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Audiovisual > Audiovisual Presentation
Opioid-Induced Ventilatory Impairment (OIVI): Time for Change in the Monitoring Strategy for Postoperative PCA Patients.
Anesthesia Patient Safety Foundation. February 2014.
This video highlights a need for improved electronic monitoring of post-operative patients receiving opioids and includes footage from a multidisciplinary conference that offered patient experiences and expert insights about opioid safety.
Cases & Commentaries
- Spotlight Case
- Web M&M
Annie Yang, PharmD, BCPS; February 2014
Despite multiple checks by physician, pharmacist, and nurse during the medication ordering, dispensing, and administration processes, a patient received a 10-fold overdose of an opioid medication and a code blue was called.
Journal Article > Study
Improved pain resolution in hospitalized patients through targeting of pain mismanagement as medical error.
Okon TR, Lutz PS, Liang H. J Pain Symptom Manage. 2009;37:1039-1049.
A quality improvement intervention that focused on management of acute pain resulted in both improved pain relief for patients and a reduction in medication errors associated with opioid pain medications.