Two messages from this week’s must reads in patient safety and healthcare – use opioids carefully and use pulse oximetry more. Continue reading “Weekly Must Reads in Patient Safety and Health Care (August 14, 2015)”
Tag: Pulse Oximetry
On the Fifth Death Anniversary of Amanda Abbiehl, Physician-Patient Alliance for Health & Safety Calls for Continuous Monitoring of Patients Receiving Opioids
To honor the life of Amanda Abbiehl, who died after being connected to a patient-controlled analgesia (PCA) pump on July 17, the Physician-Patient Alliance for Health & Safety (PPAHS) calls for continuous electronic monitoring with pulse oximetry for oxygenation and with capnography for adequacy of ventilation. Continue reading “On the Fifth Death Anniversary of Amanda Abbiehl, Physician-Patient Alliance for Health & Safety Calls for Continuous Monitoring of Patients Receiving Opioids”
Weekly Must Reads in Patient Safety (July 3, 2015)
The Physician-Patient Alliance for Health & Safety wishes you a happy and safe 4th of July!
To improve safety this weekend and throughout the year, this week’s must reads recommend the following actions: Continue reading “Weekly Must Reads in Patient Safety (July 3, 2015)”
Sleep Apnea + Opioids = Post-Surgical Preventable Death
[Editor’s note: This article first appeared in The Doctor Weighs In. The team at Physician-Patient Alliance for Health & Safety thank Pat for her tremendous courage and working with us on this tragic story of what happened to her husband. We hope that in this retelling, hospitals will be encouraged to ensure that similar events become “never events”.] Continue reading “Sleep Apnea + Opioids = Post-Surgical Preventable Death”
Monitoring for Respiratory Compromise to Detect Cardiac Arrest
In his op-ed, Lakshmipathi Chelluri, MD, MPH (Professor, Department of Critical Care Medicine, Co-chair, P&T Committee, UPMC Presbyterian, University of Pittsburgh School of Medicine), asks a great question “Preventable In-Hospital Cardiac Arrests―Are We Monitoring the Wrong Organ?”[1]
To help prevent the onset of cardiac arrest, Dr. Chelluri suggests that clinicians should be monitoring for respiratory compromise as a key trigger or potential alert for cardiac arrest. Continue reading “Monitoring for Respiratory Compromise to Detect Cardiac Arrest”
“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. Continue reading ““Keep It On” Campaign: 8 Tips for Ensuring Children are Monitored Safely”
3 Questions About Patient Safety and PCA with Brian and Cindy Abbiehl from A Promise to Amanda Foundation
by Sean Power
December 12, 2013
The Physician-Patient Alliance for Health and Safety released their findings from the First National Survey on Patient-Controlled Analgesia (PCA) Safety Practices. Continue reading “3 Questions About Patient Safety and PCA with Brian and Cindy Abbiehl from A Promise to Amanda Foundation”
INFOGRAPHIC: First National Survey of Patient-Controlled Analgesia Practices
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New National Survey Finds Patient Safety at Risk Because of Lack of Consistency in Hospital Patient-Controlled Analgesia Practices
Inconsistency in safe practices most likely accounts for large proportion of adverse events and deaths associated with PCA use, says Physician-Patient Alliance for Health and Safety.
The Physician-Patient Alliance for Health and Safety today released the results from a national survey of United States hospitals on the administration of patient-controlled analgesia (PCA). Continue reading “New National Survey Finds Patient Safety at Risk Because of Lack of Consistency in Hospital Patient-Controlled Analgesia Practices”
Patient Safety Experts Share 4 Insights About Safer Opioid Pain Management
by Sean Power
Patient safety experts recently participated in a webinar on reducing adverse drug events and harm associated with postoperative opioid pain management programs. Premier Safety Institute, an organization dedicated to coordinating safety-related activities among national organizations to help improve safety, hosted the webinar.
The panel featured four patient safety experts: Continue reading “Patient Safety Experts Share 4 Insights About Safer Opioid Pain Management”

