Opioid Safety, Patient Stories, Practices & Tips, Respiratory Compromise

5 Key Resources to Reduce the Risk of Respiratory Compromise with Patients with Sleep Apnea

In a recent interview with a spotlight on the RADEO guide, Dr. Thomas Frederickson, MD, FACP, SFHM, MBA highlighted obstructive sleep apnea (OSA) as a key contributing condition to greater opioid use risk.

“Sleep apnea is the number one risk factor for respiratory depression associated with the use of opioids.

[…] Patients with obstructive sleep apnea are dependent upon their arousal mechanism in order to avoid respiratory depression and eventual respiratory failure.”

In addition to being the #1 contributing risk to opioid-induced respiratory depression, OSA is also common and often under diagnosed.  Dr. Frederickson states that between 7% and 22% of the adult population has a degree of sleep apnea.

The key question that arises, then, is how to better identify and account for OSA in patients receiving opioids?  Here are 5 key resources to reduce the risk of respiratory compromise in this group. Read More

Blood Clots, Must Reads, Opioid Safety, Patient Stories

How much safer are we? – Weekly Must Reads in Patient Safety (Jan 29, 2016)

In a recent article, Peter Pronovost, MD, PhD, FCCM (Professor, Departments of Anesthesiology/Critical Care Medicine and Surgery, The Johns Hopkins University School of Medicine and Medical Director, Center for Innovation in Quality Patient; Member of the Physician-Patient Alliance for Health & Safety PCA Safety Panel and OB VTE Recommendations Working Group) asks a great question, “Patient Safety at 15: How Much Have We Grown?”.

Dr. Pronovost reflects on the past 15 years:

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Alarm Fatigue, Blood Clots, Hospital Acquired Conditions, Must Reads, Opioid Safety, Patient Safety, Patient Stories, Practices & Tips, Respiratory Compromise

Weekly Must-Reads in Patient Safety and Health Care (November 6, 2015) – When False Alarms Pollute Intensive Care

We have plenty of patient safety articles to share with you this week. From advice for nurses on how to educate patients about opioid diversion to tips for preventing medical errors in long-term care, audiences across the health care spectrum will benefit from some weekend reading.
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Patient Safety, Patient Stories, Respiratory Compromise

Physician-Patient Alliance for Health & Safety Turns 4 Years Old

The Physician-Patient Alliance for Health & Safety (PPAHS) today celebrates its fourth anniversary.

PPAHS posted its first blog on July 27, 2011, “Is it possible to survive 96-minutes without a heart beat?”.

This post featured what happened to Howard Snitzer, who suffered a heart attack outside of a grocery store in Goodhue, Minnesota. Two volunteer paramedics responded and began a 96-minute CPR marathon involving 20 others, who took turns pumping his chest. Read More

Opioid Safety, Patient Stories, Respiratory Compromise

Six Nursing Lessons: Nurse and Mother Reflects on the Untimely Death of Her Teenage Son

In an article in ADVANCE for Nurses, Pamela Parker, BSN, RN, CAPA discusses lessons that she learned on the timely death of her teenage son, Logan:

On July 23, 2007, my 17-year old son Logan died after successfully undergoing routine surgery to correct his sleep apnea. As a recovery room nurse, I have often asked myself how this could have been prevented.

By writing these six lessons I learned, I hope that other loved ones may be saved, other families spared the agony of losing a cherished member.

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Patient Stories, Respiratory Compromise

Anesthesiologists and Colonoscopies: A Lesson in Better Physician-Patient Relationships

By Patricia Iyer MSN RN LNCC

(Pat is a legal nurse consultant who provides education to healthcare providers about patient safety. She can be reached at patriciaiyer@gmail.com)

I went to see a gastroenterologist (Doctor A) because I am due for a colonoscopy. I had a colonoscopy done 4 years ago by a different doctor (Doctor B), and one closer to home. Doctor A wanted to know why I had not returned to Doctor B for this new one. I explained Doctor B and I had not clicked. This is what happened, and it is a good lesson for what not to say or do to a patient. Read More

Alarm Fatigue, Blood Clots, Must Reads, Patient Stories

Weekly Must Reads in Patient Safety (Feb 6, 2015)

While the Patient Safety, Science & Technology Summit called for “orders of magnitude” change, the story of Amber Scott, a mother who slipped into a coma during delivery, illuminates why improving safety for even a single person matters. Read More

Opioid Safety, Patient Stories, Respiratory Compromise

Physician-Patient Alliance Recommends Continuous Respiratory Monitoring of All Patients Receiving Opioids

The Physician-Patient Alliance for Health & Safety today issued the following statement encouraging the continuous electronic monitoring of all patients receiving opioids:

To improve patient safety and save patients’ lives, we recommend adopting continuous respiratory monitoring of all patients receiving opioids with pulse oximetry for oxygenation and with capnography for adequacy of ventilation to improve timely recognition of respiratory depression, decompensation or clinical deterioration.

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