Podcasts

  • Why Clinicians Should Care About Respiratory Compromise: Respiratory Compromise is the New “Sepsis”

    Jeffrey S. Vender, MD (Clinical Professor, University Of Chicago, Pritzker School of Medicine) and Chairman of the clinical advisory committee to the Respiratory Compromise Institute (www.respiratorycompromise.org) points out that there are similarities between the campaign to raise awareness about respiratory compromise to early stages of the campaign to raise awareness about sepsis. The podcast discusses … Read More
  • 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

Videos

  • 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

Articles

  • ECRI’s Top Ten Technology Hazards for 2018

    Recently, ECRI Institute released its Top Ten Technology Hazards for 2018. The purpose behind ECRI’s yearly list is to promote the safer use of technology: The safe use of health technology—from beds and stretchers to large, complex imaging systems—requires identifying possible sources of danger or difficulty with those technologies and taking steps to minimize the … Read More
  • CMS Proposes Measuring Opioid Related Adverse Respiratory Events

    Centers for Medicare & Medicaid Services (CMS) recently released its List of Measures under Consideration. One of the measures under consideration is MUC17-210 which measures “Hospital Harm Performance Measure: Opioid Related Adverse Respiratory Events”: “This measure will assess opioid related adverse respiratory events (ORARE) in the hospital setting. The goal for this measure is to assess … Read More
  • Three resources to prevent medical errors during transfer of care

    Co-authored by Stephen Routledge, MPH, Patient Safety Improvement Lead, Canadian Patient Safety Institute and Michael Wong, JD, Founder & Executive Director of the Physician-Patient Alliance for Health & Safety Medical errors can be costly for both patient and hospital. As defined by the Joint Commission: In order to keep patients safe, clinicians should focus on … Read More
  • Family Caregiving is Like Having a Full-Time Job

    By John Schall, Chief Executive Officer of Caregiver Action Network (CaregiverAction.org) Family caregiving can be like having a full-time job. Caregivers manage doctor appointments, provide transportation, make sure medications are taken on time, and keep the home going – to name just a few of the vital tasks that they perform on a daily basis. … Read More

In the News

  • BCMJ (Joint CPSI-PPAHS Article) – Three resources to prevent medical errors during transfer of care

    Medical errors can be costly for both patient and hospital. As defined by the Joint Commission: In order to keep patients safe, clinicians should focus on the three key points along the patient’s continuum of care. To help, we offer these free resources:

    To read the article, please go to the British Columbia Medical Journal blog, but clicking here.

  • Press Release – Today’s Must-Have: Capnography Monitoring During Conscious Sedation

    The Physician-Patient Alliance for Health & Safety released a clinical education podcast with Matt Kurrek, MD, FRCPC (Professor, Department of Anesthesia, University of Toronto) and Richard Merchant, MD, FRCPC (Clinical Professor, University of British Columbia, Department of Anesthesia, Pharmacology & Therapeutics).

    To read a transcript of the interview, please click here.

    The podcast may be viewed on the PPAHS YouTube channel by clicking here.

     

  • Press Release – Continuous Patient Monitoring Provides Early Detection of Respiratory Compromise

    In a clinical education podcast released by the Physician-Physician Alliance for Health Safety, Jeffrey S. Vender, MD. cautions that otherwise stable patients can quickly move down the dangerous path to respiratory compromise.

    Dr. Vender believes that "there's been a lack of understanding of how to monitor better, or to recognize better, those patients at-risk." He encourages clinicians to do "a better job of monitoring and understanding the drugs we use in those patients at risk, so we can reduce these complications."

    To read the press release, please click here.

  • Press Release – Is Respiratory Compromise The New “Sepsis”?: Interview with Dr. Jeffrey Vender

    The Physician-Patient Alliance for Health & Safety is pleased to announce the release of a clinical education podcast with Jeffrey S. Vender, MD.

    Jeffrey S. Vender, MD is Clinical Professor at the University Of Chicago, Pritzker School of Medicine. He is also Chairman of the clinical advisory committee to the Respiratory Compromise Institute.

    During the podcast, Dr. Vender discussed similarities with early stages of the campaign to raise awareness about sepsis.

    To read the press release, 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