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We See You When You’re Sleeping:
Addressing Patient Safety Risks Surrounding Opioid-Induced Sedation

Healthcare facilities are increasingly caring for complex, co-morbid patients who require surgery. According to the Joint Commission’s Sentinel Event database (2004-2011), 47 percent were wrong dose medication errors, 29 percent were related to improper monitoring of the patient, and 11 percent were related to other factors, including excessive dosing, medication interactions and adverse drug reactions.* Opioids are involved in almost half of all deaths attributed to medication errors. They are the most commonly used post-operative medications and have the most frequent adverse events because they can significantly increase their risk for respiratory depression and arrest.

Spot checking vital signs is not a solution. It assumes that the patient will show distress at the time of observation. It also has been shown to stimulate the patient which can hide signs of deterioration, and it leaves patients unmonitored 96% of the time.

Transitioning from spot checking patients on opioids to continuous monitoring is the new best practice. This webinar will review the clinical problem and regulatory guidelines that support increased interventions for enhancing patient surveillance and patient safety while receiving opioids. It will also identify the current state of opioids and their impact on your practice, and it will analyze the effectiveness of continuous vs. spot monitoring to detect early patient deterioration.

*The Joint Commission. Facts about Pain Management. Available at: www.jointcommission.org/pain_management/. Accessed Dec. 2, 2014.

Objectives

  • Review the current state of opioids and impact on your practice
  • Define the clinical problem and regulatory guidelines that support increased interventions for enhancing patient monitoring and patient safety while receiving opioids
  • Analyze the effectiveness of continuous vital signs and spot monitoring to detect early patient deterioration
  • Identify the biggest challenges to overcome when implementing continuous monitoring

Presenter: John Zaleski, PhD, CPHIMS

Recording Date: November 30, 2016

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