Respiratory Compromise

Hospitalists can play a key role in prevention of respiratory compromise Is respiratory compromise the new ‘sepsis’?

By Jeffrey S. Vender, MD

Clinicians and even the general public are aware of the dangers of sepsis, the life-threatening illness caused by a body’s response to an infection. Irrespective of one’s perception of pharmaceutical marketing materials or the evidence-based medicine used, awareness about sepsis has led to earlier diagnosis and interventions that have likely saved countless patients’ lives.

Moreover, hospitalists have played a key role in sepsis prevention.

Please click here to read the article by Dr. Vender.


Dr. Jeffery Vender is the emeritus Harris Family Foundation chairman of the department of anesthesiology at NorthShore University Health System in Evanston, Ill. He is clinical professor at the University of Chicago Pritzker School of Medicine and chairman, Clinical Advisory Committee, Respiratory Compromise Institute. Dr. Vender has consulted with Medtronic

 

Sepsis

Deadly Sepsis a Global Priority but Dismissed by Majority of Health Systems Worldwide World Sepsis Day September 13th

The Physician-Patient Alliance for Health & Safety is pleased to partner with the Global Sepsis Alliance to increase awareness of the need for early detection and treatment of sepsis. Below is a press release by the Global Sepsis Alliance urging that sepsis be a global priority.

The Global Sepsis Alliance says not nearly enough is being done to curb sepsis, one of the most prevalent but misdiagnosed, deadly diseases, and designated a global priority by the World Health Organization (WHO) in 2017.

In spite of the unanimous resolution in May 2017 by the Executive Board of the WHO and the World Health Assembly to improve, prevent, diagnose, and manage sepsis through a series of actions directed at developed and developing countries around the world, the majority of countries still have not implemented comprehensive educational programs on sepsis prevention, recognition, and care.

Read More

Respiratory Compromise

Early Detection and Treatment of Sepsis Saves Lives!

On September 5th and 6th, the Global Sepsis Alliance, initiator of World Sepsis Day and World Sepsis Congress, will host the 2nd World Sepsis Congress. The 2nd WSC is a free online congress in which over 100 renowned experts from all around the world will give presentations on all aspects of sepsis. The congress will be held in English and is open to everyone with an internet connection.

For more information on program, speakers, time zones, and to register for free, please visit www.worldsepsiscongress.org

Read More

Respiratory Compromise

Is Respiratory Compromise The New “Sepsis”? An Interview with Jeffrey Vender, MD The Benefits of Early Detection Through Continuous Patient Monitoring

Oct 26 update – The full podcast “Is Respiratory Compromise The New ‘Sepsis’?” can now be viewed at https://youtu.be/xmOpSZaBi1w. We had tried to have YouTube correct the previously upload which only played for 4 minutes, but they were unable to do that and so we have been forced to re-upload the podcast. We apologize again for any inconvenience that this may have caused you.

Oct 23 update – the podcast on YouTube is unfortunately only playing about 4 minutes of the more than 18 minute interview. We are working with YouTube to have this fixed as soon as possible. When this is fixed, we will post another update on this post. We apologize for any inconvenience this may have caused you.

The Physician-Patient Alliance for Health & Safety is pleased to announce the release of a clinical education podcast with Jeffrey Vender, MD.

Jeffrey S. Vender, MD is Clinical Professor at the University Of Chicago, Pritzker School of Medicine. He is also Chairman of the clinical advisory committee to the Respiratory Compromise Institute.

#RespiratoryCompromise is The New “#Sepsis”? #patientsafety Click To Tweet Read More

Patient Safety

This Sepsis Awareness Month, Suspect Sepsis – Save Lives Through sepsis recognition, clinicians can improve patient care

Healthcare providers can save patient lives through education, earlier detection, and management by being more aware of sepsis.

By Marijke Vroomen Durning, RN (Director of Content, Sepsis Alliance)

Earlier this year, the World Health Organization (WHO) declared sepsis to be a global health priority. In doing so, they adopted a resolution to prevent sepsis, and to improve its diagnosis and management. Sepsis Alliance welcomed this declaration. Each year in the United States alone, over 258,000 people die from sepsis. Thousands more are left with life-changing effects, such as amputations, organ dysfunction, or post-traumatic stress disorder (PTSD).

Read More

Opioid Safety

Patient Safety Weekly Must Reads (May 13, 2017)

This week in #patientsafety, PPAHS featured a video about Tyler, an 18-year-old who survived the surgery for a collapsed lung but not the recovery. He was receiving opioids via PCA pump and was found dead in bed. From around the web, two Canadian patient safety organizations are trying to measure patient harm in hospitals, a biochemist from the University of Colorado looks at NSAIDs and sepsis, and an answer to whether a stroke patient should be driven to the hospital. Read More

Must Reads

Patient Safety Weekly Must Reads (April 8, 2017)

This week in #patientsafety, we released a video that summarizes experiences of clinicians in improving opioid safety in their hospital or healthcare facility, and reminds us of the tragic consequences of adverse events and deaths that may ensue if clinicians and healthcare executives are not proactive in promoting safety. From around the web, a look at alarm fatigue, pre-surgical counselling on opioid use, and reactions to a sepsis awareness campaign.

