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).
Physicians on Surgeon General’s Letter on Opioid Epidemic: Survey Results. In August, the Surgeon General issued a letter to physicians urging them to take a part in combating the opioid epidemic. We conducted a survey to gauge reactions to the Surgeon General’s appeal. Read More
Pamela Parker BSN, RN, CAPA, has recently published a new article in Outpatient Surgery Magazine detailing her experiences losing her own son, Logan, to opioid-related hypoxia. Read More
The American Academy of Pediatrics (AAP) and the American Academy of Pediatric Dentistry (AAPD) recently released “Guidelines for Monitoring and Management of Pediatric Patients Before, During, and After Sedation for Diagnostic and Therapeutic Procedures: Update 2016”.
There are three keys to this update which offers “pediatric providers updated information and guidance in delivering safe sedation to children”: Read More
In honor of the fifth anniversary of the Physician-Patient Alliance for Health & Safety (PPAHS), PPAHS today announced the top five patient safety interviews by PPAHS.
“To increase awareness and promote discussion about and practical solutions for patient safety issues, PPAHS interviews doctors, nurses, respiratory therapists, and patients’ families,” said Michael Wong, JD (Executive Director, PPAHS).
By the number of views, the five most popular interviews on the PPAHS YouTube channel are: Read More
Editor’s Note: What might better assessment for respiratory compromise mean to a patient’s outcome? We ask this question in light of yesterday’s post on an assessment tool and the death of 17-year old Logan.
Yesterday, we posted on research by Hiroshi Morimatsu, M.D.,Ph.D (Okayama University Hospital, Okayama, Japan) and his colleagues on whether a patient pulmonary index could be a predictor of respiratory adverse events.
On July 23, 2007, 17-year old Logan died after successfully undergoing routine surgery to correct his sleep apnea. Read More
In this Podcast with PPAHS, Pamela Parker, BSN, RN, CAPA describes her son, Logan, as “a red haired, fair skinned, seventeen year old fun big kid … [who] was very silly and … even embraced the term ‘goofy’.”
Logan had obstructive sleep apnea (OSA) with elements of central sleep apnea. He underwent surgery to have “his tonsils and his uvula removed, septum and his turbinate repaired. Basically, opening up the airway by removing the tissue in the back of his airway.” Read More
In an article in ADVANCE for Nurses, Pamela Parker, BSN, RN, CAPA discusses lessons that she learned on the timely death of her teenage son, Logan:
On July 23, 2007, my 17-year old son Logan died after successfully undergoing routine surgery to correct his sleep apnea. As a recovery room nurse, I have often asked myself how this could have been prevented.
By writing these six lessons I learned, I hope that other loved ones may be saved, other families spared the agony of losing a cherished member.