Missed respiratory therapy treatments: underlying causes and management strategies
- Collection:
- Health Policy and Services Research
- Series Title(s):
- Pennsylvania patient safety advisory
- Author(s):
- Wallace, Susan, author Gardner, Lea Anne, author Roper, Christine, author
- Contributor(s):
- Pennsylvania. Patient Safety Authority, issuing body. ECRI (Organization), issuing body. Institute for Safe Medication Practices, issuing body.
- Publication:
- [Harrisburg, Pennsylvania] : Pennsylvania Patient Safety Authority, March 2016
- Language(s):
- English
- Format:
- Text
- Subject(s):
- Medical Errors -- prevention & control Respiratory Therapy Continuity of Patient Care Medical Errors -- statistics & numerical data Medication Errors Patient Care Team Patient Education as Topic Personnel Staffing and Scheduling Respiration Disorders -- therapy Respiratory System Agents -- therapeutic use Risk Management Treatment Refusal Humans Pennsylvania United States
- Genre(s):
- Technical Report
- Abstract:
- For patients who suffer from respiratory ailments, a missed treatment may exacerbate an existing condition and contribute to the patient requiring a higher level of care. Respiratory therapy is ordered for reasons including treatment of chronic obstructive pulmonary disease or cystic fibrosis; treatment of an acute illness such as pneumonia or bronchiolitis; or for monitoring after surgery or other procedures. Events submitted to the Pennsylvania Patient Safety Reporting System identified 8,745 missed respiratory treatments reported over a 5-year period; 22.8% of the event reports did not provide a reason. Respiratory therapists in Pennsylvania were surveyed to determine the most common factors contributing to missed respiratory treatments. Survey analysis revealed treatments were missed due to patient unavailability because of other therapies or tests; patient refused treatments; or the respiratory therapist was unavailable because of an emergency situation or increased workload. Strategies to address missed respiratory treatments include coordinating care using the electronic health record and team management, taking time to explain treatments to patients, and using assessment protocols to help define treatment frequency and modality.
- Copyright:
- Reproduced with permission of the copyright holder. Further use of the material is subject to CC BY-NC-ND license. (More information)
- Extent:
- 1 online resource (1 PDF file (pages 11-17))
- Illustrations:
- Illustrations
- NLM Unique ID:
- 101679103 (See catalog record)
- Permanent Link:
- http://resource.nlm.nih.gov/101679103