Resources

Organization Recommendations

	The Joint Commission National Safety Goal Medical Device Alarm Safety in Hospitals		The Joint Commission Sentinel Event Alert Medical Device Alarm Safety in Hospitals
	The Joint Commission Sentinel Event Alert Safe Use of Opioids in Hospitals		APSF 2011 Guidelines Weinger et al. No Patient Shall Be Harmed By Opioid-Induced Respiratory Depression
Clinical Studies Dartmouth-Hitchcock 2011 Nursing Annual Report: Continuous Patient Surveillance Monitoring, Published on May 2, 2012 by Dartmouth-Hitchcock As part of Dartmouth-Hitchcock's 2011 Nursing Annual Report, Nancy Karon, BSN, RN, ONC at Dartmouth-Hitchcock discusses how SafetyNet™ helps save lives at one of the nation’s leading hospitals.
	Anesthesiology Taenzer et al. Impact of Pulse Oximetry Surveillance on Rescue Events and Intensive Care Unit Transfers: A Before-and-After Concurrence Study. 2010.		APSF Newsletter 2012 Taenzer et al. Postoperative Monitoring–The Dartmouth Experience
	Journal of Clinical Anesthesia Shah N et al. Performance of three new-generation pulse oximeters during motion and low perfusion in volunteers		Surveillance Monitoring Learning from the Dartmouth-Hitchcock Medical Center Experience
Alarm Management
	Patient Safety & Quality Healthcare Pyke et al. Continuous pulse oximetry monitoring in the inpatient population. 2009.		AAMI Horizons Welch. An evidence-based approach to reduce nuisance alarms and alarm fatigue. 2011. PDF not viewable on mobile devices
	ECRI Institute Top 10 Health Technology Hazards Report for 2015		AAMI Foundation HTSI Clinical Alarms Webinars
	HTSI Webinar Series on Alarm Systems Management
Protocols, Policies, and Recipes for Action
	Recipe for: Action to Address Failure to Rescue: Post-operative Respiratory Depression		Hospital Protocol Cheyenne Regional Medical Center CLIN-­‐PC-­‐72Patients with Suspected or Documented Obstructive Sleep Apnea (OSA)
	Hospital Protocol Catholic Health – Mercy Hospital of Buffalo Patient Monitoring via the Patient SafetyNet Monitoring System

Clinical References

1. Peberdy, et al. “Cardiopulmonary resuscitation of adults in the hospital: A report of 14720 cardiac arrests from the National Registry of Cardiopulmonary Resuscitation.” Resuscitation 58 (2003), 297-308.
2. Cashman JN, Dolin SJ. Respiratory and haemodynamic effects of acute postoperative pain management: evidence from published data. Br J Anaesth 2004;93:212-23.
3. Buist M, Bernard S, Nguyen TV, Moore G, Anderson J. Association between clinically abnormal observations and subsequent in-hospital mortality: a prospective study. Resuscitation 2004;62:137-41.
4. Meissner B et al. The Rate and Costs Attributable to Intravenous Patient-Controlled Analgesia Errors. Hospital Pharmacy Volume 44, Number 4, pp 312–324 2009
5. Santell J. Parenteral Medication Errors, ASHP Summit on Preventing Death and Harm from Use of Intravenous Medications. ASHP July 2008
6. Hendrich et al. A 36-Hospital Time and Motion Study: How Do Medical-Surgical Nurses Spend Their Time? The Permanente Journal/ Summer 2008/ Volume 12 No. 3
7. HealthGrades. The Eighth Annual HealthGrades Patient Safety in American Hospitals Study. March 2011. Golden Col. HealthGrades Inc.
8. Finkel KJ et al. Prevalence of undiagnosed obstructive sleep apnea among adult surgical patients in an academic medical center, Sleep Med 2009 107:753-758
9. Ramachandran K, Josephs L. A Meta-analysis of Clinical Screening Tests for Obstructive Sleep Apnea. Anesthesiology 2009; 110:928-39