Perioperative Patient Safety Priorities

APSF’s Perioperative Patient Safety Priorities and Ongoing Activities

The following list contains our top 10 priorities and notes the activities for each that we have done in the past 5 years. The summary of activities is not exhaustive. Thank you to all of the APSF family who served with a Patient Safety Priorities Advisory Group (PSPAG) from 2021-2022. The 2023-2026 PSPAG information will be updated when they have begun their work.

APSF Activities:

Advisory Group:

Chair(s): Josh Lea, DNP, MBA, CRNA
Contributors: Emily Methangkool, MD; Elizabeth Malinzak, MD; Michael A.E. Ramsay, MD, FRCA; John Allyn, MD; Chris Estes, RRT; Marilyn Archambeault, CAA; Toni Zito, MSN, RN, CPAN, FASPAN; Brandon Gomes, SRNA; Jevon Oliver, PharmD; Della Lin, MD; Amy Vinson, MD

APSF Activities:

Advisory Group:

Chair(s): May Pian-Smith, MD; Aalok Agarwala, MD
Contributors: Brandi Bottiger, MD; Archit Sharma, MD, MBA; Ankeet Udani, MD; Barbara Burian, PhD; Amanda Lorinc, MD; Ruth Fanning, MD; Patricia McGaffigan, RN, MS, CPPS; Aubrey Samost-Williams, MD; Sarah Whitfield, CAA; Aalap Shah, MD; Rebecca Minehart, MD; Daniel Pistone, CAA; Philip Greilich, MD; Jay York, MD

  1. Early warning systems in all perioperative patients
  2. Monitoring for patient deterioration
    1. Postoperative continuous monitoring on the hospital floor
    2. Opioid-induced ventilatory impairment and monitoring
    3. Early sepsis
  3. Early recognition and response to decompensating patient

APSF Activities:

  • The 2019 APSF Stoelting Conference was dedicated to this topic
  • This topic has been highlighted in 2020 APSF Newsletter issues and APSF-sponsored panels and presentations
  • APSF is collaborating with American Society of Anesthesiologists (ASA) and other subspecialty organizations to address specific issues related to this topic
  • APSF will support prototype development for several models that may reduce failure-to-rescue
  • APSF has supported 2 research grants on this issue in the past 5 years

Advisory Group:

Chair(s): John (JW) Beard
Contributors: Tina Abdelnour, MS, BSN; Elise Hyman, VP, Marketing; Amir Ghaferi, MD; Michael DeVita, MD; Bryan Rondeau, MD; George Blike, MD; Carrie Menser, MD; Sam Ajizian, MD; J. Ross Renew, MD; G.W. Hamilton, RRT; Vikram Kumar, MD; Jack Neil, MD; Michael Scott, MB, ChB, FRCP, FRCA, FFICM; Andrea Regan, MSc, MSA, CAA; Shermeen Vakharia, MD; Jonathan Tan, MD

APSF Activities:

  • The APSF supports this ASA-American Association of Retired Persons initiative
  • This issue is addressed in our October 2020 APSF Newsletter
  • APSF has supported 3 research grants on this issue in the past 5 years

Advisory Group:

Chair(s): Emily Methangkool, MD
Contributors: Tong J (TJ) Gan, MD, MBA, MHS, FRCA; Steven J. Barker, PhD, MD; Shiella Radel, MS-PREP; Jeanna Blitz, MD; Natalie Moreland, MD; Ryan Field, MD; Gary Latson , MD; Ashish Khanna, MD; Lena Scotto, MD; Arney Abcejo, MD; Nathanial Bailey, MD; Miles Berger, MD

APSF Activities:

  • This issue has been addressed in 11 articles in the APSF Newsletter since 2016
  • APSF has supported one research grant on this issue in the past 5 years
  • APSF supports ongoing efforts in the U.S. Congress, Joint Commission, and regulatory agencies to promote postoperative monitoring of patients who have received opioids

