Opioid Safety, Respiratory Compromise

Dead in bed. What are you doing for safer pain?

By Gina Pugliese, RN, MS, FSHEA (Vice President, Premier Safety Institute)

18-year-old Amanda came down with strep throat after her high school graduation party. Her parents never thought the treatment she received in the hospital would abruptly end her life.

I recently heard Cindy Abbiehl share the heartbreaking story of her daughter Amanda who died from treatment for strep throat. 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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Opioid Safety, Patient Stories, Respiratory Compromise

Patient Stories Shared at First Meeting of National Coalition to Promote Continuous Monitoring of Patients on Opioids

The Physician-Patient Alliance for Health and Safety today released the patient stories it shared at the inaugural meeting of the National Coalition to Promote Continuous Monitoring of Patients on Opioids.

“We hope that the adverse events and deaths of patients who have suffered opioid-induced respiratory compromise may serve as inspiration to encourage the adoption of continuous electronic monitoring of all patients receiving opioids,” said Physician-Patient Alliance Executive Director and Founder Michael Wong, JD. Read More

Patient Stories, Respiratory Compromise

What Puts More Than Half a Million Lives at Risk Each Year and Costs the US Healthcare System $7.8 Billion Annually?

Join the newest Physician-Patient Alliance Initiative to Reduce the Risk of Respiratory Compromise and Save Lives. By simply signifying your support for reducing the risk of Respiratory Compromise and for saving the lives of patients, you can help ensure changes are made. Read More

Opioid Safety, Respiratory Compromise

Open Letter for Patient Safety and Use of Continuous Electronic Monitoring

In the story, “Hypoxia After Surgery Much More Common Than Previously Believed — Study finds high rate of prolonged bouts of desaturation on wards” (Anesthesiology News, March), Daniel Sessler, MD (Michael Cudahy Professor & Chair, Department of Outcomes Research, The Cleveland Clinic; Director, Outcomes Research Consortium) who helped conduct the study, described its results as “sobering.” Read More

Opioid Safety, Patient Stories, Respiratory Compromise

PPAHS Mourns the Fourth Anniversary of the Passing of Amanda Abbiehl

by Sean Power
July 24, 2014

This past weekend (July 17) marks the anniversary of the tragic death of 18-year old Amanda Abbiehl, whose story serves as a powerful reminder of the need for continuous electronic monitoring.

Lynn Razzano, Clinical Nurse Consultant with the Physician-Patient Alliance for Health & Safety, offers an appeal to her clinical colleagues:

“On the four year anniversary of the untimely passing away of 18-year old Amanda, hospitals need to think of how this could have been actively prevented. My hope is that this promotes more vigilance in appropriately assessing a patient when opioids are in use and ensuring that all patients receiving opioids are continuously electronically monitored.

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Opioid Safety, Respiratory Compromise

New CMS Guidance Recommends Monitoring of All Patients Receiving Opioids

By Michael Wong, JD (executive director, Physician-Patient Alliance for Health & Safety)

(This article first appeared in Becker’s Hospital Review.)

On March 14, 2014, CMS issued guidance “Requirements for Hospital Medication Administration, Particularly Intravenous (IV) Medications and Post-Operative Care of Patients Receiving IV Opioids.” Read More

Alarm Fatigue, Opioid Safety, Patient Stories, Respiratory Compromise

Perspectives on Opioid Safety and Continuous Electronic Monitoring

by Sean Power

In honor of Patient Safety Awareness Week last week, the Premier Safety Institute gathered experts on opioid safety to participate in a webinar discussion. The panel, moderated by Gina Pugliese, RN, MS, vice president, Premier Safety Institute, Premier Inc., featured several authorities on opioid safety, including: Read More

Alarm Fatigue, Opioid Safety, Patient Stories, Respiratory Compromise

The Intertwined Stories of Amanda Abbiehl and Continuous Electronic Monitoring

In the recent article, “Silent Danger: PCA Pumps and the Case for Continuous Monitoring” published by Association for the Advancement of Medical Instrumentation in Biomedical Instrumentation & Technology, the story of 18-year old Amanda Abbiehl is told as a powerful reminder of the need for continuous electronic monitoring. Read More

Alarm Fatigue, Opioid Safety, Patient Stories, Respiratory Compromise

3 Questions About Patient Safety and PCA with Brian and Cindy Abbiehl from A Promise to Amanda Foundation

by Sean Power
December 12, 2013

The Physician-Patient Alliance for Health and Safety released their findings from the First National Survey on Patient-Controlled Analgesia (PCA) Safety Practices. Read More