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TMIT
April 28, 2016, 1:00 pm - 2:30 pm ET
The Opioid Patient Safety Crisis: Actions and Reactions
 Session Overview

Opioid related adverse events have become a critical patient safety issue as evidenced by actions taken last month by the FDA (see link: http://www.fda.gov/NewsEvents/Newsroom/FactSheets/ucm484714.htm) and CDC (see link: http://www.cdc.gov/drugoverdose/prescribing/guideline.html).

We are proud to have Dr. Gladstone McDowell as our speaker; Dr. McDowell speaks extensively on the topic of pain management and the use and misuse of opioid medications. He will discuss the latest patient safety developments and current strategies to optimize opioid use in the context of the "5 Rights of Pain Care®."  After his presentation, Dr. McDowell will be joined by members of a reactor panel who will discuss the key takeaways with our experts, and respond to questions from our webinar participants.

Webinar Video and Downloads



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Speaker Slide Sets:

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Registration Information and CE Credit Information:
 Register:
Click here to register for this Webinar.

 When:  April 28, 2016 Time: 1:00 p.m.-2:30 p.m. ET
We are accepting questions now that relate to the session topics. Please e-mail any questions related to the specific session to webinars@safetyleaders.org with the session title in the e-mail message header.
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    E-mail webinars@safetyleaders.org or call 512-473-2370 between 9:00 a.m. and 4:30 p.m. CT.
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Learning Objectives:

  • Awareness: Participants will understand and be able to communicate the latest information regarding frequency, severity, and preventability of errors, harm, and harm due to errors in OPIOID use.
  • Accountability: Participants will understand WHO is accountable for new behaviors to protect patients and caregivers from errors and harm with OPIOIDS.
  • Ability: Participants will learn the principles of importance in education and how to enable key actors to reduce errors and harm with OPIOIDS.
  • Action: Participants will learn what direct line-of-sight actions must be taken to prevent and reduce the harm of OPIOID-related ADEs.

CE Participation Documentation

Texas Medical Institute of Technology, approved by the California Board of Registered Nursing, Provider Number 15996, will be issuing 1.5 contact hours for this webinar. TMIT is only providing nursing credit at this time.

To request a Participation Document, please click here.

 Introduction and Moderator
Charles R. Denham, MD
Welcome and Introduction

During Dr. Denham's business development career spanning 30 years, he and his organizations have served hundreds of innovation teams. While in practice as a radiation oncologist, he taught biomedical engineering and product development. He has taught innovation adoption, technology transfer, and commercialization in both academia and industry. He has been an adjunct Professor of Health Services Engineering at the...
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 Session Speaker
Gladstone C. McDowell, II, MD
The Opioid Patient Safety Crisis

Dr. McDowell is Medical Director of Integrated Pain Solutions. His areas of expertise include urology, anesthesiology, pain management, and patient safety. He has served as an instructor at The University of Ohio for both the Department of Urology and the Department of Surgery.
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 Reaction Panelists
Dan Ford, MBA, LFACHE
Discussion and Reaction to Presentations AND The Voice of Patient and Family

Dan Ford, MBA, is a patient/patient safety advocate; retired Vice President of Furst Group, a healthcare executive search firm; nationally known speaker on patient safety, has served and is serving on a number of national and regional patient safety and quality, PFE and PFAC boards/committees, serves as a patient/family advisor on LEAN process improvement events at Spectrum Health, and is a writer on patient safety and leadership.
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Becky Martins
Discussion and Reaction to Presentations

Becky Martins' advocacy spirit derives from the days when she was driving a family member 150 miles round-trip, three days a week, to dialysis treatments. She spent countless hours at the unit visiting with patients and their families. It was through their stories that she learned of the many challenges faced by patients living with chronic illness. It was by their example that she learned of the resilience of the human spirit to face health and health-related challenges head-on.
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Arlene Salamendra
Discussion and Reaction to Presentations

Arlene Salamendra is a former Board member and Staff Coordinator of Families Advocating Injury Reduction (FAIR). A number of years ago, she was the subject of a preventable medical error. Since that time, she has devoted a portion of her time to giving support to other patients...
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Jennifer Dingman
Discussion and Reaction to Presentations

Jennifer Dingman realized, after her mother's death in 1995 due to errors in medical diagnoses and treatment, that there is little to no help available for patients and their families in similar situations. This life-changing experience left her feeling vulnerable, and she decided to dedicate her life to help prevent medical tragedies from happening to others.
Read more...

