Opioid Safety, Respiratory Compromise

3 Must View Podcasts on Reducing Opioid-Related Adverse Events An invitation to view PPAHS's latest podcasts

Editor’s note: In this personal message from the Founder and Executive Director, Physician-Patient Alliance for Health & Safety, Michael Wong invites you to listen to 3 must view podcasts on reducing opioid-related adverse events.

By Michael Wong, JD (Founder and Executive Director, Physician-Patient Alliance for Health & Safety)

Watch and share these 3 Clinical Education Podcasts on how to reduce opioid-related adverse events.

Our podcasts feature health and safety experts on the latest recommendations and best practices:

Read More

Patient Safety

Capnography use associated with reduction of adverse outcomes during procedural sedation Continuous Patient Monitoring Reduces Likelihood of Adverse Events and Patient Deaths

Millions of gastrointestinal endoscopy are performed each year in the US, with colonoscopies making up the majority of such procedures. Research conducted by Michael W. Jopling, MD and Qiu Jiejing published in BMC Anesthesiology concluded that capnography use associated with reduction of adverse outcomes during procedural sedation.

Their research sought to “estimate the incidence of pharmacological rescue events and death at discharge from an inpatient or outpatient hospitalization where [gastrointestinal endoscopic procedures] GEP was performed with sedation, and to determine if capnography monitoring was associated with reduced incidence of these adverse outcomes.”

Read More

Must Reads, Opioid Safety, Respiratory Compromise

5 Questions on Battling the Opioid Epidemic Articles the PPAHS team has been reading the week of January 8, 2018

Reading about the ongoing coverage of the opioid epidemic this past week has prompted the following questions – do you agree or disagree?

Should newborns with opioid withdrawal be kept together with their mothers?

Newborns suffering from opioid withdrawal have traditionally been separated from their mothers.

The Canadian Paediatric Society is recommending changing this practice of stigmatizing the newborn’s mother, according to The Globe and Mail:

“In response to the growing number of babies born to mothers with opioid dependency, the Canadian Paediatric Society has issued a document that supports keeping mothers and babies together to improve health outcomes, and encourages the use of skin-to-skin contact and breastfeeding to manage withdrawal symptoms in newborns.”

Should newborns with opioid withdrawal be kept together with their mothers?

Should newborns with opioid withdrawal be kept together with their mothers?

#Newborns with #opioid withdrawal should be kept together with their #mothers #opioidepidemic Click To Tweet Should #newborns with #opioid withdrawal be kept together with their #mothers? #opioidepidemic Click To Tweet

What do hospitals need to fight the opioid epidemic?

Healthcare IT News, in its article, “Clinical tools, electronic monitoring are C-suite priorities to fight opioid crisis,” reports on a new survey by Premier:

“A new survey from Premier shows that 90 percent of execs from member health systems are focusing on the opioid crisis as an imperative for 2018. Hospital leaders are focusing their efforts on assessing patients to evaluate their pain levels upon admission, educating their staff about resources for safe opioid use and exploring alternative methods for pain relief, the study shows …

“in the opioid battle, technology may be among the most important tools: Health systems are increasingly relying on advanced clinical decision support, automated patient alerts, e-prescribing practices and continuous electronic monitoring of patient-controlled analgesia, according to Premier.”

What do #hospitals need to fight the #opioidepidemic? Click To Tweet

Should the focus of the opioid epidemic be on drug addicts and abusers?

Media and national attention to end the opioid epidemic is centered on the improper use of opioids in the community (addiction, misuse, diversion, etc).

In a recent editorial to the NY Times, “How to Fight the Opioid Crisis,” former commissioner of the Food and Drug Administration, David A. Kessler, continues advocacy for this approach.

Or, should stopping stopping the opioid epidemic be focused on preventing new addicts and abusers and be centered on keeping patients receiving opioid safe in the hospital and doctor’s office and upon discharge?

