This week in #patientsafety, PPAHS called for a coordinated public health response to improve patient safety and drive the collective work. From around the web, nasal obstructions and OIRD, WHO announces medication error initiative, and a study examines the association between patient outcomes and high opioid doses. Continue reading “Patient Safety Weekly Must Reads (May 6, 2017)”
The risk of blood clots in pregnant mothers is almost ten times more likely than a non-pregnant woman.
To help prevent blood clots in pregnant mothers, the Physician-Patient Alliance for Health & Safety (PPAHS) has released a web-enabled application of the OB VTE Safety Recommendations. The OB VTE application can be found at http://recommendations.ppahs.org/account/login Continue reading “Preventing Blood Clots in Pregnant Mothers: PPAHS Releases Web-Enabled Application of OB VTE Safety Recommendations”
In a recent study led by David C. Stockwell, MD, MBA (Division of Critical Care Medicine, Department of Pediatrics, School of Medicine, The George Washington University; Center for Quality and Improvement Science, Children’s National Medical Center), researchers looked at whether using a trigger tool would identify the most common causes of harm in pediatric inpatient environments. Continue reading “Detecting Harm to Prevent Adverse Events and Death”
This year, the Physician-Patient Alliance for Health and Safety introduced a weekly round-up of must-read articles in patient safety. The hand-picked list has consistently seen high engagement from our dear readers.
With that in mind, we thought we would compile a list of the Top Patient Safety Must Reads of 2014. Continue reading “Top 16 Patient Safety Must Reads of 2014”
Health and safety experts at the American Congress of Obstetricians and Gynecologists (ACOG) annual meeting held in Chicago from April 26-30, 2014, addressed the rising maternal death rate in the US and the need to take action to keep mothers safe. Continue reading “Preventing Blood Clots in Mothers: IHI Experts and Physician-Patient Alliance for Health & Safety Speak at ACOG Annual Meeting”
by Sean Power
February 4, 2014
The Institute for Healthcare Improvement (IHI) held on January 22, 2014 a special webinar for the Perinatal Improvement Community on safety recommendations for maternal patients. You can download the webinar recording and slides here.
The webinar featured Peter Cherouny, MD, Emeritus Professor, Obstetrics, Gynecology, and Reproductive Sciences, University of Vermont, Chair and Lead Faculty of the IHI Perinatal Improvement Community and Michael Wong, JD, Executive Director of the Physician-Patient Alliance for Health and Safety (PPAHS).
Maternal death rate in the USA has more than doubled in the last 25 years and data from the Centers for Disease Control and Prevention (CDC) show that pregnancy-related mortality is rising in the United States. Continue reading ““No patients are low risk” when it comes to cesarean delivery and venous thromboembolism, says perinatal expert Dr. Peter Cherouny”
The Physician-Patient for Health & Safety (PPAHS) is pleased to announce that its presentation on the national survey of hospitals on patient-controlled analgesia (PCA) hospital practices was awarded the Permanente Journal Service Quality Award. The award was presented December 10, 2013 at The 25th Annual IHI National Forum on Quality Improvement in Health Care. Continue reading “Continuous Electronic Monitoring Reduces Adverse Events and Hospital Expenditures: Physician-Patient Alliance for Health & Safety Awarded Permanente Journal Service Quality Award”
The Physician-Patient Alliance for Health & Safety, the Institute for Healthcare Improvement and the National Perinatal Association are pleased to announce the release of safety recommendations targeting the prevention of venous thromboembolism (VTE) in maternal patients. Continue reading “New VTE Safety Recommendations Prevent Blood Clots In Pregnant Mothers: Healthcare Organizations Encourage Use of Venous Thromboembolism Recommendations to Reduce Adverse Events and Save Lives”
by Michael Wong
(This article first appeared in Becker’s Clinical Quality & Infection Control.)
CMS is considering a proposed quality measure that would require “appropriate monitoring of patients receiving PCA [patient-controlled analgesia].” This measure seeks to address the high number of errors that occur with PCA, which unfortunately research shows happens all too frequently. Continue reading “Does CMS’ Proposed Quality Measure on Patient Monitoring Adequately Address Patient Safety?”
PCA-related device events are three times as likely to result in injury or death. As Tim Ritter (Senior Patient Safety Analyst, Pennsylvania Patient Safety Authority) reminds us, “Over the six-year period from June 2004 to May 2010, data collected by Pennsylvania Patient Safety Authority revealed that there were approximately 4,500 reports associated with PCA pumps. Moreover, U.S. Food and Drug Administration’s (FDA) Manufacturer and User Device Experience (MAUDE) database demonstrates that PCA-related device events are three times as likely to result in injury or death as reports of device events involving general-purpose infusion pumps.” Continue reading “10 Reminders to Ensure Safer Use of Patient-Controlled Analgesia”