From PPAHS:

Nine Minutes to Improving Opioid Safety: PPAHS Releases Patient Safety Video. Over 10 hours of in-depth interviews released by PPAHS in 2016 distilled into 9 minutes.

From Around the Web:

How Redesigning The Abrasive Alarms Of Hospital Soundscapes Can Save Lives. Alarm fatigue continues to be a problem at hospitals.

Here’s something that curbs opioid use: Pre-surgical counseling. This surgeon shows a video on opioid safety to patients before undergoing surgery, and says it works at reducing opioid use.

Sepsis awareness campaigner reacts to health board responses. Health boards in the UK are working on reducing sepsis, but some are wary of a widower’s awareness campaign.

Must Reads

Patient Safety Weekly Must Reads (March 25, 2017)

This week in #patientsafety, we highlight again that it is Blood Clot Awareness Month. From around the web, three studies: one on the effect of hospital inspectors on patient safety; one on sepsis; and, one on the relationship between opioid supply levels and long-term use.

From PPAHS:

March is Blood Clot Awareness Month. Blood Clot Awareness Month is a time for us to highlight stories and resources that you can share with colleagues, patients, and loved ones to bring attention to blood clots.

From Around the Web:

When Hospital Inspectors Are Watching, Fewer Patients Die. A study published in JAMA Internal Medicine studied records of Medicare admissions from 2008 to 2012 at 1,984 hospitals and found that in the non-inspection weeks, the average 30-day death rate was 7.21 percent. But during inspections, the rate fell to 7.03 percent.

UAB study highlights risks of sepsis. A new study from researchers at the University of Alabama at Birmingham analyzing three different methods for characterizing sepsis has helped to illustrate the risk of death or severe illness attributable to the condition.

With a 10-day supply of opioids, 1 in 5 become long-term users. With an initial 10-day opioid prescription, about one-in-five patients become long-term users, according to data published Friday in the Centers for Disease Control and Prevention’s Morbidity and Mortality Weekly Report.

Must Reads

Patient Safety Weekly Must Reads (March 18, 2017)

This week in #patientsafety, we marked Patient Safety Awareness Week.

We want every week to be patient safety awareness week, so we published an article about saying so. We also shared a story written by a mother whose son died after a nursing error. From around the web, we highlight research on sepsis and opioid prescribing practices. We also direct you to an article from Canada looking at whether patients should feel comfortable taking opioids after surgery.

From PPAHS:

Patient Safety Awareness Week Needs to Be Every Week. We join others in calling on leaders to make every week patient safety awareness week at their healthcare facilities.

A Nursing Error Led to My Son’s Unexpected Death. This is the story of how the unmonitored use of patient-controlled analgesia and nursing errors led to the unexpected death of a mother’s only child (and how it might have been prevented).

From Around the Web:

Researchers Identify Biomarker that Predicts Death in Sepsis Patients. Duke scientists have discovered a biomarker of the runaway immune response to infection called sepsis that could improve early diagnosis, prognosis, and treatment to save lives.

Surgeons were told to stop prescribing so many painkillers. The results were remarkable. Despite the clickbait-y headline, this Washington Post article is legitimate and tells the story of how Dartmouth-Hitchcock Medical Center reduced the number of opioid pills they prescribed.

Should I be concerned about taking opioids after surgery?. For those in Canada, here’s a Globe and Mail article asking whether patients should be afraid to take opioids after surgery. The comments are worth reading; and share your opinion if you feel it appropriate to do so.

Must Reads

Patient Safety Weekly Must Reads (March 11, 2017)

This week in #patientsafety, we shared an article by Bradley Truax, MD, on pediatric sedation. We also shared a first-hand story written by the daughter of a patient who almost died of sepsis. From around the web, PIPSQC shared clinical videos on pediatric safety and a QI team implemented a very successful intervention for patients undergoing elective surgery.

Also, it’s Blood Clot Awareness Month! Tell us what your team is doing to improve blood clot safety.

From PPAHS:

Patient Safety Tip of the Week: Guideline Update for Pediatric Sedation. Continuing our efforts to bring in multiple #patientsafety perspectives, we have reposted an article on pediatric sedation safety (with permission).

I am running 50 miles for Sepsis, because more needs to be done. The daughter of a man who almost died from sepsis tells her story in this heartfelt first-hand account.

From Around the Web:

Children’s Hospitals’ Solutions for Patient Safety (SPS) – Prevention Bundle Videos. On the topic of pediatric safety, the Paediatric International Patient Safety and Quality Collaborative (PIPSQC) shared some great videos on pediatric safety in a clinical setting.

Impact of a peri-operative quality improvement programme on postoperative pulmonary complications. A quality improvement team cut postoperative pulmonary complications in half with a perioperative intervention.

Blood Clot Awareness Month 2017: “Know More, Share More”. March is Blood Clot Awareness Month. Share what your team is doing to improve blood clot safety.