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Michael Wong, JD
A hospital failed to monitor a high-risk patient being given opioids for pain. She died. This death could have been prevented with continuous monitoring.
After celebrated animator Paul Buisson died of an in hospital opioid overdose, three key steps were identified that could have prevented his death.
Giving patients a decision-making role in their pain plan and providing them with the information they need to arrive at informed mutual decisions is foundational for opioid safety.
CMS bundled payments for joint replacements are designed to reign in costs, but what's not in the bundle could pose patient safety risks.
Ideally, the clinical decision to monitor or not monitor patients receiving opioids with the available technology of pulse oximetry (for oxygenation) and capnography (for ventilation adequacy) should not be an option. However, hospital resource constraints may pose impediments to monitoring all patients receiving opioids.
To reduce patient deaths, hospitals need to become “highly reliable” organizations.
The patient pulmonary index gathers measures of end-tidal CO2, pulse oximetry, respiratory rate, and pulse rate into a single 10-point scale.
Although procedures in which conscious sedation are used are generally safe for patients, the American Society of Anesthesiologists cautions that there are risks to over-sedating or under-sedating patients.
There are 4 key steps to reduce the risk of blood clots in obese pregnant women are plan, prevent, post-discharge care, & follow OB VTE Safety recommendations.
Research shows that continuous monitoring in hospital medical-surgical units improves clinical outcomes, but many hospitals are not using it. Why?
Pulmonary embolism can be fatal, but early diagnosis & treatment reduces deaths. Capnography, a non-invasive test, may help exclude the diagnosis.
Vanderbilt University Medical Center demonstrates that continually monitoring low-acuity patients, like we do with ICU patients, can improve patient safety.
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