The Physician-Patient Alliance for Health & Safety released a clinical education podcast – Selecting Patient Monitoring Systems.
“We are often asked by our clinical followers what patient monitoring systems that we would recommend,” said Michael Wong, JD (Founder/Executives Director). “To help with their decision making process, we have produced a clinical education podcast to provide some guidance on selecting patient monitoring devices.”
Michael Wong, JD (Founder/Executive Director, PPAHS) noted the work that ECRI has done to help improve patient safety and reduce alarm fatigue citing ECRI’s recent “Top 10 Health Technology Hazards for 2018:”
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 likelihood that adverse events will occur. This list will help healthcare facilities do that.
Number 4 on this list deals with how Missed Alarms May Result from Inappropriately Configured Secondary Notification Devices and Systems:
“Patients receiving opioids—such as morphine, hydromorphone, or fentanyl—are at risk for drug-induced respiratory depression. If not detected, this condition can quickly lead to anoxic brain injury or death. Thus, spot checks every few hours of a patient’s oxygenation and ventilation are inadequate.
“ECRI Institute recommends that healthcare facilities implement measures to continuously monitor the adequacy of ventilation of these patients and has recently tested and rated monitoring devices for this application.”
Last year, we interviewed Stephanie Uses, PharmD, MJ, JD, Patient Safety Analyst at ECRI Institute, to look at how hospitals and other healthcare facilities can prevent harm and death to patients with improved opioid safety. It is still relevant today.
This week in #patientsafety, we shared our findings from our survey on responses to the Surgeon General’s letter on the opioid epidemic and put venous thromboembolism in the spotlight with a new partnership with World Thrombosis Day. From around the web, a mother penned an article about the tragic and preventable death of her son, Minnesota respiratory therapists are recognized for implementing a program to detect respiratory depression at St. Cloud Hospital in St. Cloud, MN, and the ECRI Institute released its top ten healthcare technology hazards of 2017 (undetected opioid-induced respiratory depression yet again makes the top five).
Managing alarms on physiologic monitors, like pulse oximeters that measure blood oxygenation and capnography that assesses the adequacy of ventilation, is a critical patient safety issue. As the first comprehensive national survey of patient-controlled analgesia practices by the Physician-Patient Alliance for Health & Safety found, 90 percent of hospitals believe that reducing false alarms would increase use of patient monitoring devices. Read More →
By Lynn Razzano RN, MSN, ONCC (Clinical Nurse Consultant)
Increasingly we are seeing publications, alerts and evidence of the clinical phenomena entitled: “Alarm Fatigue”. What is the scope of this latest hazard and what are the new implications for clinical practice change. Read More →