On November 18th Cleveland’s News 5 aired Dead in Bed: A deadly hospital secret. Dead in Bed is the result of a 5 month investigation that interviewed some of the nation’s most respected medical experts on why healthy patients are dying within hours of surgery.
Although the investigative report, stated it believed that new pain management standards implemented 15 years ago may be contributing to risk factors, seems like new news, the AAMI Foundation has been advancing safety in healthcare technology with initiatives on National Coalition to Promote Continuous Monitoring of Patients on Opioids and the Nation coalition for Alarms. Their kick off meeting National Coalition to Promote Continuous Monitoring of Patients on Opioids – in November of 2014 covered the Opioid and Sedative Use Increases the Risk of In-Hospital Cardiopulmonary Arrest and more.
This is an on-going issue that concerns the use and monitoring of patients being given opioids, Opioid deaths effects nearly everyone, regardless of race and has tripled over the last 20 years. This is a real issue that needs the healthcare industry’s attention.
To listen to the the full investigative here report from News 5 click here
To connect with the AAMI click here.
If you haven’t signed up for it there is still time to register for the Bernoulli sponsored webinar “We See You When You’re Sleeping: Addressing Patient Safety Risks Surrounding Opioid-Induced Sedation” with presenter Jeanne J. Venella DNP, MS, CEN, CPEN on November 30th
AAMI Foundation Safety Innovations
Virtua: Implementing Capnography in Low Acuity Settings
In 2013, the Virtua (1,009 beds across three hospitals) prioritized narcotic safety. The hospital system responded by implementing non-invasive capnography monitoring and continuous pulse oximetry monitoring on medical-surgical units. Capnography is used to measure exhaled end-tidal carbon dioxide (EtCO2) and inhaled carbon dioxide (FiCO2) to determine a patient’s respiratory rate and generate waveforms (i.e., capnograms) of exhaled carbon dioxide over time. However, unlike conventional capnography, which requires patients to be intubated to sample a patient’s inhalations and exhalations, thus restricting its use to critical care areas and operating rooms, non-invasive capnography uses nasal or oral-nasal sampling tubing that is worn over the nose (and sometimes mouth) to collect respiratory data, making it practical for use anywhere in a hospital.
This paper details Virtua’s journey of implementation of non-invasive capnography, highlighting how barriers were overcome, sharing key factors for success, and describing the ongoing challenges of effectively monitoring patients receiving intravenous opioids for pain management.
The capnography monitoring implementation experience at Virtua provides a prototype of how a team, through persistent advocacy, can influence their organization to change practice and leverage its best asset—staff across all disciplines—to improve the quality of patient care.
Bernoulli CNO Jeanne Venella published article “Smarter alarm management fights alarm fatigue” in Medscape
Bernoulli Chief Nursing Officer (CNO) Jeanne Venella’s discusses how providers can address the second highest-ranked patient safety risk identified in ECRI’s Top 10 Health Technology Hazards for 2016 and achieve compliance with the Joint Commission’s National Patient Safety Goals on clinical alarm safety. This article describes how two different hospitals achieved their alarm management goals using both technology and interdisciplinary expertise. To read the full article please click on this link: http://www.medscape.com/viewarticle/857531 (free registration required).