The Physician-Patient Alliance for Health & Safety (PPAHS) announced its intention to develop a position statement on recommendations for procedural sedation.
Michael Wong, JD (Founder and Executive Director, PPAHS) explained that such a position statement on recommendations for procedural sedation would encapsulate guidelines and recommendations from leading medical organizations in Canada and the United States:
Articles we have been reading this past week of April 23, 2018 discuss eight ways to improve patient safety and health outcomes.
#1 Way to Improve Patient Safety and Health Outcomes- Use Opioid-Sparing Strategies and More Precise Monitoring
The IHI/NPSF Patient Safety Congress, taking place from May 23-25, 2018, in Boston, MA, brings together people who are passionate about ensuring safe care equitably for all across the globe. This annual meeting is the must-attend event for committed health care professionals who continue to shape smarter, safer care for patients wherever it’s provided – from the hospitalized to outpatient settings to the home.
Articles we have been reading this past week of April 16, 2018 ask us to reconsider how we think about patient safety.
#1 – COPD prevalence is nearly double in rural areas compared to metropolitan areas
The risk of COPD is nearly double in rural areas compared to that in urban areas, according to CDC’s Weekly Morbidity and Mortality Report.
The Physician-Patient Alliance for Health & Safety (PPAHS) is very pleased to announce that Marilyn Neder Flack, who was the Senior Vice President, Patient Safety Initiatives at the Association for the Advancement of Medical Instrumentation (AAMI) and Executive Director at the AAMI Foundation, has been appointed to PPAHS’s board of advisors.
During her tenure at AAMI, Ms. Flack’s spearheaded key patient safety initiatives, including clinical alarm management, continuous electronic monitoring of patients on opioids, home healthcare technology, safe infusion therapy safety, and the safe use of complex health technology.
Guide to Patient Monitoring, Improved Patient Safety and Outcomes
The Physician-Patient Alliance for Health & Safety (PPAHS) announced that it intends to host a Guide to Patient Monitoring, Improved Patient Safety and Outcomes.
PPAHS has developed a standard set of questions and provided these questions to all manufacturers of patient monitoring equipment of which PPAHS is aware. The Guide will contain answers by the medical affairs department of manufacturers of patient monitoring devices.
The Physician-Physician Alliance for Health Safety has released a clinical education podcast on capnography monitoring during conscious sedation with Barbara McArthur, RN, BScN, CPN(C). Ms. McArthur is an advanced practice nurse at Sunnybrook Health Sciences Centre in Toronto, Canada.
Capnography Monitoring: An Early Indicator of Patient Deterioration
After reviewing the current literature, Sunnybrook decided that monitoring with capnography resulted in safer patient care. Capnography monitoring provides an early indicator of patient deterioration, which can be crucial in averting adverse events and patient deaths. Capnography monitoring, says Ms. McArthur, is monitoring in “real time. With pulse oximetry, there is a delay, which could be up to a minute in healthy patients. So, that’s a significant sort of time that is delayed that reaction could happen.”
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 a 96-minute CPR marathon. The ordeal involved 20 others, who took turns pumping his chest. This life-saving feat was only possible with the use of capnography readings, which told the volunteer paramedics that Howard was still alive and that they needed to continue their efforts.
Little would I know that that article would lead to an invitation by the University of Notre Dame and the beginnings of a 6-year friendship with the parents of Amanda Abbiehl. Amanda was admitted to hospital for “severe strep throat.” Read More
Mari Miceli, who developed the PatientAider application, discusses why she developed the application to help patients, families and their advocates while in hospital educate themselves about patient safety.
By Michael Wong, JD (founder and executive director, the Physician-Patient Alliance for Health & Safety)
Often times, as a patient, the hospital and its staff can be a bewildering and seemingly unfriendly environment; processes, procedures, and even the language spoken can truly be confusing. In a recent NY Times article, “In the Hospital, a Degrading Shift From Person to Patient”, Benedict Carey writes:
Entering the medical system, whether a hospital, a nursing home or a clinic, is often degrading… at many others the small courtesies that help lubricate and dignify civil society are neglected precisely when they are needed most, when people are feeling acutely cut off from others and betrayed by their own bodies.
To help navigate this world of hospitals and healthcare, I recently spoke with Mari Miceli. Mari has worked over 15 years as a registered nurse after graduating from the University of Massachusetts, Lowell with a BS in Nursing and the University of Illinois with a BFA. in Industrial Design. She is also a Regional Network Chair, a volunteer position at the Patient Safety Movement Foundation. Read More
Medical malpractice claims, usually related to death or major injury, represent 69.6% of inpatient claims and 63.7% of outpatient claims. To help reduce medical malpractice, here are 5 key steps to minimizing exposure to medical malpractice litigation and improving patient safety & health outcomes
By Michael Wong, JD (Founder and Executive Director, Physician-Patient Alliance for Health & Safety).
Can “perfect care” exist in the clinical setting? This is one of the questions that was asked at a recent conference that I spoke at with Bruce Pastner, MD, JD (Vice-Chair, Patient Safety & Quality, Inova Fairfax Women’s Hospital).
It’s a utopic vision for patient safety that we all strive for. But the unfortunate reality of healthcare today is that bad outcomes can happen; this is sadly true in practices regarded as higher-risk, such as obstetrics. Not all terrible events leading to death or major injury are predictable, preventable, or even treatable. What clinicians can do, however, is to focus on identifying the most preventable incidents and prepare for them. Read More