Should the focus of the #opioidepidemic be on drug #addicts and abusers? Click To Tweet

Ending the #opioidepidemic should focus on keeping patients safe in the #hospital and doctor’s office and upon discharge Click To Tweet

Will alternative pain management techniques go mainstream?

Outpatient Surgery in its article, “A Day of Surgeries and Zero Opioids,” reports:

The Society for Opioid Free Anesthesia (SOFA) is … educating anesthesia providers and sponsoring research about opioid-free techniques, spreading the word that patients will do just fine without opioids during and after surgery.

Will alternative #pain management techniques go mainstream? #opioidepidemic Click To Tweet

What are You Doing to Fight the Opioid Epidemic?

Please comment below.

Patient Safety

Effective Hip Injury Management The roles of exercise, nutrition, and compensatory action

With the right medical care, exercise and nutrition, patients can confidently mitigate the impact of a hip injury.

By Jennifer Dawson

Hip injuries are a cause for serious concern in all age ranges, but especially adolescents and the elderly. An unattended injury can cause growth impediments or restrict mobility. Scientific studies by JCCA even found that the effects of a hip fracture can create obfuscating symptoms having potential secondary effects. With the population of the USA aging it’s likely to become more important to consider how to prevent and manage hip injury. Doing this intelligently and in a time efficient manner is important, with family caregiving sometimes time consuming. This article will cover how to effectively manage a hip injury.

Read More

Patient Safety

The Top 12 Patient Safety Articles for 2017 Use and management of opioids, and the tragic loss of patient lives

In 2017, we had many interesting patient safety articles – from the PPAHS staff, our Executive Director, guest clinicians and patient safety advocates. Our top 12 patient articles for 2017 focus on the use and management of opioids, and the tragic loss of patient lives from failure to monitor opioid use appropriately:

Read More

Patient Safety

Top 5 Patient Safety Podcasts Clinicians share their best practices and recommendations

Physician-Patient Alliance for Health & Safety clinical education podcasts feature interviews on their practices and recommendations for improving patient safety and health outcomes.

Our top 5 patient safety podcasts are:

Top 5 #patientsafety podcasts Click To Tweet

Read More

Patient Safety

Have a Safe and Merry Christmas! Medical errors often occur in hospitals

The Physician-Patient Alliance for Health & Safety wishes you, your family and friends a safe and merry Christmas.

Have a Safe and Merry Christmas!

Have a Safe and Merry Christmas!

While we don’t want to be alarmist, we hope that you are not admitted to a hospital this holiday season.

The Institute of Medicine in its 1999 report, “To Err Is Human” estimated 98,000 people a year die because of medical errors. Recently, John James, PhD reviewed the literature. Using a weighted average of four studies, he found annually at least 210,000 patient deaths were preventable harms in hospitals.

We invite you to watch our clinical education podcasts to hear the latest practices and recommendations from healthcare experts on how to keep you patients safe.

Must Reads

Three Must Do’s for Patient Safety Must Reads for Week of December 18, 2017

This week’s must reads contain three must do’s for patient safety.

#1 Must Do for Patient Safety – Prescribe opioids in a reasonable manner

Although opioid abuse, misuse and diversion are clearly valid safety concerns, the current environment has resulted in a backlash against the use of opioids, which has led to reluctance on the part of some physicians to prescribe and to difficulty for some patient to filling their opioid prescriptions.

Read More

Opioid Safety, Respiratory Compromise

Nursing Recommendations on How Capnography Improves Patient Safety Sunnybrook Health Sciences Centre monitors patients with capnography during procedural sedation

Nursing recommendations from ARIN and AORN encouraged Sunnybrook Health Sciences Centre to monitor with capnography patients undergoing procedural sedation.

In a podcast with the Physician-Physician Alliance for Health Safety, Barbara McArthur, RN, BScN, CPN(C), an advanced practice nurse at Sunnybrook Health Sciences Centre in Toronto, Canada, discussed why Sunnybrook Health Sciences Centre decided to monitor with capnography.

Read More