Blood Clots, Must Reads, Respiratory Compromise

Weekly Must Reads in Patient Safety (Oct 10, 2014)

Unnecessary – that’s the word that best summarizes this week’s reads – unnecessary readmissions and unnecessary surgery.

And, then to round out “unnecessary”, new data recently published in the American Journal of Respiratory and Critical Care Medicine suggests unnecessary risk. Read More

Alarm Fatigue, Must Reads

Weekly Must Reads in Patient Safety (Oct 3, 2014)

Patient monitoring seems to be the flavor of the day in this week’s articles and tweets … so, remember to monitor – Keep It On!

That said, better alarm management is needed to encourage more use of continuous electronic monitoring – could a woman’s death be due to alarm fatigue, as reported by Outpatient Surgery? Read More

Opioid Safety, Practices & Tips, Respiratory Compromise

“Keep It On” Campaign: 8 Tips for Ensuring Children are Monitored Safely

By Lynn Razzano RN, MSN, ONCC Clinical Nurse Consultant for PPAHS

The Physician-Patient Alliance for Health & Safety was recently contacted by a mother whose one-year-old baby boy tragically passed away. The boy suffered from leukemia, had a successful bone marrow transplant, and had received fentanyl and methadone. Although monitored with a pulse oximeter, his nurses had difficulty keeping the monitor on his finger (they had used tape), which caused the oximeter to false alarm frequently and the alarms to be turned down. Read More