• 5 Keys to Reducing Sepsis

    In this video, Dr. Ken Rothfield, who is Chief Medical Officer at Medical City Dallas, which is operated by the Hospital Corporation of America, emphasizes the need for early detection and treatment of sepsis. This video also discusses technologies that may be helpful in detecting and treating for sepsis. To read a transcript of the … Read More
  • COPD’s Role in Respiratory Compromise: An Interview with SHM’s COPD Team

    This Clinical Education Podcast with the Society of Hospital Medicine COPD Team discusses key priorities for managing and treating COPD, including the proper use of inhalers, the role of antibiotics, COPD screening, and priorities for hospitals. Panelists – Peter K. Lindenauer, MD, MSc, MHM (University of Massachusetts Medical School); Valerie G. Press, MD, MPH (University … Read More
  • Preventing Medication Errors

    According to the US Department of Health and Human Services, nearly 700,000 emergency department visits and 100,000 hospitalizations each year. In this clinical education podcast, Steven Meisel, PharmMD, who is a patient safety expert at the IHI Institute for Health Care Improvement and the Director of Medication Safety at Fairview Health Services in Minneapolis, discusses … Read More


  • Only Continuous Electronic Monitoring Can Ensure Patients Receiving Opioids Are Safe

    This AAMI video describes why only continuous electronic monitoring can ensure patients receiving opioids are safe. It features Marilyn Flack (Executive Director at Association, AAMI) and Senior Vice President, Patient Safety Initiatives, AAMI Foundation, Dr Frank Overdyk, and Laura Batz Townsend.
  • Tyler’s Story: A Deadly PCA Medical Error

    Tyler was 18-years old when he died following a successful routine procedure in hospital. His mother, Victoria Ireland, tells the heartbreaking story of how he succumbed to opioid-induced respiratory depression while on a patient-controlled analgesia (PCA) pump. To view the video, please click here.
  • Case Studies Illustrating the Value of Capnography

    Dr. Melissa Langhan (Assistant Professor of Pediatrics, Emergency Medicine, at Yale School of Medicine) – discusses the value of monitoring with capnography in these patient case studies.


In the News

  • Medium.com – Maternal Death: the Rising National Crisis of Maternal Morbidity and Mortality

    In this article, Niran S. Al-Agba, MD (Mom, pediatrician, and Associate Editor at The Deductible); Michael Wong, JD (Executive Director, Physician-Patient Alliance for Health & Safety) and John Bianchi (Vice President, Finn Partners) discuss the maternal morbidity and mortality epidemic in the US. Seeking to stem this epidemic, The Preventing Maternal Deaths Act was signed into law.

    Now, the question is how to reduce the national crisis of maternal morbidity and mortality. To reverse increasing maternal mortality, prioritizing venous thromboembolism — the leading medical cause of maternal death in pregnancy — will help lower maternal morbidity and mortality.

    To read the article on Medium.com, please click here.

  • Medium – Preventing Opioid Overdoses and Death: Let’s Start in the Hospitals

    In this article, Michael Wong, JD (Founder/Executive Director, Physician-Patient Alliance for Health & Safety) with Arielle Bernstein Pinsof, MPP, Finn Partners and Gil Bashe, Managing Partner, Finn Partners Health Practice take the position that decreasing the opioid epidemic begins in the doctor’s office and healthcare facilities.

    To read the article on Medium, please click here.

  • Confident Voices in Healthcare – The 1-Hour Sepsis Bundle Debate – Watching a Stopwatch or Wanting Better Patient Care?

    The recent kerfuffle over the 1-Hour Sepsis Bundle has missed the point about the need for better patient care and a much needed effort to save patient lives.

    To read the article on Confident Voices in Healthcare, please click here.

  • You May Not Get a Second Chance to Save a Patient’s Life

    In this article for the DoctorWeighsIn, Michael Wong, JD (Founder and Executive Director, Physician-Patient Alliance for Health & Safety) recounts his meeting with Dr. Ken Rothfield that led to the making of the video, “5 Keys to Reducing Sepsis.”

    To read the complete article, please go to DoctorWeighsIn.

Patient Stories

Clinical Tools

  • Continuous Electronic Monitoring & Opioid Use – Position Statement

    Much of the public attention has been focused on the harm caused by prescription use and abuse of opioids. However, there is another facet that must be focused on: opioid-induced respiratory depression in clinical settings. This includes patients undergoing moderate and conscious sedation, or recovering from procedures and managing pain using a patient-controlled analgesia (PCA) … Read More
  • Position Paper: Patient Ambulation

    Movement is a critical factor to improving patient health. Patient ambulation, the ability to walk from place to place independently with or without an assistive device, is necessary to improve joint and muscle strength, as well as prevent pressure ulcers during extended bed rest. It is a critical factor in improving patient well-being while in … Read More
  • STOPBang Questionnaire

    STOPBang Questionnaire The STOPBang Questionnaire helps screen patients for obstructive sleep apnea (OSA). Twenty-four percent of men and nine percent of women are affected by OSA. According to researchers, “an estimated 82% of men and 92% of women with moderate-to severe OSA have not been diagnosed.”
  • San Diego Patient Safety Council Patient-Controlled Analgesia (PCA) Guidelines of Care

    San Diego Patient Safety Council Patient-Controlled Analgesia (PCA) Guidelines of Care This toolkit was prepared by The San Diego Patient Safety Council, which consists of clinicians and healthcare professionals from acute care facilities across Southern California. Although it was prepared “to provide San Diego County Acute Care settings with recommendations for the standardization of intravenous Patient Controlled Analgesia (PCA) … Read More
  • New York Partnership for Patients Adverse Drug Event Reduction Initiative Team Planning Worksheet for Opioids

    New York Partnership for Patients Adverse Drug Event Reduction Initiative Team Planning Worksheet for Opioids The New York State Partnership for Patients (NYSPFP) is a joint initiative of the Healthcare Association of New York State (HANYS) and the Greater New York Hospital Association (GNYHA)-hospital trade associations representing not-for profit and public health care institutions, including … Read More
  • Stroke VTE Safety Recommendations (PDF)

    Click Here
  • OB VTE Safety Recommendations (PDF)

    Click Here
  • PCA Safety Checklist (Word)

    Click Here
  • PCA Safety Checklist (PDF)

    Click Here
  • Alarm Safety

    Alarm Safety is actively managing the number of alarms (by for example configuring default settings for the specific patient and regularly changing electrodes) and ensuring monitors sound at the appropriate volume and are not muted. Learn more.

Show Me:

PPAHS Patient Safety resources explore safety issues and ways to improve health outcomes. Focusing on opiod safety (pain management), venous thromboembolism (blood clots), and alarm management (noise fatigue).

PPAHS Patient Safety Podcasts and Videos offer in-depth interviews with thought leaders, researchers, patients, and health care professionals from the field to bring a diverse set of perspectives on patient safety issues.

PPAHS Surveys

Conference Poster and Webinar Presentations