Podcasts

  • 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

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

  • Health data interoperability is a patient safety issue

    This article is a submission by Tim Blake, Managing Director of Semantic Consulting. He can be found on Twitter (@timblake1978). You can join PPAHS’ ongoing efforts to find and disseminate best practices in patient safety by submitting an article here. — Sharing data in healthcare is hard.  Way harder than it should be. The lack … Read More
  • Obstetric Malpractice Shapes The Way Doctors Practice – But It Can Be Prevented

    The following is an excerpt of an article co-authored by Angela W. Russell, Partner, Wilson Elser Moskowitz Edelman & Dicker LLP and Michael Wong, JD, Executive Director of Physician-Patient Alliance for Health & Safety (PPAHS). It first appeared on Healthcare Business Today on July 28, 2017. Read the full article here. Accidents can happen. In … Read More
  • Advances in Alarm Management and Surveillance Monitoring

    Written by James Welch, CEO Arc Biomedical Consultants (jwelch@arcbiomed.com) Mr. Welch is a Clinical Engineer with 17 yrs experience in hospitals and over 24 yrs as an executive in the medical device industry. His focus has been on applying technologies to improve patient safety through continuous surveillance monitoring. Mr. Welch has ten patents and articles in … Read More
  • Are Patients Receiving Opioids Safer Today Than 6 Years Ago?

    Six years ago on July 27, 2011, I posted the first article on a free WordPress blog for the Physician-Patient Alliance for Health & Safety. It was titled “Is it possible to survive 96-minutes without a heart beat?”. Howard Snitzer, a man who suffered a heart attack survived after two volunteer paramedics responded and began … Read More

In the News

  • Press Release – Physician-Patient Alliance for Health & Safety Honors Amanda Abbiehl On 7th Death Anniversary

    The Physician-Patient Alliance for Health & Safety released an article in memory of the 7th anniversary of Amanda Abbiehl's death.

    To read the press release, please click here.

  • Press Release – Paul Buisson Death from Opioid-Related Adverse Events Could Have Been Prevented: 3 Steps That Could Have Been Taken

    Paul Buisson's death from opioid-related adverse events could have been prevented. In a recent article written by the Physician-Patient Alliance for Health & Safety (PPAHS), which has been published on healthcare news site The Doctor Weighs In, three steps that could have been taken are discussed.

    To read the press release, please click here.

  • Press Release – Physician-Patient Alliance for Health & Safety Participates in 1st Annual Anticoagulation Summit

    Patient advocates and leading medical societies involved in awareness building and improving patient safety in Atrial Fibrillation (Afib) and venous thromboembolism (VTE) gathered recently for the 1st Annual Anticoagulation Summit, a two-day conference. To read the press release, please click here.

  • Press Release – Fostering Better Physician-Patient Communications: Physician-Patient Alliance for Health & Safety Releases Interview With Creator of PatientAider

    The Physician-Patient Alliance for Health & Safety released a new interview with Mari Miceli, a nurse and the creator of patient safety smartphone app, PatientAider. The app, available on iOS and Android, is a tool designed to help patients, families and their advocates while in hospital educate themselves about patient safety. To read a copy of 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