Patient Safety

Are you up-to-date on respiratory compromise?

The Respiratory Compromise Institute (RCI), of which the Physician-Patient Alliance for Health & Safety (PPAHS) is a member, has released the inaugural issue of its quarterly newsletter. The newsletter includes: recent research re­lated to respiratory compromise (RC); highlights from a RCI member society meeting; RCI and member society news and RC-related news; and a list of upcoming events and observances.

Click on the image to read the newsletter.

Click on the image to read the newsletter.

Respiratory Compromise is defined by the Respiratory Compromise Institute as

“a state in which there is a high likelihood of decompensation into respiratory insufficiency, respiratory failure or death, but in which specific interventions (enhanced monitoring and/or therapies) might prevent or mitigate decompensation.”

The Respiratory Compromise Institute is a diverse coalition of 14 medical and safety organizations devoted to raising awareness about respiratory compromise:

  • American Association for Respiratory Care
  • American College of Chest Physicians
  • American College of Emergency Physicians
  • American Society of Anesthesiologists
  • American Thoracic Society
  • Canadian Society of Respiratory Therapists
  • National Association of Clinical Nurse Specialists
  • National Association of EMS Physicians
  • National Association for Medical Direction of Respiratory Care
  • Physician Patient Alliance for Health & Safety
  • Society of Anesthesia & Sleep Medicine
  • Society of Critical Care Medicine
  • Society of Hospital Medicine
  • The National Board for Respiratory Care

To read the newsletter, please click here.

Opioid Safety, Respiratory Compromise

Continuous Patient Monitoring Provides Early Detection of Respiratory Compromise

In a clinical education podcast produced by the Physician-Physician Alliance for Health Safety, Jeffrey S. Vender, MD. cautions that otherwise stable patients can quickly move down the dangerous path to respiratory compromise:

“There are numerous situations where patients with underlying pulmonary disease are in very chronic, but stable conditions. And, for a multitude of reasons, either a therapeutic intervention, the administration of pharmaceutical agents, in particular sedative agents and/or narcotics, as you’ve alluded to, or an underlying disease, like pneumonia, can make this stable respiratory condition and move it down the spectrum of patho-physiologic deterioration into respiratory compromise.”

Read More

Respiratory Compromise

Is Respiratory Compromise The New “Sepsis”? An Interview with Jeffrey Vender, MD

Oct 26 update – The full podcast “Is Respiratory Compromise The New ‘Sepsis’?” can now be viewed at We had tried to have YouTube correct the previously upload which only played for 4 minutes, but they were unable to do that and so we have been forced to re-upload the podcast. We apologize again for any inconvenience that this may have caused you.

Oct 23 update – the podcast on YouTube is unfortunately only playing about 4 minutes of the more than 18 minute interview. We are working with YouTube to have this fixed as soon as possible. When this is fixed, we will post another update on this post. We apologize for any inconvenience this may have caused you.

The Physician-Patient Alliance for Health & Safety is pleased to announce the release of a clinical education podcast with Jeffrey Vender, MD.

Jeffrey S. Vender, MD is Clinical Professor at the University Of Chicago, Pritzker School of Medicine. He is also Chairman of the clinical advisory committee to the Respiratory Compromise Institute.

#RespiratoryCompromise is The New “#Sepsis”? #patientsafety Click To Tweet Read More

Must Reads

Patient Safety Weekly Must Reads (April 29, 2017)

This week in #patientsafety, PPAHS featured a new report by the Respiratory Compromise Institute on preventing respiratory compromise. From around the web, a study shows voluntary participation in checklists can reduce post-surgery deaths, a look at the demographics of opioid use, and a look at challenges faced by CIOs in improving opioid safety. Read More

Respiratory Compromise

Extension – Calls for Proposals on Respiratory Failure Leading to Critical Illness or Death

The Respiratory Compromise Institute (RCI) has called for proposals to conduct a structured literature review or meta-analysis of various clinical conditions that pose a moderate to high risk for the development of respiratory failure leading to critical illness or death.

To provide researchers more time to complete their applications, RCI has extended the time for application submission to 5pmET on February 1, 2016.

Read More

Respiratory Compromise

Respiratory Compromise Institute Unites Key Medical Societies to Address Growing Incidence and Burden of Inpatient Respiratory Issues

Coalition Will Advance Patient Safety Initiatives to Reduce Adverse Events and Deaths Due to Respiratory Compromise – Respiratory Compromise recognized as a top Preventable Patient Safety Challenge

Today, the National Association for Medical Direction of Respiratory Care (NAMDRC) announced, with the support of key medical and healthcare stakeholders, the launch of the Respiratory Compromise Institute ( to drive actionable solutions that increase education about and reduce the incidence of respiratory compromise in inpatient hospital settings. Read More

Must Reads, Patient Safety

Patient Safety and Health Care Newsletter – August 2015

5 Key Patient Safety Achievements!

On July 27, 2015, the Physician-Patient Alliance for Health & Safety (PPAHS) turned four years old.

Turning four years old made us look back and see what we’ve done. These 5 Key Patient Safety Achievements stand out! Read More

Respiratory Compromise

Identifying and Preventing Respiratory Compromise

Patient Safety Monitor Journal reported in its May 2015 issue about the recent respiratory compromise roundtable discussion. At this meeting hosted by the National Association for Medical Direction of Respiratory Care (NAMDRC), healthcare leaders discussed guidelines for identifying and preventing respiratory compromise.

Read More

Respiratory Compromise

Healthcare Leaders Meet on Respiratory Compromise To Improve Patient Safety and Save Lives

Respiratory compromise is the second-most frequently occurring preventable patient safety issue and causes higher mortality rates, longer hospital and ICU stays, and millions of healthcare dollars every single year. It is the third most rapidly increasing hospital inpatient cost in the United States. Respiratory compromise consists of respiratory insufficiency, distress, arrest, and failure.

Read More

Blood Clots, Must Reads, Opioid Safety, Patient Stories, Respiratory Compromise

Weekly Must Reads in Patient Safety (Nov 7, 2014)

This week’s must-reads bring the worst possible news: patient deaths. Read More