Advisory Group:

Chair(s): Ken Johnson, MD; Christina Hayhurst, MD
Contributors: Steven J. Barker, PhD, MD; Erin Manning, MD, PhD; Lisa Einhorn, MD; Joe Pergolizzi, MD; Sesh Mudumbai, MD; Amy Scroggin, CAA; Mark Bendel, MD; Oludare (Dare) (Dare) O. Olatoye, MD; Tori Sutherland, MD; David Smith, BSN, RN, BA; Peter Barelka, MD

  1. Drug effects
  2. Labeling issues
  3. Shortages
  4. Technology issues (e.g., barcoding, RFID)
  5. Processes for avoiding and detecting errors

APSF Activities:

  • The 2018 APSF Stoelting Conference was dedicated to this topic
  • APSF presented panels at the 2019 ASA and New York State Society of Anesthesiologists’ annual meetings
  • Multiple APSF Newsletter articles have been published on this issue in 2020
  • APSF will co-host a summit in 2021 with the Institute for Safe Medication Practices

Advisory Group:

Chair(s): Elizabeth Rebello, MD
Contributors: Cristy L. Berg, CTSM; Tricia Meyer, PharmD; Brad Taicher, DO, MBA; Tim Vanderveen, PharmD; Tim Dunne, BS; Jevon Oliver, PharmD; Amanda Esposito, CAA; Russell McAllister, MD; Rodrigo Daly-Guris, MD; Rachel Wang, MD; Paul Lefebvre, JD; Gwen Volpe, RPh, LSSBB, FASHP; Allison Doney, MHA; Lauren Partyka, MD; Jennifer Stever, CAA; Max B. Kelz, MD, PhD; Taizoon Dhoon, MD; Edward (Ed) A. Maratea, Jr., MD; Amy Pearson, MD; Alan Merry, MD; Karen Nanji, MD; Travis Lawler, PharmD, MBA; Cindy West, DNP, MBA, CRNA

APSF Activities:

Advisory Group:

Chair(s): Randy Loftus, MD
Contributors: Raquel Bartz, MD; Melanie Hollidge, MD, PhD; Michelle Beam, DO, MBA, FASA; Desiree Chappell, CRNA; Jennifer Elia, MD; Jonathan Tan, MD; Rich Beers, MD; Jonathan Charnin, MD; Morgan Hellman, RN, BSN; Sara McMannus, BSN; Dave Zagorski, CAA; Brendan Wanta, MD

APSF Activities:

  • Clinician safety (including burnout) will be will be the topic of the 2021 APSF Stoelting Conference
  • Five articles on this issue has been published in the APSF Newsletter
  • APSF has supported one research grant on this issue since 2016

Advisory Group:

Chair(s): Lynn Reede, DNP, MBA, CRNA; Shane Angus, CAA
Contributors: Abigail Melnick, MD; Meagan Devish, CAA; Barbara Burian, PhD; Michelle Beam, DO, MBA, FASA; Amanda Stone, PhD; Patricia McGaffigan, RN, MS, CPPS; Allison Doney, MHA; Britany Thomas, CAA; Jina Sinskey, MD; Bridget Pulos, MD; Brad Taicher, DO, MBA; Chris Roussin, PhD; Jeff Cooper, PhD

APSF Activities:

  • Several APSF articles have addressed this issue in recent APSF Newsletter articles
  • APSF has supported 3 research grants on this issue in the past 5 years

Advisory Group:

Chair(s): John Fiadjoe, MD
Contributors: Melanie Hollidge, MD; Raquel Bartz, MD; Jason Tippett, MD; Annery Garcia-Marcinkewicz, MD; Karen Phillips, MD; Jeremi Mountjoy, MD; Govid Rajan, MD; Cheryl Gooden, MD; Pete Kovatsis, MD; Sheila Myatra; Grace Hsu, MD