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First National Survey of Patient-Controlled Analgesia Practices

şt INATIONALSURVEY PATIENTCONTROLLED ANALGESIAPRACTICES PAHS OF Physkclan-Patlent Allance for Health & Safety This survey was conducted during March & April 2013*. Respondents include... 168 Respondents A states, Hospitals from across 18% Physicians Institution Type Non-Teaching Teaching 35% 45% 55% Non-Physicians (Nurses, R.T.s) Hospital Size Range 47% Pharmacists # of beds 1,500+ 14 MEDIAN = 200 INFUSING.. Technological SafetyPractices CONTINUQUS ELECTRONIC MONITORING HOSPITALS ÚSING SMART PUMPS Reduces... "Too Early to Determine...'" Adverse Events I Costs Expenses 65% 35% USE for ALL PATIENTS (or have not determined) "Positive Results!" 81% DOES NOT USE SMART PUMPS 16% 3% USE for SOME PATIENTS ?! Role of AlarmFatigue 19/20 Hospitals Concerned About Alarm Fatigue 9/10 HOSPITALS BELIEVE REDUCING FALSE ALARMS WOULD INCREASE USE of PATIENT MONITORING DEVICES HOSPITALS RATE OF CONCERN forALARM FATIGUE NOT Concerned (i.e. OXIMETER or CAPNOGRAPH) 5% 34% Difficult Problem to Manage. Preventing Us from Implementing... 61% Concerned... But NOT an UNMANAGEABLE Problem. OUT OF 10 HOSPITALS WOULD LIKE 66a Single Indicator> pulse rate spiratory rate oxygenation carbon dioxide exhaled SAAP Failure to Check PCA Connections Settings May Jeopardize Patient Safety TIMES WHEN TWO HEALTHCARE PROVIDERS DOUBLE-CHECKS PCA PUMP @initiation @refilling @programming change Checks Settings 98.1% Confirms Drug Selection & Concentration as prescribed 95.7% Checks Patients' ID 93.2% (1/10 Any Dosąge Adjustments Needed 77.2% Checks Patients Allergies HOSPITALS PERFORMED 75.9% Tube Line Attachments 1or Less 68.5% 0% 25% 50% 75% 100% DOUBLE-CHECKS ( ensure correct patient, receiving correct dosage, programmed & attached correctly!) Risk Factors Not Considered could result in Patient Harm/Death 3outof20 FOR PATIENTS ÎNITIATING PCA hospitals aren't considering Advanced Age a factor Concomitant Rx Potentiate Sedative Effects 94.6% Pre-Existing Conditions 92.2% Advanced Age 84.9% Opioid Naive 81.3% Obesity 69.9% Low Body Weight 63.3% 3/10 25% 50% 75% 100% HOSPITALS DON'T CONSIDER OUT OF HOSPITALS OBESITY NOŤ ASSESSING Being Opioid Naive a factor *Authors: MICHAELWONG JD Executive Director Physician-Patient Alliance for Health & Safety ANUJMABUYI, PhD Asst Professor : Dept of Mathematics Northeastern llinois University BEVERLYGONZALEZ, ScM Biostatistician Johns Hopkins Bloomberg School of Public Health Promise to Amanda F2. NDATION FacusED ON MONITaINa ce e 2013 Physician-Patient Alliance for Health & Safety You are free to copy. distribute and transmit this content, but you must attribute the work to Physician-Patient Alliance for Health & Safety. promise @PromisetoAmanda

First National Survey of Patient-Controlled Analgesia Practices

shared by seanmpower on Nov 01
Inconsistency in safe practices most likely accounts for large proportion of adverse events and deaths associated with PCA use, says Physician-Patient Alliance for Health and Safety. The Physician-...


Sean Power


H&C Agency


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