Alarm Fatigue, Opioid Safety, Respiratory Compromise

10 Reminders to Ensure Safer Use of Patient-Controlled Analgesia

PCA-related device events are three times as likely to result in injury or death. As Tim Ritter (Senior Patient Safety Analyst, Pennsylvania Patient Safety Authority) reminds us, “Over the six-year period from June 2004 to May 2010, data collected by Pennsylvania Patient Safety Authority revealed that there were approximately 4,500 reports associated with PCA pumps. Moreover, U.S. Food and Drug Administration’s (FDA) Manufacturer and User Device Experience (MAUDE) database demonstrates that PCA-related device events are three times as likely to result in injury or death as reports of device events involving general-purpose infusion pumps.” Read More

Opioid Safety, Patient Stories, Respiratory Compromise

Would Real-Time Monitoring Have Saved Leah?

Real time monitoring of the adequacy of ventilation (i.e. how much carbon dioxide a patient breathes out) could saved Leah’s life.

by Michael Wong

Real time monitoring of the adequacy of ventilation (i.e. how much carbon dioxide a patient breathes out) could save patients’ lives, recent research suggests.

Just ask Lenore Alexander, whose daughter Leah had elective surgery for pectus carinatum, a fairly common condition where the sternum protrudes forward caused by an overgrowth of cartilage. Read More