Patient Safety, Respiratory Compromise

Quality Healthcare is a Continuum: PPAHS Interview of Peggy Lange, RT on Intermittent vs. Continuous Monitoring

In a recent interview with Peggy Lange, RT (Director of the Respiratory Care Department, St. Cloud Hospital) conducted by the Physician-Patient Alliance for Health & Safety (PPAHS), Ms. Lange discussed why intermittent monitoring does not foster quality patient care.

St. Cloud Hospital is a 489-bed hospital serving a 12-county area in Central Minnesota. Said Ms. Lange, “St. Cloud Hospital has a long tradition of caring for patients in Central Minnesota. We were founded by the sisters of the order of St. Benedict in 1886 and have grown to a high quality regional medical center.” Read More

Patient Safety

Why All Medical Schools Must Incorporate Quality Improvement and Patient Safety into Their Curriculums

By Molly Siegel (Medical Student, Boston University School of Medicine)

Before starting medical school, I imagined medicine was what I saw on television: I would save lives by poring through textbooks to diagnose an obscure parasite, or by dissecting a rare tumor away from the carotid artery. But quickly I learned that healthcare is more than Dr. Meredith Grey or Gregory House’s heroic efforts. Yes, sometimes patients do have rare and bizarre conditions, and extraordinary levels of diagnostic and surgical skills are required for their care. But often in the hospital, patients are admitted for a diagnosable, manageable illness- and what endangers them is not their disease, but the systems issues they’re susceptible to while admitted for life-saving treatment. Read More

Opioid Safety, Respiratory Compromise

5 Key Learnings to Create a Culture of Patient Safety with Capnography: An Interview With Peggy Lange, RT

The Physician-Patient Alliance for Health & Safety recently interviewed Peggy Lange, RT (Director of the Respiratory Care Department, St. Cloud Hospital) about a project that examined acute response team (ART) calls regarding patients who had received procedural or conscious sedation 24 hours prior to the event.

As Ms. Lange wrote in her article published in ADVANCE for Respiratory Care and Sleep Medicine, “Culture of Safety Includes Capnography”:

“We looked at patient monitoring practices in the outpatient procedural areas and we addressed the very real issue of too many alarms on the hospital patient floor. We also undertook a literature review for the project as we prepared to consider implementing capnography outside the operating room at our institution.

For the project, St. Cloud Hospital brought together a team of clinicians that included physicians, nurses, respiratory therapists, and pharmacists who represented different clinical areas like pain, sedation, endoscopy, and surgery.

In this interview, Ms. Lange discussed 5 key learnings from this project: Read More

Opioid Safety, Respiratory Compromise

No Child Should Ever Die from Elective Dental Anesthesia

By Annie Kaplan, MD, Michael Wong, JD (Executive Director, PPAHS), and Patricia Salber, MD, MBA (Chief-in-Editor,  The Doctor Weighs In)

Caleb Sears was a healthy 6-year-old boy who was looking forward to ice cream treats after his elective dental surgery. Before his dental extraction, Caleb’s parents were told that, despite being generally safe, intravenous anesthesia has a risk of serious complications, including brain damage and death. What they weren’t told was that anesthesia standards of practice vary in different settings. And, most importantly, that the risk goes up substantially when the oral surgeon is responsible for monitoring the effects of anesthesia at the same time that he is doing the operation. Read More

Opioid Safety, Respiratory Compromise

3 Keys to Safer Pediatric Sedation

The American Academy of Pediatrics (AAP) and the American Academy of Pediatric Dentistry (AAPD) recently released “Guidelines for Monitoring and Management of Pediatric Patients Before, During, and After Sedation for Diagnostic and Therapeutic Procedures: Update 2016”.

There are three keys to this update which offers “pediatric providers updated information and guidance in delivering safe sedation to children”: Read More

Opioid Safety, Respiratory Compromise

Why Number of Opioid Prescriptions Written May Not Be as Important as Patient Assessment and Monitoring

The NY Times recently reported:

“After years of relentless growth, the number of opioid prescriptions in the United States is finally falling, the first sustained drop since OxyContin hit the market in 1996 … Experts say the drop is an important early signal that the long-running prescription opioid epidemic may be peaking, that doctors have begun heeding a drumbeat of warnings about the highly addictive nature of the drugs and that federal and state efforts to curb them are having an effect. Read More

Opioid Safety, Respiratory Compromise

5 Steps for Preventing Opioid Harm to Patients

By Stephanie Uses, PharmD, MJ, JD (Patient Safety Analyst, ECRI Institute), Lynn Razzano, RN, MSN, ONCC (Clinical Nurse Consultant, Physician-Patient Alliance for Health & Safety), and Michael Wong, JD (Executive Director, Physician-Patient Alliance for Health & Safety)

Inadequate monitoring for respiratory depression in patients receiving opioids poses the greatest risk and potentially resulting harm to patients. ECRI Institute recently released the 2016 Top 10 Patient Safety Concerns for Healthcare Organizations and assigned inadequate monitoring its highest risk map of 80: Read More

Opioid Safety, Respiratory Compromise

Combating the growing opioid epidemic with the “rescue shot”

By Ned Milenkovich, PharmD, JD (Principal and Co-Chair of the Health Care Law group at Much Shelist)

Heroin and prescription drug overdoses have reached epidemic levels in the United States, surpassing car accidents and firearms as the leading cause of injury deaths, an annual assessment by the U.S. Drug Enforcement Administration has found.  Read More

Opioid Safety, Respiratory Compromise

Top Five Patient Safety Interviews

In honor of the fifth anniversary of the Physician-Patient Alliance for Health & Safety (PPAHS), PPAHS today announced the top five patient safety interviews by PPAHS.

“To increase awareness and promote discussion about and practical solutions for patient safety issues, PPAHS interviews doctors, nurses, respiratory therapists, and patients’ families,” said Michael Wong, JD (Executive Director, PPAHS).

By the number of views, the five most popular interviews on the PPAHS YouTube channel are: Read More