Spotlight on Baylor University Medical Center

Letter from the Chairman, June 2018

Dear Readers,

This month I’m proud that our Spotlight is focused on one of our first committed hospitals, Baylor University Medical Center, and their success in implementing the Actionable Patient Safety Solutions (APSS) on Failure to Rescue: Opioid-induced Respiratory Depression. They have demonstrated a significant decrease in mortality as well as a decrease in the number of rapid response team (RRT) activations. The opioid epidemic is a hot topic and this month, the spotlight’s focus on “failure to rescue” shows just how deadly opioids, even when prescribed in the hospital for post-operative pain, can be if the patient isn’t continuously monitored. There are countless stories, like Leah Coufal, Lewis Blackman, and John La Chance, who died from opioid overdose because their hospitals did not have the processes in place to ensure the safety of their patients when given opioids.

There is an actionable solution for hospitals to reduce harm and mortality associated with Failure to Rescue: Opioid-induced Respiratory Depression. Please download and implement it if your hospital isn’t continuously monitoring patients who are on opioids in your post-surgical wards.

If you have already implemented this APSS, or any other, and have a success story like Baylor University Medical Center’s, please contact Sarah Miller. We would love to feature your success story.

Last, but certainly not least, we only have 6 months left of 2018. Take action. Don’t wait another day.  Plan for zero preventable deaths by implementing all of the APSS and processes known to reduce preventable deaths.


Joe Kiani
Founder and Chairman
Patient Safety Movement Foundation