Patient Safety

Are These Healthcare Decisions Reasonable or Do They put Patients At-Risk? Articles PPAHS has been reading the week of February 19, 2018

Articles we have been reading this past week of February 19, 2018 made us ask ourselves whether recent healthcare decisions are reasonable. What do you think?

Why do patient monitoring guidelines of the American Society for Gastrointestinal Endoscopy differ from those of the American Society of Anesthesiologists?

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Patient Safety

How to Keep Patients Safe From Harmful Prescription Drug Side Effects

In this article, Cal Cook (Consumer Finance Investigator, ConsumerSafety.Org) cautions patients about the prescription drug side effects, and particularly “black box” warnings. It’s up to the doctor’s discretion to determine whether the benefits outweigh the side effects for the patient’s individual situation.

By Cal Cook (Consumer Finance Investigator, ConsumerSafety.Org) investigates and writes about consumer-focused topics including finance, scams and safety. His passion lies in exposing fraud across all industries to protect consumers.

A “black box” warning is a boxed warning on a prescription drug label that indicates the drug can have seriously harmful side effects. This is the most severe type of warning by the Food and Drug Administration (FDA). According to prescription drug retailer Walgreen’s, this warning is only used “when there is reasonable evidence of an association of a serious hazard with the drug.” There are certainly instances when it’s helpful to give such drugs to patients, but it’s up to the doctor’s discretion to determine whether the benefits outweigh the side effects for the patient’s individual situation.

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Patient Safety

Preventing medical errors during a transfer of care

A transfer of care can result in a medical error. In this joint article between the Canadian Patient Safety Institute and the Physician-Patient Alliance for Health & Safety, Michael Wong, JD (Founder & Executive Director of the Physician-Patient Alliance for Health & Safety) and Stephen Routledge, MPH (Patient Safety Improvement Lead, Canadian Patient Safety Institute) discuss how medical errors during transfers of care can be prevented.

In particular, two key resources are referred to in the article.

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Patient Safety

5 Troubling Healthcare Facts Articles PPAHS has been reading the week of January 22, 2018

The articles we have been reading this past week of January 22, 2018 discuss 5 troubling healthcare facts.

#1 Troubling Healthcare Fact – Not enough experienced nurses

Shawn Kennedy, MA, RN asks a very good question in the title of her article, “Experienced Bedside Nurses: An Endangered Species?”:

“The trend toward our hospitals being primarily populated with nurses with less than two years’ experience is worrisome.”

We don't have enough experienced #nurses #patientsafety Click To Tweet

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Patient Safety, Patient Stories

Taking Fentanyl Can Kill You Michelle McNamara's Death Caused by a Toxic Mixture of Fentanyl and Other Drugs

Abstract: The lesson learned from the death of Michelle McNamara – taking opioids can kill you. The opioid fentanyl can cause delayed respiratory depression and tragically death, particularly when used in combination with other sedating drugs.

Michelle McNamara, the writer and wife of comedian Patton Oswalt, died unexpectedly in her sleep in April 2016. Mr. Oswalt says that her death was caused by a toxic mixture of fentanyl and other drugs. As reported by People:

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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.”

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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.

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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:

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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

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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.