Survey, Experience Confirms Continuous Electronic Monitoring With Capnography Boosts Patient Safety and Lowers Healthcare Costs

By Harold Oglesby, RRT, Manager, Pulmonary Medicine, St. Joseph’s Hospital/Candler Health System, and Michael Wong, JD, Executive Director, Physician-Patient Alliance for Health & Safety (This article first appeared in Becker’s Clinical Quality & Infection Control.) Though continuous electronic monitoring of all patients receiving patient-controlled analgesia is not a universal practice among the nation’s hospitals today, a … Continue reading

Is going part-way for patient safety good enough?

This is the question that I have been asking myself ever since the Physician-Patient Alliance for Health & Safety posted an article encouraging Centers for Medicare & Medicaid Services (CMS) to include continuous electronic monitoring of patients using patient-controlled analgesia (PCA) pumps. “Patient Controlled Analgesia (PCA) pumps” says Pat Iyer, president of www.avoidmedicalerrors.com, “were developed to address … Continue reading

Four Technology Recommendations to Reduce Alarm Fatigue

This article is reprinted with the permission of Patient Safety & Quality Healthcare (PSQH).  Improving patient safety is one of the most urgent issues facing healthcare today. PSQH is written for and by people who are involved directly in improving patient safety and the quality of care. According to ECRI Institute, an independent, nonprofit organization that researches … Continue reading

What have you done for patient safety?

Each year, Harvard University hosts one of the leading forums on patient safety, quality enhancement and medical error reduction. This year I attended the forum, The Eleventh National Quality Colloquium, to present on the PCA Safety Checklist, which I developed with a team of health experts and targets use of patient-controlled analgesia (PCA). The PCA Safety Checklist supports … Continue reading

Patient Safety Checklist Helps Address Opioid Warnings from TJC: Physician-Patient Alliance for Health & Safety checklist supports Sentinel Event Alert on opioid hazards

This article is a reprinted with the permission of Patient Safety & Quality Healthcare (PSQH).  Improving patient safety is one of the most urgent issues facing healthcare today. PSQH is written for and by people who are involved directly in improving patient safety and the quality of care. By Sean Power and Michael Wong On August 8, … Continue reading

Should Safety Checklist be a Standard of Care?

Recently, the Physician-Patient Alliance for Health & Safety (PPAHS), an advocacy group devoted to improving patient health and safety which I founded, announced the release of a concise safety checklist that reminds caregivers of the essential steps needed to be taken to initiate Patient-Controlled Analgesia (PCA) with a patient and to continue to assess that patient’s … Continue reading

3 Risks with Managing Pain with Patient-Controlled Analgesia (PCA) Pumps

According to reports made to the Food and Drug Administration (FDA) between 2005 and 2009, more than 56,000 adverse events and 700 patient deaths were linked to patient-controlled analgesia (PCA). One out of 378 post-surgical patients are harmed or die from errors related to the patient-controlled pumps that help relieve pain after surgical procedures, such as … Continue reading

Is Saving One Life at a Time Worth It?

Interns with A Promise to Amanda Foundation (www.promisetoamanda.org) think so. This Foundation was established by Cindy and Brian Abbiehl in memory and honor of Amanda. As they describe: Amanda “was admitted to a local hospital on Thursday, July 15, of 2010.  She was dehydrated, had lost at least 10 pounds, and had a virus that was … Continue reading

Monitoring Technology for PCA Pumps Can Prevent Adverse Events with Patient-Controlled Analgesia (PCA): So Why Are Hospitals Not Using It?

This article has also been published in SurgiStrategies, which can be read here.) According to its newly-updated, “How-to Guide: Prevent Harm from High-Alert Medication”, the Institute for Healthcare Improvement (IHI) looked at high-alert medications, which are “more likely than other medications to be associated with harm”. One of the areas that the IHI singles out is narcotics. The … Continue reading

What’s Driving the Costs of Malpractice Claims?

What are the costs of the malpractice claims? According to the study published in Health Affairs, “National Costs of the Medical Liability System”, concluded that the costs are $55.6 billion a year, which is 2.4% of annual healthcare spending. This $55.6 billion is divided as follows: $45.6 billion in defensive medicine costs $5.7 billion in … Continue reading