• Nine Minutes to Improving Opioid Safety

    “In just nine minutes, the video summarizes experiences of clinicians in improving opioid safety in their hospital or healthcare facility, and reminds us of the tragic consequences of adverse events and deaths that may ensue if are not proactive in promoting safety. We hope that the video will energize quality improvement and patient safety teams … Read More
  • Importance of Monitoring Patients Receiving Opioids

    This is the second part of the 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”).  The guide is a comprehensive clinician manual created with the aim to decrease opioid-related adverse events in an inpatient setting. To listen … Read More
  • Reducing Adverse Drug Events Related to Opioids: An Interview with Dr Thomas Frederickson

    The Society of Hospital Medicine developed a guide for Reducing Adverse Drug Events Related to Opioids (RADEO). To better understand the RADEO Guide, the Physician-Patient Alliance for Health & Safety interviewed its lead author, Thomas W. Frederickson MD, FACP, SFHM, MBA. In this first part of a two-part interview, Dr. Frederickson uncovers some key takeaways from the … Read More


  • 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.
  • Ensuring child safety during common medical procedures

    Dr. Melissa Langhan (Assistant Professor of Pediatrics, Emergency Medicine, at Yale School of Medicine) – “Unfortunately, continuous capnography is not routinely used outside of the operating room. Capnography can really enhance patient safety, and healthcare professionals need to think about using it more often. As our study found, using capnography enhanced patient safety, by being able … Read More


In the News

  • DoctorWeighsIn – Why Have Low Safety Standards for Dental Anesthesia?

    In this article, Annie Kaplan, MD, Michael Wong, JD, and Patricia Salber, MD, MBA, provide an update on the effort to pass Caleb's Law and discuss why sedation standards in dentistry should be no different than with other medical procedures.

    To read the article, please click here.

  • Press Release – Physician-Patient Alliance for Health & Safety Announces 2017-18 Clinical Education Podcast Series

    Physician-Patient Alliance for Health & Safety is pleased to announce the continuation of its successful clinical education podcast series The clinical education podcasts will feature physicians, nurses, and respiratory therapists sharing their clinical expertise and recommendations for improving patient outcomes and patient safety.

    To read the press release, please click here.

  • Outpatient Surgery – Avoiding Opioid-Related Respiratory Depression

    At certain dosages, the opioids you give to patients to manage surgical pain can lead to respiratory depression — and overdoses can lead to respiratory failure.

    In this article published in Outpatient Surgery, Michael Wong, JD (Founder and Executive Director, Physician-Patient Alliance for Health & Safety) discusses why pulse oximetry and nursing spot checks are not enough to prevent respiratory depression and keep patients safe.

    To read the article in Outpatient Surgery, please click here.

  • Hospital News – (CPSI/PPAHS article) What doctors can do to prevent medical errors during transitions of care

    In this article by Michael Wong, JD, is the Founder & Executive Director of the Physician-Patient Alliance for Health & Safety and Stephen Routledge, MPH, is Patient Safety Improvement Lead, Canadian Patient Safety Institute, Mr. Wong and Mr. Routledge discuss what doctors can do to prevent medical errors during transitions of care.

    To read the article on Hospital News, please click here.

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