Blood Clots, Patient Safety

Announcing Survey on Patient Safety in Orthopedics

To better understand and develop practical solutions to prevent venous thromboembolism (VTE) in patients undergoing hip and knee replacement, PPAHS asks for you to complete this survey.

This survey has been sent to orthopedic surgeons and clinicians across the US.

The Physician-Patient Alliance for Health & Safety has had a long interest in preventing venous thromboembolism, and has brought together panels of health experts to develop the OB VTE Safety Recommendations and the Stroke VTE Safety Recommendations (both of which are free resources on the PPAHS website).

VTE is the third-most prevalent factor accounting for readmission 30 days after surgery.

By completing this survey, you may elect to be entered into a lottery draw for a chance to win a $100 Amazon gift certificate and to receive a copy of the survey report.

The winner of the lottery draw will be chosen randomly from those who complete the survey and the contact information form after the survey.

Please complete this survey by 5pmET on Friday, November 4, 2016.

Must Reads, Patient Safety

Patient Safety Weekly Must Reads (October 21, 2016)

This week in patient safety news, we featured a guest post article on pre-op screening and assessment for OSA.  We also found some great articles addressing the ICU, the opioid crisis, and the latest in wearable monitor studies. Read More

Blood Clots

New PPAHS Campaign Targeting Orthopedic Venous Thromboembolism

PPAHS will be beginning a new #patientsafety campaign to develop practical solutions to help assess and prevent venous thromboembolism (VTE) in patients undergoing orthopedic procedures, particularly total knee and hip replacement.  More commonly known as blood clots, VTE consists of both deep vein thrombosis (DVT) and pulmonary embolisms (PE) . Read More

Respiratory Compromise

New Guideline on Pre-Op Screening and Assessment for OSA

This article was first published in Patient Safety Solutions on October 11, 2016.  As part of our efforts to bring in expert viewpoints from across the #patientsafety community, we have reposted this with permission.

By Bradley T. Traux, MD

Our regular readers are well aware of the numerous controversies and limited evidence base regarding perioperative issues in patients with known obstructive sleep apnea (OSA) or those suspected as being at high risk for OSA (see the list of prior columns at the end of today’s column).

The Society of Anesthesia and Sleep Medicine has just published “Guidelines on Preoperative Screening and Assessment of Adult Patients with Obstructive Sleep Apnea”. This is a most thorough evaluation of the evidence base regarding multiple issues related to OSA in patients about to undergo surgery. One is struck by the lack of strong evidence for almost all the recommendations in the guideline, though we are not surprised since we’ve previously discussed most of the controversial issues. Yet this consensus guideline uses common sense and is very practical and appropriately balances concerns for patient safety with utilization of resources and concerns over timing of surgery.

Below is their executive summary of the recommendations: Read More

Must Reads

Patient Safety Weekly Must Reads – October 14, 2016

This week from PPAHS we created a two-part article series examining patient monitoring strategies.  We also found 2 insightful articles adding to our knowledge of the opioid crisis, and a spotlight on alarm fatigue. Read More

Opioid Safety

PPAHS to Present at ACI Annual Advanced Forum on Medical Liability, Claims, Coverage, and Risk Management


The Physician-Patient Alliance for Health & Safety (PPAHS) will be presenting at the American Conference Institute’s 2nd Annual Advanced Forum on Medical Liability, Claims, Coverage, and Risk Management in New York City.  The 2-day conference, running from October 27 to 28, will bring together professionals from government, healthcare, risk management, and legal fields to discuss the latest trends and issues in today’s fast-paced medical liability landscape.

Michael Wong, JD, PPAHS executive director, will convene a panel titled “New Claims Trends Related to the U.S. Pain Crisis: Taking a Look at the Recent Prescription Opioid Abuse Epidemic and Its Impact on a New Wave of Med Mal Insurance Claims”.  He will be joined by Linda Van Dillen, CompAlliance Managed Care; Michael D. Anderson, Sr. Claims Examiner & Risk Specialist Medical Insurance Exchange of California, Medical underwriters of California; and Keri Marmorek, Specialty Lines, Beazley USA.  The panel will occur on day two of the conference, October 28, 2016. Read More

Opioid Safety, Respiratory Compromise

3 Keys To Successfully Implementing Capnography

As a follow-up to our latest podcast interview with Thomas W. Frederickson, MD, FACP, SFHM, MBA – lead author of the Society of Hospital Medicine RADEO guide (“Reducing Adverse Drug Events Related to Opioids”) – we focused on the advantages and limitations of pulse oximetry in monitoring patients for opioid-induced respiratory depression.

Most importantly, Dr. Frederickson highlighted that the alerts provided by pulse oximetry can be a lagging indicator of patient ventilation, particularly when supplemental oxygen is administered.  One solution to improving the care provided to patients is to understand that pulse oximetry is one part of a comprehensive monitoring strategy. Read More

Alarm Fatigue, Opioid Safety

3 Limitations to the Use of Pulse Oximetry

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In PPAHS’ latest podcast, we spoke with Thomas W. Frederickson, MD, FACP, SFHM, MBA – lead author of the Society of Hospital Medicine RADEO guide (“Reducing Adverse Drug Events Related to Opioids”).  The RADEO guide is a comprehensive clinician manual created with the aim to decrease opioid-related adverse events in an inpatient setting. Read More