patient safety issues discussed still remain.

The Google trends analysis of “opioids” (shown below) demonstrates, for example, an increase in interest from 2005 until now:

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Blood Clots, Patient Safety

Women Twice as Likely to Die in Childbirth in US Than Canada

By Sean Power

An article by The Globe and Mail highlights a World Health Organization (WHO) report showing that the United States is falling behind Canada when it comes to maternal mortality.

According to the WHO report, the US average declined to 14 maternal deaths per 100,000 live births in 2015; Canada’s figure sits at 7, where it was in 1990.

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Alarm Fatigue, Blood Clots, Hospital Acquired Conditions, Must Reads, Opioid Safety, Patient Safety, Patient Stories, Practices & Tips, Respiratory Compromise

Weekly Must-Reads in Patient Safety and Health Care (November 6, 2015) – When False Alarms Pollute Intensive Care

We have plenty of patient safety articles to share with you this week. From advice for nurses on how to educate patients about opioid diversion to tips for preventing medical errors in long-term care, audiences across the health care spectrum will benefit from some weekend reading.
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Blood Clots, Must Reads, Respiratory Compromise

Weekly Must Reads in Patient Safety and Health Care (September 18, 2015) – Blood Clots & Pulse Oximetry

Mother fell into a coma due to a blood clot that broke loose during an emergency C-section.

This might have been the headline last September, when 23-year-old nursing student Shelly Cawley experienced complications during labor that resulted in an emergency c-section and left her in a coma: Read More