Related Resources
  1. Editorial Board. Painkiller abuses and ignorance. The New York Times March 2, 2015:A18. Available at http://www.nytimes.com/2015/03/02/opinion/painkiller-abuses-and-ignorance.html.     
  2. Frenk SM, Porter KS, Paulozzi LJ. Prescription opioid analgesic use among adults: United States, 1999-2012. NCHS Data Brief. 2015 Feb;(189):1-8. Available at http://www.cdc.gov/nchs/data/databriefs/db189.pdf.     
  3. Budnitz DS, Lovegrove MC, Shehab N, et al. Emergency hospitalizations for adverse drug events in older Americans. N Engl J Med 2011 Nov 24;365(21):2002-12. Available at http://www.nejm.org/doi/pdf/10.1056/NEJMsa1103053.     
  4. Haffajee RL, Jena AB, Weiner SG. Mandatory use of prescription drug monitoring programs. JAMA 2015 Mar 3;313(9):891-2. Available at http://jama.jamanetwork.com/article.aspx?articleid=2107540.     
  5. Islam MM, McRae IS. An inevitable wave of prescription drug monitoring programs in the context of prescription opioids: pros, cons and tensions. BMC Pharmacol Toxicol 2014 Aug 16;15:46. Available at http://www.biomedcentral.com/content/pdf/2050-6511-15-46.pdf.     
  6. McPherson ML. Strategies for the management of opioid-induced adverse effects. University of Tennessee Advanced Studies in Pharmacy 2008 Jun;5(2):52-7. Available at http://www.utasip.com/files/articlefiles/pdf/3rd%20article.pdf.     
  7. [No authors listed.] Safe use of opioids in hospitals. Sentinel Event Alert Issue 49. Oakbrook Terrace (IL): The Joint Commission; 2012 Aug 8. Available at http://www.jointcommission.org/assets/1/18/SEA_49_opioids_8_2_12_final.pdf.     
  8. Warner M, Hedegaard H, Chen L-H. Trends in drug-poisoning deaths involving opioid analgesics and heroin: United States, 1999-2012. NCHS Health E-Stat. Atlanta (GA): Centers for Disease Control and Prevention; 2014 Dec 2. Available at http://www.cdc.gov/nchs/data/hestat/drug_poisoning/drug_poisoning_deaths_1999-2012.pdf.     
  9. Yokell MA, Delgado MK, Zaller ND, et al. Presentation of prescription and nonprescription opioid overdoses to US emergency departments. JAMA Intern Med 2014 Dec;174(12):2034-7. Available at http://archinte.jamanetwork.com/article.aspx?articleid=1918924.     
  10. IOM (Institute of Medicine). Relieving pain in America: a blueprint for transforming prevention, care, education, and research. Report Brief. Washington, DC: The National Academies Press; 2011 Jun. Available at http://www.iom.edu/~/media/Files/Report%20Files/2011/Relieving-Pain-in-America-A-Blueprint-for-Transforming-Prevention-Care-Education-Research/Pain%20Research%202011%20Report%20Brief.pdf.     
  11. IOM (Institute of Medicine). Committee on Advancing Pain Research, Care, and Education; Board on Health Sciences Policy. Relieving pain in America: a blueprint for transforming prevention, care, education, and research. Washington, DC: The National Academies Press; 2011 Jun. Available at http://www.nap.edu/catalog.php?record_id=13172.     
  12. U.S. Department of Health and Human Services, Office of Disease Prevention and Health Promotion. National Action Plan for Adverse Drug Event Prevention. Washington, DC: U.S. Department of Health and Human Services; 2014. Available at http://www.health.gov/hai/pdfs/ADE-Action-Plan-508c.pdf.     
  13. AHRQ. Efforts to improve patient safety result in 1.3 million fewer patient harms: Interim update on 2013 annual hospital-acquired condition rate and estimates of cost savings and deaths averted from 2010 to 2013. Rockville (MD): Agency for Healthcare Research and Quality; 2014 Dec. Available at http://www.ahrq.gov/professionals/quality-patient-safety/pfp/interimhacrate2013.html.     
  14. Denham CR. Is your hospital as safe as your bank? - Time to ask your board. J Patient Saf 2009 Jun;5(2):122-6. Available at http://journals.lww.com/journalpatientsafety/.     
  15. Chou R, Turner JA, Devine EB, et al. The effectiveness and risks of long-term opioid therapy for chronic pain: a systematic review for a national institutes of health pathways to prevention workshop. Ann Intern Med 2015 Feb 17;162(4):276-86. Available at http://annals.org/data/Journals/AIM/932765/0000605-201502170-00006.pdf.     
  16. National Quality Forum. Safe Practice 1: Culture of Safety Leadership Structures and Systems. IN: Safe Practices for Better Healthcare – 2010 Update: A Consensus Report. Washington, DC: National Quality Forum; 2010. Available at http://www.qualityforum.org/Publications/2010/04/Safe_Practices_for_Better_Healthcare_%E2%80%93_2010_Update.aspx.     
  17. National Quality Forum. Safe Practice 2: Culture Measurement, Feedback, and Intervention. IN: Safe Practices for Better Healthcare – 2010 Update: A Consensus Report. Washington, DC: National Quality Forum; 2010. Available at http://www.qualityforum.org/Publications/2010/04/Safe_Practices_for_Better_Healthcare_%E2%80%93_2010_Update.aspx.     
  18. National Quality Forum. Safe Practice 3: Teamwork Training and Skill Building. IN: Safe Practices for Better Healthcare – 2010 Update: A Consensus Report. Washington, DC: National Quality Forum; 2010. Available at http://www.qualityforum.org/Publications/2010/04/Safe_Practices_for_Better_Healthcare_%E2%80%93_2010_Update.aspx.     
  19. National Quality Forum. Safe Practice 4: Risks and Hazards. IN: Safe Practices for Better Healthcare – 2010 Update: A Consensus Report. Washington, DC: National Quality Forum; 2010. Available at http://www.qualityforum.org/Publications/2010/04/Safe_Practices_for_Better_Healthcare_%E2%80%93_2010_Update.aspx.     
  20. National Quality Forum. Safe Practice 18: Pharmacist Leadership Structures and Systems. IN: Safe Practices for Better Healthcare – 2010 Update: A Consensus Report. Washington, DC: National Quality Forum; 2010. Available at http://www.qualityforum.org/Publications/2010/04/Safe_Practices_for_Better_Healthcare_%E2%80%93_2010_Update.aspx.     
  21. National Quality Forum. Chapter 9: Opportunities for Patient and Family Involvement. IN: Safe Practices for Better Healthcare – 2010 Update: A Consensus Report. Washington, DC: National Quality Forum; 2010. Available at http://www.qualityforum.org/Publications/2010/04/Safe_Practices_for_Better_Healthcare_%E2%80%93_2010_Update.aspx.     
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