Must Reads

Patient Safety Weekly Must Reads (January 28, 2017)

This week in #patientsafety, we announced a partnership with SONORIA to improve patient safety outside the operating room. From around the web, a couple of first-hand accounts from patients who use opioids to manage their chronic pain, plus a discussion on what nurses can do to prevent opioid-induced respiratory depression.

From PPAHS:

SONORIA and PPAHS Announce Alliance to Improve Clinical Collaboration. The new alliance will focus on promoting safety and optimize outcomes for patients undergoing procedures outside of the Operating Room.

From Around the Web:

I’m dependent on narcotics; that doesn’t mean I’m an addict. A first-hand account of somebody managing their chronic pain with opioids.

Doctors prescribed me pain meds but couldn’t help me get off them. What used to be an opioid-naive patient describes his experience with being prescribed opioids after a collision.

What Can Nurses do to Prevent Opioid-Induced Respiratory Depression? We spoke with Carla Jungquist, PhD, ANP-BC, of the University of Buffalo School of Nursing on how post-operative patients are assessed by nurses.

Opioid Safety

What Can Nurses do to Prevent Opioid-Induced Respiratory Depression?

In an article recently published in The Journal of Nursing Administration, Carla Jungquist, PhD, ANP-BC, of the University of Buffalo School of Nursing and her colleagues, looked at data from eight US hospitals that volunteered to share information on how post-operative patients are assessed by their nurses.

The data came from nurse-abstracted electronic healthcare records (EHRs) and focused on nursing assessments conducted every 2 and 4 hours (in practice, assessments were conducted at the 2.5 and 4.5 hour periods because 30 additional minutes were needed for entry into EHRs). The assessments examined three key indicators:

  • oxygen saturation via pulse oximetry
  • respiratory rate
  • sedation score

Michael Wong, JD, founder and executive director, Physician-Patient Alliance for Health & Safety spoke with Jungquist about her research.

Published originally in ADVANCE for Nurses (which has ceased publication), the article can now be read here.