Proper inhaler use can prevent many instances of respiratory compromise. In a recent survey, “The Role of Inhalation Delivery Devices in COPD: Perspectives of Patients and Health Care Providers,” researchers from the American College of Chest Physicians surveyed 513 healthcare providers managing COPD and 499 patients with COPD across the United States and found that both patients and healthcare providers place less importance on inhaler devices than medication in the treatment of chronic obstructive pulmonary disease (COPD) and concluded:
In this guest submission, Rebecca Temsen writes why sleep is so important.
By Rebecca Temsen
Sleep is the mother of all rest, healing, peace of mind, and emotional stability. So many times, we have seen what happens with our tempers, the structure of our families, and the effectiveness of our jobs when we (or our loved ones) go without sleep. It’s detrimental, it’s starvation-oriented, and it’s decaying. We all need time to rest and be alone in a quiet, peaceful setting.
Articles the Physician-Patient Alliance for Health & Safety (PPAHS) have been reading the week of July 2, 2018 ask us to consider 3 patient safety ideas to implement.
#1 Patient Safety to Implement – Remember that Some Patients Need Opioids
In the nation’s battle to curtail the use of opioids, there are patients who need them.
Articles the Physician-Patient Alliance for Health & Safety (PPAHS) have been reading the week of June 25, 2018 focus on 3 efforts to help stop the opioid epidemic.
Effort #1 – Does Government Legislation Address the Opioid Epidemic?
The House of Representatives recently passed what has been called the “most expansive legislation” to address the opioid epidemic. According to CNN, the key provision would allow Medicaid to pay for certain treatments for mental illness.
COPD is a tremendous healthcare burden in the U.S. and worldwide, and it is important for patients and their clinicians to understand COPD’s role in respiratory compromise.
To better understand some of the key issues every patient and clinician should know about COPD’s role in respiratory compromise, the Physician-Patient Alliance for Health & Safety is pleased to release a clinical education podcast with the Society of Hospital Medicine’s COPD Team.
As of June 2018, Agilience ranks the Physician-Patient Alliance for Health & Safety as a top 100 patient safety authority:
Articles PPAHS have been reading the week of June 18, 2018 emphasize these equations for patient safety.
#1 Equation for Patient Safety: Nurses = Patient Safety
Researchers at the University of Colorado Hospital recently reported that their use of a PCA safety checklist was found to reduce pain from moderate-severe pain to no-mild pain in 42% of patients within 2 days. In “Let’s Be Smart About Improving Pain,” they reported:
Our PCA safety checklist smart phrases increased use of a safety checklist and documentation of daily PCA opioid trends, and correlated with more rapid improvement in moderate-severe pain levels.
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.
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.
Using benzodiazepines and opioids may be a deadly combination. According to the National Institute on Drug Abuse, more than 30% of opioid overdoses involve the use of benzodiazepines.
One of the commonly overlooked complications to safe opioid administration is failing to account for the additive sedation effects of non-opioid medication. In recognition of these dangers, in August 2016, the FDA issued its strongest warning about combined use of opioids and benzodiazepines and issued another caution more recently on September 20, 2017.